NCLEX Practice: Heart Failure (HF)
Assess your understanding of heart failure assessment, management, and patient education through these medium-difficulty multiple-choice questions.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: The nurse is assessing a client with a history of heart failure. Which of the following findings is the most sensitive indicator of a worsening condition?
A weight gain of 3 lbs (1.36 kg) over 24 hours
Increased fatigue during ambulation
Presence of 1+ pitting edema in the bilateral lower extremities
A brain natriuretic peptide (BNP) level of 95 pg/mL
Question 2: A client with acute decompensated heart failure is prescribed Furosemide 40mg IV push. Which assessment finding should the nurse prioritize before administration?
Urine output of 40 mL over the last hour
Blood pressure 150/90 mmHg
Sodium level of 135 mEq/L
Potassium level of 3.2 mEq/L
Question 3: The nurse is caring for a client with left-sided heart failure. Which clinical manifestation should the nurse expect to find?
Crackles upon auscultation
Splenomegaly
Hepatomegaly
Jugular venous distention (JVD)
Question 4: A client taking Digoxin and Furosemide reports seeing "yellow-green halos" around lights. What is the nurse’s priority action?
Assess the client’s apical pulse and notify the healthcare provider
Encourage the client to eat a banana for potassium
Administer the next dose of Furosemide
Check the client's blood pressure
Question 5: The nurse is providing discharge teaching for a client with heart failure. Which statement by the client indicates a need for further teaching?
"I will weigh myself every morning before breakfast."
"I will notify my doctor if I feel more short of breath at night."
"I will use a salt substitute to season my meals."
"I will limit my sodium intake to less than 2,000 mg per day."
Question 6: In caring for a client with right-sided heart failure, which intervention best addresses the underlying pathophysiology?
Encourage high-sodium intake to maintain volume
Administer supplemental oxygen via nasal cannula
Monitor for peripheral edema and ascites
Elevate the head of the bed to reduce preload
Question 7: A nurse is evaluating the effectiveness of beta-blocker therapy in a client with chronic heart failure. What improvement indicates a positive response?
Reduced ejection fraction below 40%
Decreased episodes of dyspnea on exertion
Increased heart rate during activity
Worsening orthopnea at night
Question 8: Which myth about heart failure management should the nurse correct during patient education?
Fluid restriction helps prevent overload
Exercise tolerance improves with treatment adherence
Daily weight monitoring is unnecessary if symptoms are absent
Medications must be taken as prescribed