Page 1 of 57
Summary NUR2459 / NUR 2459: Exam 3 Review Study
Guide (Latest 2025) Mental and Behavioral Health
Nursing - Rasmussen
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? .....ANSWER.....TB adversely
affects older adults with chronic illness
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? .....ANSWER.....Use of fresh or
frozen vegetables instead of canned ones / low sodium
,Page 2 of 57
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea (PND)?
.....ANSWER.....Assist the client to sit on the edge of the bed
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.
.....ANSWER.....Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure
reveals tachypnea and bilateral crackles. Which is the priority
,Page 3 of 57
nursing intervention? .....ANSWER.....Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an
infant with heart failure? .....ANSWER.....Medications that are
prescribed for both children and adults
Which feeding education would the nurse provide the parent of
a 2-month-old infant with the diagnosis of heart failure?
.....ANSWER.....Feed slowly while allowing time for adequate
periods of rest
Which assessment finding would indicate improvement in a 4-
month-old infant admitted to the pediatric unit with a diagnosis
, Page 4 of 57
of congestive heart failure? .....ANSWER.....Weight loss during
next 2 days
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?
.....ANSWER.....fluid retention
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? .....ANSWER.....Older adult client
Which assessment finding is a late sign of heart failure?
.....ANSWER.....Peripheral edema
Summary NUR2459 / NUR 2459: Exam 3 Review Study
Guide (Latest 2025) Mental and Behavioral Health
Nursing - Rasmussen
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? .....ANSWER.....TB adversely
affects older adults with chronic illness
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? .....ANSWER.....Use of fresh or
frozen vegetables instead of canned ones / low sodium
,Page 2 of 57
Which action would the nurse take first when a client with heart
failure has an episode of paroxysmal nocturnal dyspnea (PND)?
.....ANSWER.....Assist the client to sit on the edge of the bed
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.
.....ANSWER.....Dependent edema
Swollen hands and fingers
Right upper quadrant discomfort
The nurse's physical assessment of a client with heart failure
reveals tachypnea and bilateral crackles. Which is the priority
,Page 3 of 57
nursing intervention? .....ANSWER.....Place client in a high-Fowler
position.
Which treatment would the nurse anticipate when caring for an
infant with heart failure? .....ANSWER.....Medications that are
prescribed for both children and adults
Which feeding education would the nurse provide the parent of
a 2-month-old infant with the diagnosis of heart failure?
.....ANSWER.....Feed slowly while allowing time for adequate
periods of rest
Which assessment finding would indicate improvement in a 4-
month-old infant admitted to the pediatric unit with a diagnosis
, Page 4 of 57
of congestive heart failure? .....ANSWER.....Weight loss during
next 2 days
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?
.....ANSWER.....fluid retention
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? .....ANSWER.....Older adult client
Which assessment finding is a late sign of heart failure?
.....ANSWER.....Peripheral edema
