NUR257 EXAM 2 WITH 175 COMPLETE ACTUAL QUESTIONS AND
VERIFIED ANSWERS LATEST 2026/2027 NEW UPDATE!!!!
A client has been diagnosed with heart failure. What is the major nursing outcome
for the client?
Sleep 8 hours per night.
Reduce the workload on the heart.
Maintain a healthy diet.
Walk 30 minutes three times a week. - ANS... -Reduce the workload on the heart.
Which is a key diagnostic indicator of heart failure?
Brain natriuretic peptide (BNP)
Blood urea nitrogen (BUN)
Creatinine
Complete blood count (CBC) - ANS... -Brain natriuretic peptide (BNP)
A new client has been admitted with right-sided heart failure. When assessing this
client, the nurse knows to look for which finding?
Dyspnea
Jugular venous distention
Cough
Pulmonary congestion - ANS... -Jugular venous distention
The diagnosis of heart failure is usually confirmed by which of the following?
Ventriculogram
Electrocardiogram (12-lead)
Echocardiogram
Chest x-ray - ANS... -Echocardiogram
When the client has increased difficulty breathing when lying flat, the nurse
records that the client is demonstrating
paroxysmal nocturnal dyspnea.
hyperpnea.
orthopnea.
dyspnea upon exertion. - ANS... -orthopnea
The nurse monitors a client for side effects associated with furosemide, which is
newly prescribed for the treatment of heart failure.
,Complete the following sentence by choosing from the lists of options.
Due to the client's high risk for developing _________________ (hypokalemia,
hyponatremia, hyperuricemia) as a result of the prescribed medication, the nurse
focuses on monitoring the client for _________________ (ventricular arrhythmia,
joint swelling, nausea) . - ANS... -hypokalemia, ventricular arrhythmia
The client with cardiac failure is taught to report which symptom to the health care
provider or clinic immediately?
Ability to sleep through the night
Persistent cough
Weight loss
Increased appetite - ANS... -Persistent cough
The nurse is obtaining data on an older adult client. What finding may indicate to
the nurse the early symptom of heart failure?
Decreased urinary output
Dyspnea on exertion
Tachycardia
Hypotension - ANS... -Dyspnea on exertion
A client with right-sided heart failure is admitted to the medical-surgical unit.
What information obtained from the client may indicate the presence of edema?
The client says his rings have become tight and are difficult to remove.
The client says that he has been urinating less frequently at night.
The client says he is short of breath when ambulating.
The client says he has been hungry in the evening. - ANS... -The client says his
rings have become tight and are difficult to remove.
A client with a confirmed DVT is being discharged from the ED. Which client
statement indicates that the client has received proper nursing instruction and
understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - ANS... -"I need to
do my leg exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse
should inspect the surgical insertion site closely for which complication(s)?
,Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - ANS... -Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and
complains of chest pain rated 6 (on a scale of 0-10) with deep breathing. Which
ordered pro re nata medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - ANS... -Ibuprofen 800 mg PO every 8 hours
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - ANS... -"I will not
drive until informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a mechanical
valve replacement. The client had a prothrombin time and International
Normalized Ratio (INR) drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare
provider of the results. - ANS... -Assess the client for bleeding and notify the
health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - ANS... -fever, chest discomfort, and elevated
erythrocyte sedimentation rate (ESR)
, A client is admitted to the hospital with aortic stenosis. What assessment findings
would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea - ANS... -Dyspnea, orthopnea,
pulmonary edema
Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy - ANS... -Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The
client is prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema - ANS... -left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm
the client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization - ANS... -Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed
with streptococcal pharyngitis. A nurse knows that early diagnosis and effective
treatment is essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis - ANS... -Rheumatic fever
VERIFIED ANSWERS LATEST 2026/2027 NEW UPDATE!!!!
A client has been diagnosed with heart failure. What is the major nursing outcome
for the client?
Sleep 8 hours per night.
Reduce the workload on the heart.
Maintain a healthy diet.
Walk 30 minutes three times a week. - ANS... -Reduce the workload on the heart.
Which is a key diagnostic indicator of heart failure?
Brain natriuretic peptide (BNP)
Blood urea nitrogen (BUN)
Creatinine
Complete blood count (CBC) - ANS... -Brain natriuretic peptide (BNP)
A new client has been admitted with right-sided heart failure. When assessing this
client, the nurse knows to look for which finding?
Dyspnea
Jugular venous distention
Cough
Pulmonary congestion - ANS... -Jugular venous distention
The diagnosis of heart failure is usually confirmed by which of the following?
Ventriculogram
Electrocardiogram (12-lead)
Echocardiogram
Chest x-ray - ANS... -Echocardiogram
When the client has increased difficulty breathing when lying flat, the nurse
records that the client is demonstrating
paroxysmal nocturnal dyspnea.
hyperpnea.
orthopnea.
dyspnea upon exertion. - ANS... -orthopnea
The nurse monitors a client for side effects associated with furosemide, which is
newly prescribed for the treatment of heart failure.
,Complete the following sentence by choosing from the lists of options.
