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NUR 242 MED SURG EXAM 3 QUESTIONS
AND ANSWERS 2025
An older client with a history of congestive heart failure
expresses concern about potential exposure to tuberculosis
(TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and sometimes spits up blood.
Which is the primary reason that the nurse pursues more
information about the roommate? - correct answer- TB
adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart
failure (HF) about dietary interventions to prevent fluid
overload, which topic will be included? - correct answer- Use of
fresh or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea
(PND)? - correct answer- Assist the client to sit on the edge of
the bed
When caring for a client with a diagnosis of right ventricular
heart failure, the nurse expects which assessment findings?
Select all that apply. One, some, or all responses may be
correct. - correct answer- Dependent edema
Swollen hands and fingers
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Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure
reveals tachypnea and bilateral crackles. Which is the priority
nursing intervention? - correct answer- Place client in a high-
Fowler position.
Which treatment would the nurse anticipate when caring for an
infant with heart failure? - correct answer- Medications that are
prescribed for both children and adults
Which feeding education would the nurse provide the parent of
a 2-month-old infant with the diagnosis of heart failure? -
correct answer- Feed slowly while allowing time for adequate
periods of rest
Which assessment finding would indicate improvement in a 4-
month-old infant admitted to the pediatric unit with a diagnosis
of congestive heart failure? - correct answer- Weight loss
during next 2 days
The parent of an infant with heart failure questions the
necessity of weighing the baby every morning. Which would the
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nurse say that this daily information is important in
determining? - correct answer- fluid retention
While auscultating the heart, a health care provider notices S 3
heart sounds in four clients. Which client is at highest risk for
heart failure? - correct answer- Older adult client
Which assessment finding is a late sign of heart failure? -
correct answer- Peripheral edema
Heart failure develops in a 4-month-old infant with a congenital
heart defect, and the infant exhibits marked dyspnea at rest.
Which assessment finding would the nurse expect in this
infant? - correct answer- Bilateral crackles
Which method would the nurse use to weigh a 2-month-old in
heart failure with practitioner orders for semi-Fowler
positioning? - correct answer- Placing the infant in an infant
seat, recording the weight, and then subtracting the weight of
the seat
Which early sign of heart failure would the nurse recognize in
an infant who has a congenital heart defect with left-to-right
shunting of blood? - correct answer- Increased respiratory rate
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A 2-month-old infant with the diagnosis of heart failure is
discharged with a prescription for oral digoxin 0.05 mg every 12
hours. The bottle of digoxin is labeled "0.05 mg/mL." Which
item would the nurse teach the mother to use when
administering the medication? - correct answer- Calibrated
syringe
An infant with a diagnosis of heart failure is being given
furosemide twice a day. Which laboratory value would the
nurse report to the health care provider? - correct answer-
Potassium of 3.0 mEq/L (3.0 mmol/L)
A client with congestive heart failure is receiving intravenous
digoxin (Cardoxin) therapy. The registered nurse identifies that
which items on the client's care plan are appropriate for a
licensed practical nurse (LPN) to perform? Select all that apply.
One, some, or all responses may be correct. - correct answer-
Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for
discharge about how medications, diet, and exercise improve
activity tolerance. During a follow-up visit, the nurse finds that
NUR 242 MED SURG EXAM 3 QUESTIONS
AND ANSWERS 2025
An older client with a history of congestive heart failure
expresses concern about potential exposure to tuberculosis
(TB) from his or her roommate at the extended care facility. The
roommate coughs a great deal and sometimes spits up blood.
Which is the primary reason that the nurse pursues more
information about the roommate? - correct answer- TB
adversely affects older adults with chronic illness
When the clinic nurse is teaching a group of clients with heart
failure (HF) about dietary interventions to prevent fluid
overload, which topic will be included? - correct answer- Use of
fresh or frozen vegetables instead of canned ones / low sodium
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea
(PND)? - correct answer- Assist the client to sit on the edge of
the bed
When caring for a client with a diagnosis of right ventricular
heart failure, the nurse expects which assessment findings?
Select all that apply. One, some, or all responses may be
correct. - correct answer- Dependent edema
Swollen hands and fingers
,2 | Page
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure
reveals tachypnea and bilateral crackles. Which is the priority
nursing intervention? - correct answer- Place client in a high-
Fowler position.
Which treatment would the nurse anticipate when caring for an
infant with heart failure? - correct answer- Medications that are
prescribed for both children and adults
Which feeding education would the nurse provide the parent of
a 2-month-old infant with the diagnosis of heart failure? -
correct answer- Feed slowly while allowing time for adequate
periods of rest
Which assessment finding would indicate improvement in a 4-
month-old infant admitted to the pediatric unit with a diagnosis
of congestive heart failure? - correct answer- Weight loss
during next 2 days
The parent of an infant with heart failure questions the
necessity of weighing the baby every morning. Which would the
,3 | Page
nurse say that this daily information is important in
determining? - correct answer- fluid retention
While auscultating the heart, a health care provider notices S 3
heart sounds in four clients. Which client is at highest risk for
heart failure? - correct answer- Older adult client
Which assessment finding is a late sign of heart failure? -
correct answer- Peripheral edema
Heart failure develops in a 4-month-old infant with a congenital
heart defect, and the infant exhibits marked dyspnea at rest.
Which assessment finding would the nurse expect in this
infant? - correct answer- Bilateral crackles
Which method would the nurse use to weigh a 2-month-old in
heart failure with practitioner orders for semi-Fowler
positioning? - correct answer- Placing the infant in an infant
seat, recording the weight, and then subtracting the weight of
the seat
Which early sign of heart failure would the nurse recognize in
an infant who has a congenital heart defect with left-to-right
shunting of blood? - correct answer- Increased respiratory rate
, 4 | Page
A 2-month-old infant with the diagnosis of heart failure is
discharged with a prescription for oral digoxin 0.05 mg every 12
hours. The bottle of digoxin is labeled "0.05 mg/mL." Which
item would the nurse teach the mother to use when
administering the medication? - correct answer- Calibrated
syringe
An infant with a diagnosis of heart failure is being given
furosemide twice a day. Which laboratory value would the
nurse report to the health care provider? - correct answer-
Potassium of 3.0 mEq/L (3.0 mmol/L)
A client with congestive heart failure is receiving intravenous
digoxin (Cardoxin) therapy. The registered nurse identifies that
which items on the client's care plan are appropriate for a
licensed practical nurse (LPN) to perform? Select all that apply.
One, some, or all responses may be correct. - correct answer-
Help the client ambulate when required.
Monitor the client's vitals every 30 minutes
Administer adequate oral fluids to the client
The nurse taught a client with heart failure who is scheduled for
discharge about how medications, diet, and exercise improve
activity tolerance. During a follow-up visit, the nurse finds that
