NUR 257 CHRONIC EXAM 2 2026/2027 WITH
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION!!|JUST RELEASED
A patient with heart failure and their caregiver are unsure whether to contact the healthcare
provider about worsening symptoms. Which of the following symptoms is the most
important to report immediately?
A. Increased fatigue and needing more rest during the day
B. Mild shortness of breath after climbing a flight of stairs
C. A 3-pound weight gain in two days and worsening ankle swelling
D. Loss of appetite and decreased interest in meals
C
The nurse monitors for which findings in a patient diagnosed with right-sided heart failure
(HF)?
A. Shortness of breath
B. Edema in the lower extremities
C. Crackles with auscultation
D. Fatigue
B
The nurse is concerned that a patient with heart failure is decompensating. Which
assessment finding requires immediate action?
1|Page
,A. Jugular vein distention
B. Dyspnea at rest
C. Weak peripheral pulses
D. Dry persistent cough
B
The nurse is providing discharge teaching to a patient who has been prescribed
anticoagulant therapy after valve replacement surgery. Which statement by the patient
indicates a need for further teaching?
A. "I need to be consistent with my intake of foods high in vitamin K."
B. "I can take aspirin or ibuprofen for mild pain if needed."
C. "I should use a soft toothbrush and an electric razor to prevent bleeding."
D. "I will have to get my blood levels checked regularly to monitor my medication's
effectiveness."
B
While planning care, the nurse identified interventions to reduce a patient's risk for
developing heart failure. Which assessment findings did the nurse use to make this clinical
determination? (Select all that apply)
A. Blood Pressure 168/90 mmHg
B. Employed in a textile factory
C. Body mass index 31.3
D. Fasting blood glucose 120 mg/dL
E. Smokes half a pack of cigarettes
A, C, D, E
2|Page
,True or False: Patients with dilated cardiomyopathy (DCM) are at increased risk for
developing blood clots due to poor ventricular contraction and blood stasis.
True
A client presents to the emergency department with complaints of severe right upper
quadrant abdominal pain that began a few hours after eating a fatty meal. The client
reports associated nausea, vomiting, and a low-grade fever. During the physical
examination, the nurse notes tenderness in the right upper quadrant and observes that the
client stops breathing momentarily when the gallbladder is palpated during deep
inspiration.
Which of the following clinical findings is the nurse most likely to recognize as a hallmark
sign of cholecystitis?
A. Diffuse abdominal tenderness with rebound pain
B. Right upper quadrant tenderness accompanied by a positive Murphy's sign
C. Left lower quadrant tenderness with hyperactive bowel sounds
D. Epigastric pain radiating to the back with a negative Murphy's sign
B
A nurse is reviewing the health history of several clients to determine their risk for hepatitis
C infection. Which of the following clients is at the highest risk for contracting hepatitis C?
A. A 50-year-old female who received a blood transfusion in 1985
B. A 28-year-old male with a history of intravenous drug use
C. A 35-year-old male with multiple sexual partners
D. A 45-year-old female who underwent routine dental procedures
B
A nurse is reviewing the diagnostic reports of two clients recently diagnosed with
inflammatory bowel disease. Patient A's colonoscopy reveals continuous ulcerations
3|Page
, confined to the colon and rectum with inflammation limited to the mucosal and
submucosal layers. In contrast, client B's imaging studies demonstrate patchy (skip)
lesions, transmural inflammation, and evidence of fistula formation throughout the
gastrointestinal tract. Which pairing of the disease processes most accurately corresponds
with Client A and Client B, respectively?
A. Client A: Ulcerative colitis; Clientt B: Irritable bowel syndrome
B. Client A: Ulcerative colitis; Client B: Crohn's disease
C. Client A: Irritable bowel syndrome; Client B: Crohn's disease
D. Client A: Crohn's disease; Client B: Ulcerative colitis
B
A 22-year-old student recently returned from an international service trip in Southeast Asia,
where she frequently ate local food and drank untreated water. Two weeks after her return,
they present with complaints of nausea, malaise, and a mild fever. On assessment, the
nurse notes mild jaundice and right upper quadrant discomfort. Which type of hepatitis is
most likely transmitted via the fecal-oral route and is suspected in this client?
A. Hepatitis B
B. Hepatitis D
C. Hepatitis C
D. Hepatitis A
D
The nurse provides information about hepatitis to a high school health occupations class.
The students all volunteer examples of how hepatitis is transmitted. Which statement by
one of the students indicates the need for further teaching about hepatitis transmission?
