NSG 430 EXAM 2 NEWET 2027 TEST BANK| ADULT
HEALTH NURSING II EXAM 2 WITH 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS WITH RATIONALES) ALREADY
GRADED A+|| BRAND NEW!!
1. A nurse is assessing a patient with left-sided heart failure.
Which finding is most indicative?
A. Jugular vein distention
B. Peripheral edema
C. Crackles in the lung bases
D. Hepatomegaly
Correct Answer: C
Rationale: Left-sided failure → increased pulmonary venous
pressure → fluid into alveoli → crackles. JVD, peripheral
edema, hepatomegaly = right-sided failure.
1
,2. A patient post-MI is started on metoprolol. Which
therapeutic effect does the nurse expect?
A. Increased heart rate and contractility
B. Decreased myocardial oxygen demand
C. Vasodilation of coronary arteries
D. Thrombolysis of existing clots
Correct Answer: B
Rationale: Metoprolol (beta-1 blocker) reduces HR, contractility,
BP → decreased myocardial O2 demand → reduced
reinfarction risk.
3. A patient with heart failure has EF 25% and starts
carvedilol. Which instruction is most important?
A. “Take only when short of breath.”
B. “Report weight gain >2–3 lbs in 24 hours.”
2
,C. “Stop if dizzy.”
D. “This will immediately improve pumping.”
Correct Answer: B
Rationale: Carvedilol improves survival but can cause fluid
retention. Weight gain indicates worsening HF. Dizziness is
common initially; do not stop without advice.
4. A nurse is assessing a patient with right-sided heart failure.
Which finding is expected?
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Jugular vein distention
D. Crackles in lungs
Correct Answer: C
Rationale: Right-sided failure → systemic congestion → JVD,
3
, peripheral edema, ascites, hepatomegaly. Orthopnea, PND,
crackles = left-sided.
5. A patient with atrial fibrillation is started on warfarin.
Which OTC medication should the patient avoid?
A. Acetaminophen
B. Ibuprofen
C. Diphenhydramine
D. Loratadine
Correct Answer: B
Rationale: NSAIDs (ibuprofen, naproxen, aspirin) increase
bleeding risk with warfarin via platelet inhibition and GI
irritation.
6. A nurse is administering IV furosemide to a patient with
acute pulmonary edema. Which finding indicates therapeutic
4
HEALTH NURSING II EXAM 2 WITH 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS WITH RATIONALES) ALREADY
GRADED A+|| BRAND NEW!!
1. A nurse is assessing a patient with left-sided heart failure.
Which finding is most indicative?
A. Jugular vein distention
B. Peripheral edema
C. Crackles in the lung bases
D. Hepatomegaly
Correct Answer: C
Rationale: Left-sided failure → increased pulmonary venous
pressure → fluid into alveoli → crackles. JVD, peripheral
edema, hepatomegaly = right-sided failure.
1
,2. A patient post-MI is started on metoprolol. Which
therapeutic effect does the nurse expect?
A. Increased heart rate and contractility
B. Decreased myocardial oxygen demand
C. Vasodilation of coronary arteries
D. Thrombolysis of existing clots
Correct Answer: B
Rationale: Metoprolol (beta-1 blocker) reduces HR, contractility,
BP → decreased myocardial O2 demand → reduced
reinfarction risk.
3. A patient with heart failure has EF 25% and starts
carvedilol. Which instruction is most important?
A. “Take only when short of breath.”
B. “Report weight gain >2–3 lbs in 24 hours.”
2
,C. “Stop if dizzy.”
D. “This will immediately improve pumping.”
Correct Answer: B
Rationale: Carvedilol improves survival but can cause fluid
retention. Weight gain indicates worsening HF. Dizziness is
common initially; do not stop without advice.
4. A nurse is assessing a patient with right-sided heart failure.
Which finding is expected?
A. Orthopnea
B. Paroxysmal nocturnal dyspnea
C. Jugular vein distention
D. Crackles in lungs
Correct Answer: C
Rationale: Right-sided failure → systemic congestion → JVD,
3
, peripheral edema, ascites, hepatomegaly. Orthopnea, PND,
crackles = left-sided.
5. A patient with atrial fibrillation is started on warfarin.
Which OTC medication should the patient avoid?
A. Acetaminophen
B. Ibuprofen
C. Diphenhydramine
D. Loratadine
Correct Answer: B
Rationale: NSAIDs (ibuprofen, naproxen, aspirin) increase
bleeding risk with warfarin via platelet inhibition and GI
irritation.
6. A nurse is administering IV furosemide to a patient with
acute pulmonary edema. Which finding indicates therapeutic
4