Due to the client's high risk for developing _________________ (hypokalemia,
hyponatremia, hyperuricemia) as a result of the prescribed medication, the nurse
focuses on monitoring the client for _________________ (ventricular arrhythmia,
joint swelling, nausea) . - ANS... -hypokalemia, ventricular arrhythmia
The client with cardiac failure is taught to report which symptom to the health care
provider or clinic immediately?
Ability to sleep through the night
Persistent cough
Weight loss
Increased appetite - ANS... -Persistent cough
The nurse is obtaining data on an older adult client. What finding may indicate to
the nurse the early symptom of heart failure?
Decreased urinary output
Dyspnea on exertion
Tachycardia
Hypotension - ANS... -Dyspnea on exertion
A client with right-sided heart failure is admitted to the medical-surgical unit.
What information obtained from the client may indicate the presence of edema?
The client says his rings have become tight and are difficult to remove.
The client says that he has been urinating less frequently at night.
The client says he is short of breath when ambulating.
The client says he has been hungry in the evening. - ANS... -The client says his
rings have become tight and are difficult to remove.
A client with a confirmed DVT is being discharged from the ED. Which client
statement indicates that the client has received proper nursing instruction and
understands how to manage this condition?
"I should try not to drink too much during the daytime."
"I should lie on my side with my knees bent when sleeping."
"I need to ice my leg every 2 hours for about 20 minutes."
"I need to do my leg exercises five times or more every hour." - ANS... -"I need to
do my leg exercises five times or more every hour."
A nurse is caring for a client who had an aortic balloon valvuloplasty. The nurse
should inspect the surgical insertion site closely for which complication(s)?
,Bleeding and infection
Bleeding and wound dehiscence
Thrombosis and infection
Evisceration - ANS... -Bleeding and infection
A client who recently had a myocardial infarction develops pericarditis and
complains of chest pain rated 6 (on a scale of 0-10) with deep breathing. Which
ordered pro re nata medications is most appropriate for the nurse to administer?
Morphine sulfate 6 mg IVP every 2-4 hours
Fentanyl 2 mg intravenous pyelogram (IVP) every 2-4 hours
Acetaminophen 650 mg PO every 4 hours
Ibuprofen 800 mg PO every 8 hours - ANS... -Ibuprofen 800 mg PO every 8 hours
The nurse instructs a client recovering from mechanical valve replacement surgery.
Which client statement indicates that teaching has been effective?
"I can play soccer in a week or two."
"I will not drive until informed by my health care provider."
"I have a low risk of developing an infection in my heart."
"I will not need to take anticoagulant medication every day." - ANS... -"I will not
drive until informed by my health care provider."
A nurse is caring for a client receiving warfarin therapy following a mechanical
valve replacement. The client had a prothrombin time and International
Normalized Ratio (INR) drawn before breakfast. The laboratory report shows the
client's INR reading was 4. What is the nurse's first priority ?
Assess the client for bleeding and notify the health care provider of the results.
Notify the next nurse on afternoon shift to hold the evening dose of warfarin.
Notify the health care provider to request an increase in the warfarin dose.
Be prepared to administer an I.M. vitamin K injection and notify the healthcare
provider of the results. - ANS... -Assess the client for bleeding and notify the
health care provider of the results.
The nurse suspects a client has developed pericarditis after a week of cold-like
symptoms. Which of the client's signs and symptoms indicate pericarditis?
low urine output secondary to left ventricular dysfunction
fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)
pitting edema, chest discomfort, and nonspecific ST-segment elevation
lethargy, anorexia, and heart failure - ANS... -fever, chest discomfort, and elevated
erythrocyte sedimentation rate (ESR)
, A client is admitted to the hospital with aortic stenosis. What assessment findings
would indicate the development of left ventricular failure?
Orthopnea, nausea, pedal edema
Distended jugular veins, pedal edema, nausea
Dyspnea, orthopnea, pulmonary edema
Dyspnea, distended jugular veins, orthopnea - ANS... -Dyspnea, orthopnea,
pulmonary edema
Which would the nurse stress as a periodic lifelong necessity for a client managing
infective endocarditis?
Exercise regimen
Antihypertensive medication
Potassium replacement
Antibiotic therapy - ANS... -Antibiotic therapy
The nurse is caring for a client who has been diagnosed with aortic stenosis. The
client is prescribed digoxin. What is the rationale for the medication?
left ventricular dysfunction
angina
dyspnea
edema - ANS... -left ventricular dysfunction
A client is admitted to the hospital with possible acute pericarditis and pericardial
effusion. The nurse knows to prepare the client for which diagnostic test to confirm
the client's diagnosis?
Computed tomography
Echocardiography
Chest x-ray
Cardiac catheterization - ANS... -Echocardiography
A client comes to the clinic reporting fever, chills, and sore throat and is diagnosed
with streptococcal pharyngitis. A nurse knows that early diagnosis and effective
treatment is essential to avoid which preventable disease?
Rheumatic fever
Cardiomyopathy
Pericarditis
Mitral stenosis - ANS... -Rheumatic fever
