Rasmussen College MDC 3 Final Exam
Questions and Answers (Verified Answers)
1. Which of the following is a priority nursing intervention for a client in atrial
fibrillation with a rate of 180 beats per minute?
a. Apply oxygen
b. Administer anticoagulants
c. Administer medications to slow the rate
d. Monitor urine output
ANS c. Administer medications to slow the rate
2. A nurse is caring for a client who was recently diagnosed with left ventric-ular heart
failure. What is an early sign the client is most likely to report? a. Nocturia b. Weight
gain c. Swollen legs d. Nocturnal coughing
ANS d. Nocturnal coughing
,3. A nurse is performing discharge teaching for a patient who was recently diagnosed
with heart failure. Which of the following should be included in thepatient and family
teaching? (SATA)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Daily weights
e. what their S/S are for CHF
ANS *a. Medication teaching
*b. Low sodium diet
*c. Fluid restriction
*d. Daily weights
*e. what their S/S are for CHF
4. Which of the following would be a sign of improvement in heart failure
symptoms after an exacerbation?
a. Weight gain of 3 lb in a week
b. Excessive awakening at night to urinate
c. Decreased swelling in the feet, ankles, or hands
d. Decrease in exercise tolerance
,ANS c. Decreased swelling in the feet, ankles, orhands
5. A 56-year-old female presented to the emergency department with com- plaints of
fatigue and dyspnea on exertion. Physical assessment reveals jugular vein distention,
pitting edema of the lower extremities, and irregular heart rhythm. Which of the
following tests would you anticipate to be orderedas priority?
a. B-type natriuretic peptide
b. Complete blood count
c. Complete metabolic panel
d. Arterial blood gas
ANS a. B-type natriuretic peptide
, 6. The nurse is caring for a 65-year-old female who presented to the emergency
department with shortness of breath and chest discomfort. The client has notbeen
feeling well for the past few days and complains of a productive cough ofblood-tinged
sputum. Laboratory tests reveal an elevated BNP, and chest x-rayreveals pulmonary
congestion. Based on the assessment findings, which of the following diagnosis are
consistent with these findings?
a. Heart failure (left-sided)
b. Pulmonary embolism
c. Heart failure (right-sided)
d. Lung cancer
ANS a. Heart failure (left-sided)
7. The nurse educates the client on which of the following tests as the besttool for
diagnosing heart failure?
a. Echocardiography
b. Pulmonary artery catheter
c. Radionuclide studies
d. Multigated angiographic (MUGA) scan
ANS a. Echocardiography
Questions and Answers (Verified Answers)
1. Which of the following is a priority nursing intervention for a client in atrial
fibrillation with a rate of 180 beats per minute?
a. Apply oxygen
b. Administer anticoagulants
c. Administer medications to slow the rate
d. Monitor urine output
ANS c. Administer medications to slow the rate
2. A nurse is caring for a client who was recently diagnosed with left ventric-ular heart
failure. What is an early sign the client is most likely to report? a. Nocturia b. Weight
gain c. Swollen legs d. Nocturnal coughing
ANS d. Nocturnal coughing
,3. A nurse is performing discharge teaching for a patient who was recently diagnosed
with heart failure. Which of the following should be included in thepatient and family
teaching? (SATA)
a. Medication teaching
b. Low sodium diet
c. Fluid restriction
d. Daily weights
e. what their S/S are for CHF
ANS *a. Medication teaching
*b. Low sodium diet
*c. Fluid restriction
*d. Daily weights
*e. what their S/S are for CHF
4. Which of the following would be a sign of improvement in heart failure
symptoms after an exacerbation?
a. Weight gain of 3 lb in a week
b. Excessive awakening at night to urinate
c. Decreased swelling in the feet, ankles, or hands
d. Decrease in exercise tolerance
,ANS c. Decreased swelling in the feet, ankles, orhands
5. A 56-year-old female presented to the emergency department with com- plaints of
fatigue and dyspnea on exertion. Physical assessment reveals jugular vein distention,
pitting edema of the lower extremities, and irregular heart rhythm. Which of the
following tests would you anticipate to be orderedas priority?
a. B-type natriuretic peptide
b. Complete blood count
c. Complete metabolic panel
d. Arterial blood gas
ANS a. B-type natriuretic peptide
, 6. The nurse is caring for a 65-year-old female who presented to the emergency
department with shortness of breath and chest discomfort. The client has notbeen
feeling well for the past few days and complains of a productive cough ofblood-tinged
sputum. Laboratory tests reveal an elevated BNP, and chest x-rayreveals pulmonary
congestion. Based on the assessment findings, which of the following diagnosis are
consistent with these findings?
a. Heart failure (left-sided)
b. Pulmonary embolism
c. Heart failure (right-sided)
d. Lung cancer
ANS a. Heart failure (left-sided)
7. The nurse educates the client on which of the following tests as the besttool for
diagnosing heart failure?
a. Echocardiography
b. Pulmonary artery catheter
c. Radionuclide studies
d. Multigated angiographic (MUGA) scan
ANS a. Echocardiography
