NUR 242 EXAM 3 REVIEW
QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
2026/2027 GRADED A+ .
,1. An older client with a history of congestive heart failure 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? ✔✔ CORRECT ANSWER TB adversely attects older adults with chronic illness
2. When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary interventions to
prevent fluid overload, which topic will be included? ✔✔ CORRECT ANSWER Use of fresh or frozen vegetables instead of canned
ones / low sodium
3. Which action would the nurse take first when a client with heart failure has an episode of paroxysmal nocturnal
dyspnea (PND)? ✔✔ CORRECT ANSWER Assist the client to sit on the edge of the bed
4. When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects which assessment
findings? Select all that apply. One, some, or all responses may be correct. ✔✔ CORRECT ANSWER Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
5. The nurse's physical assessment of a client with heart failure reveals tachyp-nea and bilateral crackles. Which is the
priority nursing intervention? ✔✔ CORRECT ANSWER Place client in a high-Fowler position.
6. Which treatment would the nurse anticipate when caring for an infant with heart failure? ✔✔ CORRECT ANSWER
Medications that are prescribed for both children and adults
7. Which feeding education would the nurse provide the parent of a
2-month-old infant with the diagnosis of heart failure? ✔✔ CORRECT ANSWER Feed slowly while allowing time for adequate periods
of rest
8. Which assessment finding would indicate improvement in a 4-month-old infant admitted to the pediatric
unit with a diagnosis of congestive heart failure? ✔✔ CORRECT ANSWER Weight loss during next 2 days
9. The parent of an infant with heart failure questions the necessity of weighing the baby every morning. Which
would the nurse say that this daily information is important in determining? ✔✔ CORRECT ANSWER fluid
retention
, 10. While auscultating the heart, a health care provider notices S 3 heart sounds in four clients. Which client is at
highest risk for heart failure? ✔✔ CORRECT ANSWER Older adult client
11. Which assessment finding is a late sign of heart failure? ✔✔ CORRECT ANSWER Peripheral edema
12. Heart failure develops in a 4-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? ✔✔ CORRECT
ANSWER Bilateral crackles
13. Which method would the nurse use to weigh a 2-month-old in heart failure with practitioner orders for semi-Fowler
positioning? ✔✔ CORRECT ANSWER Placing the infant in an infant seat, recording the weight, and then subtracting the weight of the seat
14. Which early sign of heart failure would the nurse recognize in an infant who has a congenital heart defect with
left-to-right shunting of blood? ✔✔ CORRECT ANSWER Increased respiratory rate
15. A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral digoxin
0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item would the nurse teach the
mother to use when administering the medication? ✔✔ CORRECT ANSWER Calibrated syringe
16. An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory value
would the nurse report to the health care provider? ✔✔ CORRECT ANSWER Potassium of 3.0 mEq/L (3.0 mmol/L)
17. A client with congestive heart failure is receiving intravenous digoxin (Car-doxin) therapy. The registered
nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse (LPN) to
perform? Select all that apply. One, some, or all responses may be correct. ✔✔ CORRECT ANSWER Help the client
ambulate when required.
Monitor the client's vitals every 30 minutes Administer adequate oral fluids to
the client
18. The nurse taught a client with heart failure who is scheduled for discharge about how medications, diet, and
exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client has learned how to
adapt his
QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
2026/2027 GRADED A+ .
,1. An older client with a history of congestive heart failure 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? ✔✔ CORRECT ANSWER TB adversely attects older adults with chronic illness
2. When the clinic nurse is teaching a group of clients with heart failure (HF) about dietary interventions to
prevent fluid overload, which topic will be included? ✔✔ CORRECT ANSWER Use of fresh or frozen vegetables instead of canned
ones / low sodium
3. Which action would the nurse take first when a client with heart failure has an episode of paroxysmal nocturnal
dyspnea (PND)? ✔✔ CORRECT ANSWER Assist the client to sit on the edge of the bed
4. When caring for a client with a diagnosis of right ventricular heart failure, the nurse expects which assessment
findings? Select all that apply. One, some, or all responses may be correct. ✔✔ CORRECT ANSWER Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
5. The nurse's physical assessment of a client with heart failure reveals tachyp-nea and bilateral crackles. Which is the
priority nursing intervention? ✔✔ CORRECT ANSWER Place client in a high-Fowler position.
6. Which treatment would the nurse anticipate when caring for an infant with heart failure? ✔✔ CORRECT ANSWER
Medications that are prescribed for both children and adults
7. Which feeding education would the nurse provide the parent of a
2-month-old infant with the diagnosis of heart failure? ✔✔ CORRECT ANSWER Feed slowly while allowing time for adequate periods
of rest
8. Which assessment finding would indicate improvement in a 4-month-old infant admitted to the pediatric
unit with a diagnosis of congestive heart failure? ✔✔ CORRECT ANSWER Weight loss during next 2 days
9. The parent of an infant with heart failure questions the necessity of weighing the baby every morning. Which
would the nurse say that this daily information is important in determining? ✔✔ CORRECT ANSWER fluid
retention
, 10. While auscultating the heart, a health care provider notices S 3 heart sounds in four clients. Which client is at
highest risk for heart failure? ✔✔ CORRECT ANSWER Older adult client
11. Which assessment finding is a late sign of heart failure? ✔✔ CORRECT ANSWER Peripheral edema
12. Heart failure develops in a 4-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? ✔✔ CORRECT
ANSWER Bilateral crackles
13. Which method would the nurse use to weigh a 2-month-old in heart failure with practitioner orders for semi-Fowler
positioning? ✔✔ CORRECT ANSWER Placing the infant in an infant seat, recording the weight, and then subtracting the weight of the seat
14. Which early sign of heart failure would the nurse recognize in an infant who has a congenital heart defect with
left-to-right shunting of blood? ✔✔ CORRECT ANSWER Increased respiratory rate
15. A 2-month-old infant with the diagnosis of heart failure is discharged with a prescription for oral digoxin
0.05 mg every 12 hours. The bottle of digoxin is labeled "0.05 mg/mL." Which item would the nurse teach the
mother to use when administering the medication? ✔✔ CORRECT ANSWER Calibrated syringe
16. An infant with a diagnosis of heart failure is being given furosemide twice a day. Which laboratory value
would the nurse report to the health care provider? ✔✔ CORRECT ANSWER Potassium of 3.0 mEq/L (3.0 mmol/L)
17. A client with congestive heart failure is receiving intravenous digoxin (Car-doxin) therapy. The registered
nurse identifies that which items on the client's care plan are appropriate for a licensed practical nurse (LPN) to
perform? Select all that apply. One, some, or all responses may be correct. ✔✔ CORRECT ANSWER Help the client
ambulate when required.
Monitor the client's vitals every 30 minutes Administer adequate oral fluids to
the client
18. The nurse taught a client with heart failure who is scheduled for discharge about how medications, diet, and
exercise improve activity tolerance. During a follow-up visit, the nurse finds that the client has learned how to
adapt his
