Heart Failure NCLEX Style Questions with Certified Solutions

Heart Failure NCLEX Style Questions with Certified Solutions The nurse is performing an assessment on a 57-year-old client with newly diagnosed heart failure. The product of which factors determine a client's cardiac output? Heart rate and ejection fraction Heart rate and urinary output Stroke volume and urinary output Stroke volume and heart rate Stroke volume and heart rate A nurse is on orientation in the coronary care unit (CCU) and learning about the Frank-Starling mechanism. Which statement by the nurse is correct? "The less the heart fills with blood, the stronger the force of cardiac contraction." "The more the heart fills with blood, the weaker the force of cardiac contraction." "The Frank-Starling mechanism has no effect on the heart, only on the cardiac vessels." "The more the heart fills with blood, the stronger the force of cardiac contraction." "The more the heart fills with blood, the stronger the force of cardiac contraction." A client recently admitted to the coronary care unit (CCU) with left heart failure complains of sudden dyspnea, anxiety, and feelings of "drowning." What is the most likely cause of these changes? Myocardial infarction Cardiogenic pulmonary edema Hyperglycemia Pulmonary embolism Cardiogenic pulmonary edema The nurse is admitting a client to the coronary care unit (CCU) and is assessing risk factors for heart failure. What is the most concerning risk factor? Body mass index (BMI) of 18.0 Influenza Blood pressure of 188/122 mm/Hg Total cholesterol of 184 mg/dL Blood pressure of 188/122 mm/Hg A nurse is assessing a client and notices pitting edema in the lower legs. The client has a history of mild congestive heart failure (CHF), which is controlled with medication, and reports that the swelling has become worse lately. Which could the increased edema indicate? The client has increased physical activity. The client has not been compliant