A. "Mosquito or tick bite"
B. "Body piercing or tattoo"
4|Page
ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION!!|JUST RELEASED
A patient with heart failure and their caregiver are unsure whether to contact the healthcare
provider about worsening symptoms. Which of the following symptoms is the most
important to report immediately?
A. Increased fatigue and needing more rest during the day
B. Mild shortness of breath after climbing a flight of stairs
C. A 3-pound weight gain in two days and worsening ankle swelling
D. Loss of appetite and decreased interest in meals
C
The nurse monitors for which findings in a patient diagnosed with right-sided heart failure
(HF)?
A. Shortness of breath
B. Edema in the lower extremities
C. Crackles with auscultation
D. Fatigue
B
The nurse is concerned that a patient with heart failure is decompensating. Which
assessment finding requires immediate action?
1|Page
,A. Jugular vein distention
B. Dyspnea at rest
C. Weak peripheral pulses
D. Dry persistent cough
B
The nurse is providing discharge teaching to a patient who has been prescribed
anticoagulant therapy after valve replacement surgery. Which statement by the patient
indicates a need for further teaching?
A. "I need to be consistent with my intake of foods high in vitamin K."
B. "I can take aspirin or ibuprofen for mild pain if needed."
C. "I should use a soft toothbrush and an electric razor to prevent bleeding."
D. "I will have to get my blood levels checked regularly to monitor my medication's
effectiveness."
B
While planning care, the nurse identified interventions to reduce a patient's risk for
developing heart failure. Which assessment findings did the nurse use to make this clinical
determination? (Select all that apply)
A. Blood Pressure 168/90 mmHg
B. Employed in a textile factory
C. Body mass index 31.3
D. Fasting blood glucose 120 mg/dL
E. Smokes half a pack of cigarettes
A, C, D, E
2|Page
,True or False: Patients with dilated cardiomyopathy (DCM) are at increased risk for
developing blood clots due to poor ventricular contraction and blood stasis.
True
A client presents to the emergency department with complaints of severe right upper
quadrant abdominal pain that began a few hours after eating a fatty meal. The client
reports associated nausea, vomiting, and a low-grade fever. During the physical
examination, the nurse notes tenderness in the right upper quadrant and observes that the
client stops breathing momentarily when the gallbladder is palpated during deep
inspiration.
Which of the following clinical findings is the nurse most likely to recognize as a hallmark
sign of cholecystitis?
A. Diffuse abdominal tenderness with rebound pain
B. Right upper quadrant tenderness accompanied by a positive Murphy's sign
C. Left lower quadrant tenderness with hyperactive bowel sounds
D. Epigastric pain radiating to the back with a negative Murphy's sign
B
A nurse is reviewing the health history of several clients to determine their risk for hepatitis
C infection. Which of the following clients is at the highest risk for contracting hepatitis C?
A. A 50-year-old female who received a blood transfusion in 1985
B. A 28-year-old male with a history of intravenous drug use
C. A 35-year-old male with multiple sexual partners
D. A 45-year-old female who underwent routine dental procedures
B
A nurse is reviewing the diagnostic reports of two clients recently diagnosed with
inflammatory bowel disease. Patient A's colonoscopy reveals continuous ulcerations
3|Page
, confined to the colon and rectum with inflammation limited to the mucosal and
submucosal layers. In contrast, client B's imaging studies demonstrate patchy (skip)
lesions, transmural inflammation, and evidence of fistula formation throughout the
gastrointestinal tract. Which pairing of the disease processes most accurately corresponds
with Client A and Client B, respectively?
A. Client A: Ulcerative colitis; Clientt B: Irritable bowel syndrome
B. Client A: Ulcerative colitis; Client B: Crohn's disease
C. Client A: Irritable bowel syndrome; Client B: Crohn's disease
D. Client A: Crohn's disease; Client B: Ulcerative colitis
B
A 22-year-old student recently returned from an international service trip in Southeast Asia,
where she frequently ate local food and drank untreated water. Two weeks after her return,
they present with complaints of nausea, malaise, and a mild fever. On assessment, the
nurse notes mild jaundice and right upper quadrant discomfort. Which type of hepatitis is
most likely transmitted via the fecal-oral route and is suspected in this client?
A. Hepatitis B
B. Hepatitis D
C. Hepatitis C
D. Hepatitis A
D
The nurse provides information about hepatitis to a high school health occupations class.
The students all volunteer examples of how hepatitis is transmitted. Which statement by
one of the students indicates the need for further teaching about hepatitis transmission?
A. "Mosquito or tick bite"
B. "Body piercing or tattoo"
4|Page
