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Exam (elaborations)

ATI HEART FAILURE QUESTIONS WITH VERIFIED ANSWERS

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ATI HEART FAILURE QUESTIONS WITH VERIFIED ANSWERS

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ATI HEART FAILURE QUESTIONS WITH VERIFIED
ANSWERS


You are caring for a PT who is being treated for HF and has prescriptions for digoxin
and furosemide. You plan to monitor for which of the following as an adverse effect of
these meds?
1. SOB
2. Lightheadedness
3. Dry cough
4. Metallic taste - Answers - 2. Lightheadedness- can cause a sudden drop in BP=
lightheadedness

You are assessing a PT with Left sided heart failure. What manifestation should you
expect to find?
1. Increased abdominal girth
2. Weak peripheral pulses
3. Jugular venous neck distention
4. Dependent edema - Answers - 2. Weak peripheral pulses- r/t decreased CO from
LSHF

You are providing teaching to a PT with HF you would instruct him to report what
finding?
1. Weight gain of 2lbs in 24hr
2. Increase in 10mmhg in Systolic BP
3. Dyspnea with exertion
4. Dizziness when rising quickly - Answers - 1. Weight gain of 2lbs in 24hr- fluid
retention r/t worsen HF

You are reviewing the lab results of several PTs who have PAD. You plan to provide
dietary teaching for the PT with which of the following?
1. Cholesterol 180mg, HDL 70mg, LDL 90mg
2.Cholesterol 185mg, HDL 50mg, LDL 120mg
3.Cholesterol 190mg, HDL 25mg, LDL 160mg
4.Cholesterol 195mg, HDL 55mg, LDL 125mg - Answers - 3. Cholesterol 190mg, HDL
25mg, LDL 160mg** cholesterol should be less than 200HDL above 40LDL less than
100

You are planning a presentation about HTN which lifestyle modifications would you
include? Select All
1. Limit alcohol intake
2. Regular exercise program
3. Decreased mag intake
4. Reduced K intake

, 5. Smoking cessation - Answers - 1. Limit alcohol intake- Should limit if HTN
2. Regular exercise program- will reduce HTN
5. Smoking cessation- exacerbates HTN

What part of the ECG would you look for atrial depolarization? - Answers - P wave -
atrial depolarization
QRS- vetricular depolarization
T- Ventricular reploarization

PT is prescribed an ace inhibitor. the RN knows the Pt understands the adverse effects
when he reports the following?
1. tendon pain
2. Persistent cough
3. Frequent urination
4. constipation - Answers - 2. Persistent cough- adverse effect of this drug

You are caring for PT with heart failure and reports increased SOB you increase O2 per
protocol. What action do you do next?
1. Obtain weight
2.Assist client to high fowlers
3. Auscultate lung sounds
4. Check O2 sat with pulse ox. - Answers - 2. Assist client to high fowlers- ABCs will
decrease venous return to the heart(preload) and help relieve lung congestion

You are caring for PT with heart failure and Pt asks how should he limit his fluid to
2000ml/day. What is the best response?
1. Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how
much you drink
2. Each glass contains 8 oz there are 30ml per oz so you can have a total of 8 glasses a
day
3. the is the same as 2 quarts or about the same as two pots of coffee
4. Take sips of water or ice chips so you will not take too much fluid - Answers - 1. Pour
the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you
drink- provides a visual

Right sided Heart failure results in peripheral edema? TRUE OR FALSE - Answers -
TRUE**Right side Heart failure results in inadequate right ventricle output and systemic
congestion (peripheral edema)

Which of these are expected findings of pulmonary edema? Select all
1.Tachypnea
2.Persistent cough
3.Increase urinary output
4.Thick yellow sputum
5.Orthopnea - Answers - 1.Tachypnea- expected
2.Persistent cough-will be frothy pink and indicates pulm. edema

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