GNRS 555 EXAM 3 TEST BANK 2 VERSIONS
2025 NEWEST EXAM COMPLETE 500
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED
A+ // BRAND NEW!!
VERSION A
During assessment of a 72-year-old with ankle swelling,
the nurse notes jugular venous distention (JVD) with the
head of the patient's bed elevated 45 degrees. The nurse
knows this finding indicates
A. Decreased fluid volume.
B. Jugular vein atherosclerosis.
C. Elevated right atrial pressure.
D. Incompetent jugular vein valves. - ....ANSWER...C.
Elevated right atrial pressure.
The nurse is caring for a patient who is receiving IV
furosemide (Lasix) and morphine for the treatment of
,acute decompensated heart failure (ADHF) with severe
orthopnea. When evaluating the patient response to the
medications, the best indicator that the treatment has
been effective is
A. Weight loss of 2 pounds overnight.
B. Hourly urine output greater than 60 mL.
C. Reduction in patient complaints of chest pain.
D. Decreased dyspnea with the head of bed at 30 degrees. -
....ANSWER...D. Decreased dyspnea with the head of bed
at 30 degrees
Intravenous sodium nitroprusside (Nipride) is ordered for
a patient with acute pulmonary edema. During the first
hours of administration, the nurse will need to adjust the
nitroprusside rate if the patient develops
A. A dry, hacking cough.
B. Any ventricular ectopy.
C. A systolic BP <90 mm Hg.
D. A heart rate <50 beats/minute. - ....ANSWER...C. A
systolic BP <90 mm Hg.
,A patient who has chronic heart failure tells the nurse, "I
felt fine when I went to bed, but I woke up in the middle
of the night feeling like I was suffocating!" The nurse will
document this assessment information as
A. Pulsus alternans.
B. Two-pillow orthopnea.
C. Acute bilateral pleural effusion.
D. Paroxysmal nocturnal dyspnea. - ....ANSWER...D.
Paroxysmal nocturnal dyspnea.
During a visit to a 72-year-old with chronic heart failure,
the home care nurse finds that the patient has ankle
edema, a 2-kg weight gain, and complains of "feeling too
tired to do anything." Based on these data, the best
nursing diagnosis for the patient is
A. Activity intolerance related to fatigue.
B. Disturbed body image related to leg swelling.
C. Impaired skin integrity related to peripheral edema.
D. Impaired gas exchange related to chronic heart failure.
- ....ANSWER...A. Activity intolerance related to fatigue.
, The nurse working in the heart failure clinic will know that
teaching for a 74-year-old patient with newly diagnosed
heart failure has been effective when the patient
A. Uses an additional pillow to sleep when feeling short of
breath at night.
B. Tells the home care nurse that furosemide (Lasix) is
taken daily at bedtime.
C. Calls the clinic when the weight increases from 124 to
130 pounds in a week.
D. Says that the nitroglycerin patch will be used for any
chest pain that develops. - ....ANSWER...C. Calls the
clinic when the weight increases from 124 to 130 pounds in
a week.
When teaching the patient with heart failure about a
2000-mg sodium diet, the nurse explains that foods to be
restricted include
A. Canned and frozen fruits.
B. Fresh or frozen vegetables.
C. Milk, yogurt, and other milk products.
D. Eggs and other high-cholesterol foods. -
....ANSWER...C. Milk, yogurt, and other milk products.
2025 NEWEST EXAM COMPLETE 500
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED
A+ // BRAND NEW!!
VERSION A
During assessment of a 72-year-old with ankle swelling,
the nurse notes jugular venous distention (JVD) with the
head of the patient's bed elevated 45 degrees. The nurse
knows this finding indicates
A. Decreased fluid volume.
B. Jugular vein atherosclerosis.
C. Elevated right atrial pressure.
D. Incompetent jugular vein valves. - ....ANSWER...C.
Elevated right atrial pressure.
The nurse is caring for a patient who is receiving IV
furosemide (Lasix) and morphine for the treatment of
,acute decompensated heart failure (ADHF) with severe
orthopnea. When evaluating the patient response to the
medications, the best indicator that the treatment has
been effective is
A. Weight loss of 2 pounds overnight.
B. Hourly urine output greater than 60 mL.
C. Reduction in patient complaints of chest pain.
D. Decreased dyspnea with the head of bed at 30 degrees. -
....ANSWER...D. Decreased dyspnea with the head of bed
at 30 degrees
Intravenous sodium nitroprusside (Nipride) is ordered for
a patient with acute pulmonary edema. During the first
hours of administration, the nurse will need to adjust the
nitroprusside rate if the patient develops
A. A dry, hacking cough.
B. Any ventricular ectopy.
C. A systolic BP <90 mm Hg.
D. A heart rate <50 beats/minute. - ....ANSWER...C. A
systolic BP <90 mm Hg.
,A patient who has chronic heart failure tells the nurse, "I
felt fine when I went to bed, but I woke up in the middle
of the night feeling like I was suffocating!" The nurse will
document this assessment information as
A. Pulsus alternans.
B. Two-pillow orthopnea.
C. Acute bilateral pleural effusion.
D. Paroxysmal nocturnal dyspnea. - ....ANSWER...D.
Paroxysmal nocturnal dyspnea.
During a visit to a 72-year-old with chronic heart failure,
the home care nurse finds that the patient has ankle
edema, a 2-kg weight gain, and complains of "feeling too
tired to do anything." Based on these data, the best
nursing diagnosis for the patient is
A. Activity intolerance related to fatigue.
B. Disturbed body image related to leg swelling.
C. Impaired skin integrity related to peripheral edema.
D. Impaired gas exchange related to chronic heart failure.
- ....ANSWER...A. Activity intolerance related to fatigue.
, The nurse working in the heart failure clinic will know that
teaching for a 74-year-old patient with newly diagnosed
heart failure has been effective when the patient
A. Uses an additional pillow to sleep when feeling short of
breath at night.
B. Tells the home care nurse that furosemide (Lasix) is
taken daily at bedtime.
C. Calls the clinic when the weight increases from 124 to
130 pounds in a week.
D. Says that the nitroglycerin patch will be used for any
chest pain that develops. - ....ANSWER...C. Calls the
clinic when the weight increases from 124 to 130 pounds in
a week.
When teaching the patient with heart failure about a
2000-mg sodium diet, the nurse explains that foods to be
restricted include
A. Canned and frozen fruits.
B. Fresh or frozen vegetables.
C. Milk, yogurt, and other milk products.
D. Eggs and other high-cholesterol foods. -
....ANSWER...C. Milk, yogurt, and other milk products.
