MATERNITY NCLEX PN REVIEW
2026 TEST BANK PRACTICE
SOLUTION PACK
◉ A nurse is assessing a client with a diagnosis of early left ventricular
heart failure. Specific to this type of heart failure, the nurse expects the
client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly.
Answer: 4. "I have trouble breathing when I walk rapidly
◉ A client who had a myocardial infarction asks the nurse, "What's the
chance of my having another heart attack if I carefully watch my diet
and stress levels?" What is the nurse's most appropriate initial response?
1. Focus on the client's feelings by exploring the reason why the
question was asked.
, 2. Explain that it is all right to be frightened and refer the client to the
psychiatric nurse.
3. Provide information that the client is correct in being especially
careful in these areas.
4. Suggest that the client discuss follow-up care with the health care
provider and the dietitian..
Answer: 1. Focus on the client's feelings by exploring the reason why
the question was asked.
◉ The nurse is assessing a client for signs of right ventricular failure.
What should the nurse expect if this occurs?
1. Slowed pulse rate
2. Pleural friction rub
3. Neck vein distention
4. Increasing hypotension.
Answer: 3. Neck vein distention
2026 TEST BANK PRACTICE
SOLUTION PACK
◉ A nurse is assessing a client with a diagnosis of early left ventricular
heart failure. Specific to this type of heart failure, the nurse expects the
client to state:
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly.
Answer: 4. "I have trouble breathing when I walk rapidly
◉ A client who had a myocardial infarction asks the nurse, "What's the
chance of my having another heart attack if I carefully watch my diet
and stress levels?" What is the nurse's most appropriate initial response?
1. Focus on the client's feelings by exploring the reason why the
question was asked.
, 2. Explain that it is all right to be frightened and refer the client to the
psychiatric nurse.
3. Provide information that the client is correct in being especially
careful in these areas.
4. Suggest that the client discuss follow-up care with the health care
provider and the dietitian..
Answer: 1. Focus on the client's feelings by exploring the reason why
the question was asked.
◉ The nurse is assessing a client for signs of right ventricular failure.
What should the nurse expect if this occurs?
1. Slowed pulse rate
2. Pleural friction rub
3. Neck vein distention
4. Increasing hypotension.
Answer: 3. Neck vein distention
