NSG 320 EXAM 2 KAHOOTS
CURRENTLY TESTING ACTUAL EXAM
100% CORRECT
ANSWERS
VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+/
Which client statement alerts the nurse to possible heart failure?
a. "I am drinking more water than usual."
b. "I have been awakened by the need to urinate at night."
c. "I have to stop halfway up the stairs to catch my breath."
d. "I have experienced blurred vision on several occasions." - ANSWER-: C
Clients with left-sided heart failure report weakness or fatigue while performing normal
activities of daily living as well as difficulty breathing, or "catching their breath." This occurs as
fluid moves into the alveoli.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 5
TOP: Client Needs Category: Health Promotion and Maintenance (Health Screening)
MSC: Integrated Process: Nursing Process (Assessment)
,Which instructions are essential in a teaching plan for a client with hypertrophic
cardiomyopathy (HCM)?
a. "Take your digoxin at the same time every day."
b. "You should begin an aerobic exercise program."
c. "You should report episodes of dizziness or fainting."
d. "You may have a maximum of two alcoholic drinks weekly." - ANSWER-: C
The client with HCM is instructed to notify the health care provider if episodes of fainting,
dizziness, or palpitations occur, because these may signal the onset of deadly dysrhythmias.
Clients with HCM are instructed to avoid strenuous exercise and alcohol. Cardiac glycosides are
contraindicated in obstructive HCM.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 23
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation)
MSC: Integrated Process: Nursing Process (Implementation)
43. The nurse cautions the client who has received a heart transplant to change positions
slowly. Why is this instruction a priority?
a. Rapid position changes can create shear forces and disrupt vascular sutures.
,b. The new vascular connections are more sensitive to position changes, leading to increased
intravascular pressure.
c. The new heart is denervated and unable to respond to decreases in blood pressure caused by
position changes.
d. The recovering heart diverts blood flow away from the brain when the client stands,
increasing the risk for stroke. - ANSWER-: C
Because the new heart is denervated, the baroreceptor and other mechanisms that
compensate for blood pressure drops caused by position changes do not function. This allows
orthostatic hypotension to persist in the postoperative period.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 22
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation)
MSC: Integrated Process: Nursing Process (Implementation)
44. Which teaching is essential for a client discharged after a heart transplant who is prescribed
cyclosporine (Sandimmune)?
a. "Use a soft-bristled toothbrush."
b. "Avoid crowds and people who are sick."
, c. "Change positions slowly to avoid hypotension caused by the medication."
d. "Do not take this medication if your pulse rate is lower than 60 beats/min." - ANSWER-: B
These agents cause immunosuppression, leaving the client more vulnerable to infection.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 22
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies)
MSC: Integrated Process: Nursing Process (Implementation)
45. A client is classified (staged) at level A heart failure. What will the nurse teach the client?
a. "Take digoxin daily."
b. "Limit activity when short of breath."
c. "Control blood pressure at 140/80 or below."
d. "Maintain a no added salt diet." - ANSWER-: D
A stage A client is identified as a high risk for heart failure. Education should be focused on the
prevention of hypertension, coronary artery disease, and valvular disease, which are the leading
causes of heart failure.
CURRENTLY TESTING ACTUAL EXAM
100% CORRECT
ANSWERS
VERIFIED FOR GUARANTEED
PASS/ALREADY GRADED A+/
Which client statement alerts the nurse to possible heart failure?
a. "I am drinking more water than usual."
b. "I have been awakened by the need to urinate at night."
c. "I have to stop halfway up the stairs to catch my breath."
d. "I have experienced blurred vision on several occasions." - ANSWER-: C
Clients with left-sided heart failure report weakness or fatigue while performing normal
activities of daily living as well as difficulty breathing, or "catching their breath." This occurs as
fluid moves into the alveoli.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 5
TOP: Client Needs Category: Health Promotion and Maintenance (Health Screening)
MSC: Integrated Process: Nursing Process (Assessment)
,Which instructions are essential in a teaching plan for a client with hypertrophic
cardiomyopathy (HCM)?
a. "Take your digoxin at the same time every day."
b. "You should begin an aerobic exercise program."
c. "You should report episodes of dizziness or fainting."
d. "You may have a maximum of two alcoholic drinks weekly." - ANSWER-: C
The client with HCM is instructed to notify the health care provider if episodes of fainting,
dizziness, or palpitations occur, because these may signal the onset of deadly dysrhythmias.
Clients with HCM are instructed to avoid strenuous exercise and alcohol. Cardiac glycosides are
contraindicated in obstructive HCM.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 23
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation)
MSC: Integrated Process: Nursing Process (Implementation)
43. The nurse cautions the client who has received a heart transplant to change positions
slowly. Why is this instruction a priority?
a. Rapid position changes can create shear forces and disrupt vascular sutures.
,b. The new vascular connections are more sensitive to position changes, leading to increased
intravascular pressure.
c. The new heart is denervated and unable to respond to decreases in blood pressure caused by
position changes.
d. The recovering heart diverts blood flow away from the brain when the client stands,
increasing the risk for stroke. - ANSWER-: C
Because the new heart is denervated, the baroreceptor and other mechanisms that
compensate for blood pressure drops caused by position changes do not function. This allows
orthostatic hypotension to persist in the postoperative period.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 22
TOP: Client Needs Category: Physiological Integrity (Physiological Adaptation)
MSC: Integrated Process: Nursing Process (Implementation)
44. Which teaching is essential for a client discharged after a heart transplant who is prescribed
cyclosporine (Sandimmune)?
a. "Use a soft-bristled toothbrush."
b. "Avoid crowds and people who are sick."
, c. "Change positions slowly to avoid hypotension caused by the medication."
d. "Do not take this medication if your pulse rate is lower than 60 beats/min." - ANSWER-: B
These agents cause immunosuppression, leaving the client more vulnerable to infection.
DIF: Cognitive Level: Application REF: N/A for Application and above
OBJ: Learning Outcome 22
TOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies)
MSC: Integrated Process: Nursing Process (Implementation)
45. A client is classified (staged) at level A heart failure. What will the nurse teach the client?
a. "Take digoxin daily."
b. "Limit activity when short of breath."
c. "Control blood pressure at 140/80 or below."
d. "Maintain a no added salt diet." - ANSWER-: D
A stage A client is identified as a high risk for heart failure. Education should be focused on the
prevention of hypertension, coronary artery disease, and valvular disease, which are the leading
causes of heart failure.
