NR 341 Complex Adult Health Exam 1 (W1-W3)
2026-2027 Questions And Answers Graded A+
A patient reports dizziness and shortness of breath for several days. During heart
monitoring in the emergency department (ED), the nurse obtains the following
electrocardiographic (ECG) tracing. How does the nurse interpret this heart
rhythm?
Third-degree atrioventricular (AV) block.
A patient who reports a "racing" heart and feeling "anxious" comes to the
emergency department. The nurse places the patient on a heart monitor and obtains
the following electrocardiographic (ECG) tracing. Which action should the nurse
take next?
Obtain the patient's vital signs including O2 saturation.
When preparing to defibrillate a patient, in which order will the nurse perform the
following steps? (Put a comma and a space between each answer choice [A, B, C,
D, E].)
A. Turn the defibrillator on.
B. Deliver the electrical charge.
,C. Select the appropriate energy level.
D. Place the hands-free, multifunction defibrillator pads on the patient's chest.
E. Check the location of other staff and call out "all clear."
A, C, D, E, B
While assessing an older adult patient, the nurse notes jugular venous distention
(JVD) with the head of the patient's bed elevated 45 degrees. What does this
finding indicate?
Increased ventricular filling pressure
The nurse is caring for a patient who is receiving IV furosemide and morphine for
the treatment of acute decompensated heart failure (ADHF) with severe orthopnea.
Which clinical finding is the best indicator that the treatment has been effective?
Reduced dyspnea with the head of bed at 30 degrees
Which topic will the nurse plan to include in discharge teaching for a patient who
has heart failure with reduced ejection fraction (HFrEF)?
Benefits and effects of angiotensin-converting enzyme (ACE) inhibitors
,IV sodium nitroprusside is prescribed for a patient with acute pulmonary edema.
Which reassessment finding indicates that the nurse should decrease the rate of
nitroprusside infusion?
Systolic BP below 90 mm Hg
A patient who has chronic heart failure tells the nurse, "I was fine when I went to
bed, but I woke up feeling like I was suffocating!" How would the nurse document
this finding?
Paroxysmal nocturnal dyspnea
Which statement by a patient newly diagnosed with heart failure indicates to the
nurse that teaching was effective?
"I will call the clinic if my weight goes up 3 pounds in a week."
Which foods would the nurse recommend limiting for a patient on a 2000-mg
sodium diet?
Yogurt and milk products
, While admitting an 82-yr-old patient with acute decompensated heart failure to the
hospital, the nurse learns that the patient lives alone and sometimes confuses the
"water pill" with the "heart pill." What would the nurse include in the discharge
plan?
Referral to a home health care agency
Following an acute myocardial infarction, a previously healthy 63-yr-old develops
heart failure. Which medication topic would the nurse anticipate including in
discharge teaching?
Angiotensin-converting enzyme (ACE) inhibitor
A 53-yr-old patient with stage D heart failure and type 2 diabetes asks the nurse
whether heart transplant is an option. Which response is accurate?
"The suitability of a heart transplant depends on many factors."
Which diagnostic test will be most useful to the nurse in determining whether a
patient admitted with acute shortness of breath has heart failure?
B-type natriuretic peptide
2026-2027 Questions And Answers Graded A+
A patient reports dizziness and shortness of breath for several days. During heart
monitoring in the emergency department (ED), the nurse obtains the following
electrocardiographic (ECG) tracing. How does the nurse interpret this heart
rhythm?
Third-degree atrioventricular (AV) block.
A patient who reports a "racing" heart and feeling "anxious" comes to the
emergency department. The nurse places the patient on a heart monitor and obtains
the following electrocardiographic (ECG) tracing. Which action should the nurse
take next?
Obtain the patient's vital signs including O2 saturation.
When preparing to defibrillate a patient, in which order will the nurse perform the
following steps? (Put a comma and a space between each answer choice [A, B, C,
D, E].)
A. Turn the defibrillator on.
B. Deliver the electrical charge.
,C. Select the appropriate energy level.
D. Place the hands-free, multifunction defibrillator pads on the patient's chest.
E. Check the location of other staff and call out "all clear."
A, C, D, E, B
While assessing an older adult patient, the nurse notes jugular venous distention
(JVD) with the head of the patient's bed elevated 45 degrees. What does this
finding indicate?
Increased ventricular filling pressure
The nurse is caring for a patient who is receiving IV furosemide and morphine for
the treatment of acute decompensated heart failure (ADHF) with severe orthopnea.
Which clinical finding is the best indicator that the treatment has been effective?
Reduced dyspnea with the head of bed at 30 degrees
Which topic will the nurse plan to include in discharge teaching for a patient who
has heart failure with reduced ejection fraction (HFrEF)?
Benefits and effects of angiotensin-converting enzyme (ACE) inhibitors
,IV sodium nitroprusside is prescribed for a patient with acute pulmonary edema.
Which reassessment finding indicates that the nurse should decrease the rate of
nitroprusside infusion?
Systolic BP below 90 mm Hg
A patient who has chronic heart failure tells the nurse, "I was fine when I went to
bed, but I woke up feeling like I was suffocating!" How would the nurse document
this finding?
Paroxysmal nocturnal dyspnea
Which statement by a patient newly diagnosed with heart failure indicates to the
nurse that teaching was effective?
"I will call the clinic if my weight goes up 3 pounds in a week."
Which foods would the nurse recommend limiting for a patient on a 2000-mg
sodium diet?
Yogurt and milk products
, While admitting an 82-yr-old patient with acute decompensated heart failure to the
hospital, the nurse learns that the patient lives alone and sometimes confuses the
"water pill" with the "heart pill." What would the nurse include in the discharge
plan?
Referral to a home health care agency
Following an acute myocardial infarction, a previously healthy 63-yr-old develops
heart failure. Which medication topic would the nurse anticipate including in
discharge teaching?
Angiotensin-converting enzyme (ACE) inhibitor
A 53-yr-old patient with stage D heart failure and type 2 diabetes asks the nurse
whether heart transplant is an option. Which response is accurate?
"The suitability of a heart transplant depends on many factors."
Which diagnostic test will be most useful to the nurse in determining whether a
patient admitted with acute shortness of breath has heart failure?
B-type natriuretic peptide
