HESI CASE STUDY HEART FAILURE WITH ATRIAL FIBRILLATION
UPDATED QUESTIONS AND ANSWERS
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the client's plan of care? - CORRECT ANSWER✅✅Complete a
focused cardiac history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - CORRECT ANSWER✅✅Peripheral edema.
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
CORRECT ANSWER✅✅Obtain a 12 lead ECG.
After the client's cardiac rhythm is confirmed, which action should the nurse implement next? -
CORRECT ANSWER✅✅Administer an ordered stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
CORRECT ANSWER✅✅Ask the client to lay supine during the test
The RN charge nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg
in 2 mL. How many mL should the RN prepare to give? (Enter numeric value only. If rounding is
necessary, round to the whole number.) - CORRECT ANSWER✅✅1
After administration of the prescribed captopril, which assessment finding warrants intervention by the
nurse? - CORRECT ANSWER✅✅Decrease in baseline blood pressure.
The nurse is monitoring the client's serum electrolytes. Which of the client's serum laboratory values
requires intervention by the nurse? - CORRECT ANSWER✅✅Potassium 3.0 mEq/L (3.0 mmol/L).
The client is concerned about how easily they are bruising since they started taking the warfarin. Which
intervention is most important for the nurse to include in the client's plan of care? - CORRECT
ANSWER✅✅Monitor INR levels every 4-6 weeks.
UPDATED QUESTIONS AND ANSWERS
Knowing that the client has two risk factors that cannot be modified, which intervention is most
important for the nurse to include in the client's plan of care? - CORRECT ANSWER✅✅Complete a
focused cardiac history assessment.
Which assessment finding provides the earliest indication that the client is experiencing right-sided
heart failure? - CORRECT ANSWER✅✅Peripheral edema.
Based on the electrocardiogram rhythm strip, what intervention should the nurse implement first? -
CORRECT ANSWER✅✅Obtain a 12 lead ECG.
After the client's cardiac rhythm is confirmed, which action should the nurse implement next? -
CORRECT ANSWER✅✅Administer an ordered stat dose of digoxin.
When preparing the client for the echocardiogram, which intervention should the nurse implement? -
CORRECT ANSWER✅✅Ask the client to lay supine during the test
The RN charge nurse prepares a dose of digoxin 0.125 mg IV push. The medication is supplied as 0.25 mg
in 2 mL. How many mL should the RN prepare to give? (Enter numeric value only. If rounding is
necessary, round to the whole number.) - CORRECT ANSWER✅✅1
After administration of the prescribed captopril, which assessment finding warrants intervention by the
nurse? - CORRECT ANSWER✅✅Decrease in baseline blood pressure.
The nurse is monitoring the client's serum electrolytes. Which of the client's serum laboratory values
requires intervention by the nurse? - CORRECT ANSWER✅✅Potassium 3.0 mEq/L (3.0 mmol/L).
The client is concerned about how easily they are bruising since they started taking the warfarin. Which
intervention is most important for the nurse to include in the client's plan of care? - CORRECT
ANSWER✅✅Monitor INR levels every 4-6 weeks.
