1) Which of the following findings is most characteristic of left-sided heart failure? a) Jugular Vein Distenton b) Weight gain c) Pulmonary crackles & dyspnea d) Peripheral edema 2) Right-sided heart failure commonly results in which symptom? a) Orthopnea b) Dependent edema and ascites c) Frothy sputum d) Dancing a lot 3) A nurse should question which order for a patient with severe heart failure? a) IV normal saline bolus 1 L over 1 hour b) Daily weight c) 2000 mL/day fluid restriction d) Oxygen at 2 L/min 4) Which medication improves mortality and symptoms in systolic heart failure? a) Ibuprofen b) Digoxin c) Mannitol d) Lisinopril 5) Before administering digoxin, the nurse should: a) Auscultate the patient's abdomen b) Check respiratory rate c) Check the patient’s apical pulse for one minute d) Assess blodd pressure 6) A heart failure patient reports dizziness after taking furosemide. The nurse suspects: a) Hyponatremia b) Hyperlipidemia c) Hypokalemia d) Hypothalamus 7) The nurse teaches a patient with HF to monitor for which sign of worsening condition? a) Increased energy b) More frequent urination c) Weight gain of 3 lbs in 2 days d) Decreased appetite 8) A patient on digoxin develops nausea, vomiting, and visual halos. The nurse suspects: a) Digoxin toxicity b) Heart failure exacerbation c) Normal medication effects d) The patient is tired, and just needs some rest 9) Which nursing intervention has the highest priority for a patient with acute pulmonary edema? a) Place patient in high Fowler’s position and administer oxygen b) Restrict oxygen c) Encourage ambulation d) Increase fluid restriction 10) Which statement by a patient with HF indicates understanding of discharge instructions? a) “I should drink as much fluid as possible to stay hydrated.” b) “I’ll stop my medication once I feel better.” c) “I’ll avoid taking my blood pressure.” d) “I will weigh myself every morning at the same time.”

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