NUR 3524 Exam 2: Adult Health - Chronic and
Transitional Care Verified & Updated
Questions and Answers - Rasmussen
University
1. A nurse is providing discharge teaching to a client with chronic heart failure.
Which instruction is most important regarding weight monitoring?
A. Weigh yourself once a week at the same time.
B. Notify the provider if you gain more than 3 pounds in 2 days.
C. Limit fluid intake only if you notice swelling in your ankles.
D. Wear heavy clothing when weighing yourself to ensure accuracy.
Answer: B
Explanation: Weight gain of 3 lbs in 2 days or 5 lbs in a week indicates fluid retention and
worsening heart failure, requiring immediate medical intervention.
2. Which assessment finding is a hallmark clinical manifestation of Right-Sided
Heart Failure?
A. Crackles in the lungs
B. Jugular Venous Distention (JVD)
C. Dyspnea on exertion
D. Paroxysmal nocturnal dyspnea
Answer: B
Explanation: Right-sided heart failure leads to systemic venous congestion, manifesting as
JVD, peripheral edema, and hepatomegaly. The other options are signs of left-sided failure.
,3. A client with COPD is being discharged. Which statement indicates the client
understands how to use a pursed-lip breathing technique?
A. I should inhale quickly through my mouth.
B. I will exhale for twice as long as I inhale.
C. I need to puff out my cheeks while I breathe in.
D. I will use this technique only when I am exercising.
Answer: B
Explanation: Pursed-lip breathing slows expiration, prevents airway collapse, and helps
release trapped air; the exhalation should be twice as long as the inhalation.
4. When caring for a patient with Chronic Obstructive Pulmonary Disease
(COPD), what is the primary goal of oxygen therapy for a ‘carbon dioxide
retainer’?
A. To reach an oxygen saturation of 100%.
B. To maintain SpO2 between 88% and 92%.
C. To completely eliminate the work of breathing.
D. To increase the respiratory rate.
Answer: B
Explanation: In COPD patients who retain CO2, high levels of oxygen can suppress their
hypoxic drive to breathe. Maintaining SpO2 between 88-92% is generally the target.
5. A patient with Type 2 Diabetes is being transitioned to home care. Which
HbA1c level indicates effective long-term glucose management?
A. Less than 7%
B. Between 8% and 9%
C. Greater than 10%
D. Exactly 4%
Answer: A
, Explanation: For most non-pregnant adults with diabetes, an HbA1c of less than 7% is the
target to reduce the risk of microvascular complications.
6. Which intervention is a priority for a client experiencing an acute gout flare-
up?
A. Administering prescribed NSAIDs or Colchicine.
B. Increasing intake of organ meats.
C. Performing active range of motion exercises.
D. Limiting fluid intake to 1 liter per day.
Answer: A
Explanation: Pharmacological management with NSAIDs or Colchicine is the priority to
reduce inflammation and pain during an acute gout attack.
7. A nurse is teaching a patient with Chronic Kidney Disease (CKD) about a low-
potassium diet. Which food should the patient avoid?
A. Apples
B. Bananas
C. White rice
D. Green beans
Answer: B
Explanation: Bananas are high in potassium and should be avoided in CKD to prevent
hyperkalemia, which can cause cardiac arrhythmias.
8. What is the primary focus of palliative care?
A. Improving quality of life through symptom management.
B. Curing the underlying chronic disease.
C. Providing care only in the last 6 months of life.
D. Assisting the patient in choosing medical assisted suicide.
Answer: A
Transitional Care Verified & Updated
Questions and Answers - Rasmussen
University
1. A nurse is providing discharge teaching to a client with chronic heart failure.
Which instruction is most important regarding weight monitoring?
A. Weigh yourself once a week at the same time.
B. Notify the provider if you gain more than 3 pounds in 2 days.
C. Limit fluid intake only if you notice swelling in your ankles.
D. Wear heavy clothing when weighing yourself to ensure accuracy.
Answer: B
Explanation: Weight gain of 3 lbs in 2 days or 5 lbs in a week indicates fluid retention and
worsening heart failure, requiring immediate medical intervention.
2. Which assessment finding is a hallmark clinical manifestation of Right-Sided
Heart Failure?
A. Crackles in the lungs
B. Jugular Venous Distention (JVD)
C. Dyspnea on exertion
D. Paroxysmal nocturnal dyspnea
Answer: B
Explanation: Right-sided heart failure leads to systemic venous congestion, manifesting as
JVD, peripheral edema, and hepatomegaly. The other options are signs of left-sided failure.
,3. A client with COPD is being discharged. Which statement indicates the client
understands how to use a pursed-lip breathing technique?
A. I should inhale quickly through my mouth.
B. I will exhale for twice as long as I inhale.
C. I need to puff out my cheeks while I breathe in.
D. I will use this technique only when I am exercising.
Answer: B
Explanation: Pursed-lip breathing slows expiration, prevents airway collapse, and helps
release trapped air; the exhalation should be twice as long as the inhalation.
4. When caring for a patient with Chronic Obstructive Pulmonary Disease
(COPD), what is the primary goal of oxygen therapy for a ‘carbon dioxide
retainer’?
A. To reach an oxygen saturation of 100%.
B. To maintain SpO2 between 88% and 92%.
C. To completely eliminate the work of breathing.
D. To increase the respiratory rate.
Answer: B
Explanation: In COPD patients who retain CO2, high levels of oxygen can suppress their
hypoxic drive to breathe. Maintaining SpO2 between 88-92% is generally the target.
5. A patient with Type 2 Diabetes is being transitioned to home care. Which
HbA1c level indicates effective long-term glucose management?
A. Less than 7%
B. Between 8% and 9%
C. Greater than 10%
D. Exactly 4%
Answer: A
, Explanation: For most non-pregnant adults with diabetes, an HbA1c of less than 7% is the
target to reduce the risk of microvascular complications.
6. Which intervention is a priority for a client experiencing an acute gout flare-
up?
A. Administering prescribed NSAIDs or Colchicine.
B. Increasing intake of organ meats.
C. Performing active range of motion exercises.
D. Limiting fluid intake to 1 liter per day.
Answer: A
Explanation: Pharmacological management with NSAIDs or Colchicine is the priority to
reduce inflammation and pain during an acute gout attack.
7. A nurse is teaching a patient with Chronic Kidney Disease (CKD) about a low-
potassium diet. Which food should the patient avoid?
A. Apples
B. Bananas
C. White rice
D. Green beans
Answer: B
Explanation: Bananas are high in potassium and should be avoided in CKD to prevent
hyperkalemia, which can cause cardiac arrhythmias.
8. What is the primary focus of palliative care?
A. Improving quality of life through symptom management.
B. Curing the underlying chronic disease.
C. Providing care only in the last 6 months of life.
D. Assisting the patient in choosing medical assisted suicide.
Answer: A
