NSG 210 Final Exam: Nursing Care and Assessment
for Heart Failure, Cardiac Emergencies, and
Maternal-Child Health Practice Exam – Qs & As
Save
Terms in this set (103)
1. A client with chronic heart failure Answer: B
gains 4 lb in 3 days. Which action (Rationale: Assessment comes before intervention.
should the nurse take first? Lung sounds determine current severity before
A. Restrict fluids escalating care.)
B. Assess lung sounds
C. Notify the provider
D. Review the client’s medication
adherence
2. Which finding best indicates Answer: C
worsening left-sided heart failure? (Rationale: Pulmonary congestion and pink frothy
A. Dependent ankle edema sputum indicate acute pulmonary edema.)
B. Jugular venous distention
C. Crackles and pink frothy sputum
D. Weight gain of 1 lb in a week
3. A client receiving nitroglycerin Answer: C
reports a headache. What is the (Rationale: Headache is a common vasodilatory
nurse’s best response? effect and does not require stopping therapy.)
A. Stop the medication
B. Lower the dose
C. Explain this is an expected effect
D. Administer acetaminophen and
hold nitroglycerin
,4. Which assessment finding requires Answer: A
the nurse to hold digoxin? (Rationale: Digoxin is held for HR <60 due to risk of
A. Apical pulse 58 bpm bradyarrhythmias.)
B. Serum potassium 4.0 mEq/L
C. Blood pressure 138/88
D. Respiratory rate 18
5. Which lab result most strongly Answer: B
supports a diagnosis of heart failure? (Rationale: BNP rises with ventricular stretch and is
A. Troponin 0.02 ng/mL specific for HF exacerbation.)
B. BNP 640 pg/mL
C. LDL 190 mg/dL
D. Potassium 3.2 mEq/L
A postoperative client develops Answer: B
sudden dyspnea and chest pain. What (Rationale: Airway and breathing take priority in
is the nurse's priority action? suspected PE.)
A. Obtain a STAT ECG
B. Administer oxygen
C. Draw coagulation labs
D. Place the client supine
Which finding is most consistent with Answer: C
DIC? (Rationale: DIC causes consumption of clotting
A. Elevated platelets factors leading to bleeding.)
B. Shortened PT
C. Bleeding from IV sites
D. Elevated hemoglobin
A pregnant client has RUQ pain, Answer: B
elevated AST, and thrombocytopenia. (Rationale: HELLP = Hemolysis, Elevated Liver
Which complication is suspected? enzymes, Low Platelets.)
A. Placenta previa
B. HELLP syndrome
C. Gestational diabetes
D. Preterm labor
,Which precaution is required for a Answer: C
client with active pulmonary (Rationale: TB is transmitted via airborne particles.)
tuberculosis?
A. Droplet
B. Contact
C. Airborne
D. Standard
A client on ethambutol should be Answer: B
monitored for which adverse effect? (Rationale: Ethambutol can cause visual changes and
A. Hearing loss optic neuritis.)
B. Optic neuritis
C. Hyperglycemia
D. Renal failure
A laboring client on oxytocin Answer: C
develops recurrent late decelerations. (Rationale: Removing uterine stimulation is the
What is the nurse's first action? priority for placental insufficiency.)
A. Administer oxygen
B. Increase IV fluids
C. Stop oxytocin
D. Notify the provider
Which fetal heart rate pattern is most Answer: C
reassuring? (Rationale: Moderate variability indicates adequate
A. Absent variability fetal oxygenation.)
B. Minimal variability
C. Moderate variability
D. Late decelerations
A postpartum client saturates a pad in Answer: C
40 minutes. What should the nurse do (Rationale: Uterine atony is the most common cause;
first? massage is first-line.)
A. Call the provider
B. Check vital signs
C. Massage the fundus
D. Administer oxytocin
, Which finding is expected in a post- Answer: C
term newborn? (Rationale: Post-term infants have decreased vernix
A. Abundant vernix and dry skin.)
B. Smooth pink skin
C. Dry, peeling skin
D. Thick lanugo
A client with Addison's disease Answer: C
presents with hypotension and (Rationale: Addisonian crisis requires rapid volume
vomiting. What is the priority and cortisol replacement)
treatment?
A. Insulin
B. Oral prednisone
C. IV normal saline and IV
hydrocortisone
D. Potassium replacement
Which finding suggests SIADH? Answer: C
A. Polyuria (Rationale: SIADH causes water retention and
B. Hypernatremia hyponatremia.)
C. Weight gain with low urine output
D. Dilute urine
Which lab abnormality is most Answer: B
concerning in a client with bulimia (Rationale: Hypokalemia can cause fatal cardiac
nervosa? dysrhythmias.)
