NUR 242 MED SURG EXAM 3 LATEST 2025-2026 ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
An older client with a history of TB adversely affects older adults with chronic
congestive heart failure illness
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?
When the clinic nurse is Use of fresh or frozen vegetables instead of
teaching a group of clients with canned ones / low sodium
heart failure (HF) about dietary
interventions to prevent fluid
,overload, which topic will be
included?
Which action would the nurse Assist the client to sit on the edge of the bed
take 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 Swollen hands and fingers
heart failure, the nurse expects Right upper quadrant discomfort
which
assessment findings? Select all
that apply. One, some, or all
responses may be correct.
The nurse's physical assessment of Place client in a high-Fowler position.
a client with heart
failure reveals tachypnea and
bilateral crackles. Which is the
priority nursing intervention?
Which treatment would the Medications that are prescribed for both
nurse anticipate when caring for children and adults
,an infant with heart failure?
Which feeding education would Feed slowly while allowing time for adequate
the nurse provide the periods of rest
parent of a 2-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 fluid retention
heart 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, Older adult client
a 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 Placing the infant in an infant seat, recording
use to weigh a 2-month- old in the weight, and then subtracting the weight of
heart failure with practitioner the seat
orders for semi- Fowler
positioning?
Which early sign of heart Increased respiratory rate
failure would the nurse
recognize in an infant who has a
congenital heart defect with left-
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
An older client with a history of TB adversely affects older adults with chronic
congestive heart failure illness
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?
When the clinic nurse is Use of fresh or frozen vegetables instead of
teaching a group of clients with canned ones / low sodium
heart failure (HF) about dietary
interventions to prevent fluid
,overload, which topic will be
included?
Which action would the nurse Assist the client to sit on the edge of the bed
take 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 Swollen hands and fingers
heart failure, the nurse expects Right upper quadrant discomfort
which
assessment findings? Select all
that apply. One, some, or all
responses may be correct.
The nurse's physical assessment of Place client in a high-Fowler position.
a client with heart
failure reveals tachypnea and
bilateral crackles. Which is the
priority nursing intervention?
Which treatment would the Medications that are prescribed for both
nurse anticipate when caring for children and adults
,an infant with heart failure?
Which feeding education would Feed slowly while allowing time for adequate
the nurse provide the periods of rest
parent of a 2-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 fluid retention
heart 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, Older adult client
a 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 Placing the infant in an infant seat, recording
use to weigh a 2-month- old in the weight, and then subtracting the weight of
heart failure with practitioner the seat
orders for semi- Fowler
positioning?
Which early sign of heart Increased respiratory rate
failure would the nurse
recognize in an infant who has a
congenital heart defect with left-
