NUR 242 MED SURG EXAM 3 LATEST 2025-2026
ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Save
Terms in this set (152)
An older client with a history of TB adversely affects older adults with chronic
congestive heart failure expresses illness
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?
When the clinic nurse is teaching a Use of fresh or frozen vegetables instead of
group of clients with heart failure canned ones / low sodium
(HF) about dietary interventions to
prevent fluid overload, which topic
will be included?
Which action would the nurse take Assist the client to sit on the edge of the bed
first when a client with heart failure
has an episode of paroxysmal
nocturnal dyspnea (PND)?
,When caring for a client with a Dependent edema
diagnosis of right ventricular heart Swollen hands and fingers
failure, the nurse expects which Right upper quadrant discomfort
assessment findings? Select all that
apply. One, some, or all responses
may be correct.
The nurse's physical assessment of a Place client in a high-Fowler position.
client with heart failure reveals
tachypnea and bilateral crackles.
Which is the priority nursing
intervention?
Which treatment would the nurse Medications that are prescribed for both children
anticipate when caring for an infant and adults
with heart failure?
Which feeding education would the Feed slowly while allowing time for adequate
nurse provide the parent of a 2- periods of rest
month-old infant with the diagnosis
of heart failure?
Which assessment finding would Weight loss during next 2 days
indicate improvement in a 4-month-
old infant admitted to the pediatric
unit with a diagnosis of congestive
heart failure?
The parent of an infant with heart fluid retention
failure questions the necessity of
weighing the baby every morning.
Which would the nurse say that this
daily information is important in
determining?
, While auscultating the heart, a Older adult client
health care provider notices S 3
heart sounds in four clients. Which
client is at highest risk for heart
failure?
Which assessment finding is a late Peripheral edema
sign of heart failure?
Heart failure develops in a 4- Bilateral crackles
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?
Which method would the nurse use Placing the infant in an infant seat, recording the
to weigh a 2-month-old in heart weight, and then subtracting the weight of the
failure with practitioner orders for seat
semi-Fowler positioning?
Which early sign of heart failure Increased respiratory rate
would the nurse recognize in an
infant who has a congenital heart
defect with left-to-right shunting of
blood?
A 2-month-old infant with the Calibrated syringe
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?
ACTUAL EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Save
Terms in this set (152)
An older client with a history of TB adversely affects older adults with chronic
congestive heart failure expresses illness
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?
When the clinic nurse is teaching a Use of fresh or frozen vegetables instead of
group of clients with heart failure canned ones / low sodium
(HF) about dietary interventions to
prevent fluid overload, which topic
will be included?
Which action would the nurse take Assist the client to sit on the edge of the bed
first when a client with heart failure
has an episode of paroxysmal
nocturnal dyspnea (PND)?
,When caring for a client with a Dependent edema
diagnosis of right ventricular heart Swollen hands and fingers
failure, the nurse expects which Right upper quadrant discomfort
assessment findings? Select all that
apply. One, some, or all responses
may be correct.
The nurse's physical assessment of a Place client in a high-Fowler position.
client with heart failure reveals
tachypnea and bilateral crackles.
Which is the priority nursing
intervention?
Which treatment would the nurse Medications that are prescribed for both children
anticipate when caring for an infant and adults
with heart failure?
Which feeding education would the Feed slowly while allowing time for adequate
nurse provide the parent of a 2- periods of rest
month-old infant with the diagnosis
of heart failure?
Which assessment finding would Weight loss during next 2 days
indicate improvement in a 4-month-
old infant admitted to the pediatric
unit with a diagnosis of congestive
heart failure?
The parent of an infant with heart fluid retention
failure questions the necessity of
weighing the baby every morning.
Which would the nurse say that this
daily information is important in
determining?
, While auscultating the heart, a Older adult client
health care provider notices S 3
heart sounds in four clients. Which
client is at highest risk for heart
failure?
Which assessment finding is a late Peripheral edema
sign of heart failure?
Heart failure develops in a 4- Bilateral crackles
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?
Which method would the nurse use Placing the infant in an infant seat, recording the
to weigh a 2-month-old in heart weight, and then subtracting the weight of the
failure with practitioner orders for seat
semi-Fowler positioning?
Which early sign of heart failure Increased respiratory rate
would the nurse recognize in an
infant who has a congenital heart
defect with left-to-right shunting of
blood?
A 2-month-old infant with the Calibrated syringe
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?