A. Elevated glucose
B. Low potassium
C. Low calcium
D. Elevated sodium
Which finding best indicates recovery Answer: C
in anorexia nervosa? (Rationale: Return of menstruation reflects restored
A. Weight gain of 1 lb hormonal balance.)
B. Improved appetite
C. Return of menses
D. Decreased anxiety
for Heart Failure, Cardiac Emergencies, and
Maternal-Child Health Practice Exam – Qs & As
Save
Terms in this set (103)
1. A client with chronic heart failure Answer: B
gains 4 lb in 3 days. Which action (Rationale: Assessment comes before intervention.
should the nurse take first? Lung sounds determine current severity before
A. Restrict fluids escalating care.)
B. Assess lung sounds
C. Notify the provider
D. Review the client’s medication
adherence
2. Which finding best indicates Answer: C
worsening left-sided heart failure? (Rationale: Pulmonary congestion and pink frothy
A. Dependent ankle edema sputum indicate acute pulmonary edema.)
B. Jugular venous distention
C. Crackles and pink frothy sputum
D. Weight gain of 1 lb in a week
3. A client receiving nitroglycerin Answer: C
reports a headache. What is the (Rationale: Headache is a common vasodilatory
nurse’s best response? effect and does not require stopping therapy.)
A. Stop the medication
B. Lower the dose
C. Explain this is an expected effect
D. Administer acetaminophen and
hold nitroglycerin
,4. Which assessment finding requires Answer: A
the nurse to hold digoxin? (Rationale: Digoxin is held for HR <60 due to risk of
A. Apical pulse 58 bpm bradyarrhythmias.)
B. Serum potassium 4.0 mEq/L
C. Blood pressure 138/88
D. Respiratory rate 18
5. Which lab result most strongly Answer: B
supports a diagnosis of heart failure? (Rationale: BNP rises with ventricular stretch and is
A. Troponin 0.02 ng/mL specific for HF exacerbation.)
B. BNP 640 pg/mL
C. LDL 190 mg/dL
D. Potassium 3.2 mEq/L
A postoperative client develops Answer: B
sudden dyspnea and chest pain. What (Rationale: Airway and breathing take priority in
is the nurse's priority action? suspected PE.)
A. Obtain a STAT ECG
B. Administer oxygen
C. Draw coagulation labs
D. Place the client supine
Which finding is most consistent with Answer: C
DIC? (Rationale: DIC causes consumption of clotting
A. Elevated platelets factors leading to bleeding.)
B. Shortened PT
C. Bleeding from IV sites
D. Elevated hemoglobin
A pregnant client has RUQ pain, Answer: B
elevated AST, and thrombocytopenia. (Rationale: HELLP = Hemolysis, Elevated Liver
Which complication is suspected? enzymes, Low Platelets.)
A. Placenta previa
B. HELLP syndrome
C. Gestational diabetes
D. Preterm labor
,Which precaution is required for a Answer: C
client with active pulmonary (Rationale: TB is transmitted via airborne particles.)
tuberculosis?
A. Droplet
B. Contact
C. Airborne
D. Standard
A client on ethambutol should be Answer: B
monitored for which adverse effect? (Rationale: Ethambutol can cause visual changes and
A. Hearing loss optic neuritis.)
B. Optic neuritis
C. Hyperglycemia
D. Renal failure
A laboring client on oxytocin Answer: C
develops recurrent late decelerations. (Rationale: Removing uterine stimulation is the
What is the nurse's first action? priority for placental insufficiency.)
A. Administer oxygen
B. Increase IV fluids
C. Stop oxytocin
D. Notify the provider
Which fetal heart rate pattern is most Answer: C
reassuring? (Rationale: Moderate variability indicates adequate
A. Absent variability fetal oxygenation.)
B. Minimal variability
C. Moderate variability
D. Late decelerations
A postpartum client saturates a pad in Answer: C
40 minutes. What should the nurse do (Rationale: Uterine atony is the most common cause;
first? massage is first-line.)
A. Call the provider
B. Check vital signs
C. Massage the fundus
D. Administer oxytocin
, Which finding is expected in a post- Answer: C
term newborn? (Rationale: Post-term infants have decreased vernix
A. Abundant vernix and dry skin.)
B. Smooth pink skin
C. Dry, peeling skin
D. Thick lanugo
A client with Addison's disease Answer: C
presents with hypotension and (Rationale: Addisonian crisis requires rapid volume
vomiting. What is the priority and cortisol replacement)
treatment?
A. Insulin
B. Oral prednisone
C. IV normal saline and IV
hydrocortisone
D. Potassium replacement
Which finding suggests SIADH? Answer: C
A. Polyuria (Rationale: SIADH causes water retention and
B. Hypernatremia hyponatremia.)
C. Weight gain with low urine output
D. Dilute urine
Which lab abnormality is most Answer: B
concerning in a client with bulimia (Rationale: Hypokalemia can cause fatal cardiac
nervosa? dysrhythmias.)
A. Elevated glucose
B. Low potassium
C. Low calcium
D. Elevated sodium
Which finding best indicates recovery Answer: C
in anorexia nervosa? (Rationale: Return of menstruation reflects restored
A. Weight gain of 1 lb hormonal balance.)
B. Improved appetite
C. Return of menses
D. Decreased anxiety
