ATI Test Bank, Cardiac and Associated Risk Disorders 100% Accurate Answers {download to score A+}
1. The Nurse Suspects A Clients Heart Is Failing When Which Of The Following Heart Sounds Is Assessed?
1. S1
2. S2
3. S3
4. S4
ANS>> 3. S3
Rationale An Auscultated S3 Is A Sign That Increased Blood Volume Remains In The Ventricle With
Each Beat And
That The Heart Is Beginning To Fail. S1 And S2 Sounds Are The First And Second Sounds Heard When
Auscultating The Heart. An S4 Sound May Indicate Increased Resistance To Ventricular Filling.
2.A Client Is Diagnosed With Heart Failure. Which Of The Following Diagnostic Tests Is Useful To
Determine The Degree Of The Failure?
1.Brain Natriuretic Peptide Level
2.Blood Cultures
3.Sedimentation Rate
4.Arterial Blood Gas
ANS>> 1.Brain Natriuretic Peptide Level
Rationale Brain Natriuretic Peptide Is A Hormone Found In The Left Ventricle; It Is Used To Help
Diagnose And
Grade The Severity Of Heart Failure. Blood Cultures Are Used To Diagnose Carditis. Sedimentation Rate
Is
Used To Diagnose Pericarditis. Arterial Blood Gasses Are Not Used To Determine The Degree Of Heart
, Failure.
3.A Nurse Is Instructing A Client Regarding Medications And Substances Contraindicated For The Client
With Heart Failure. Which Of The Following Would Not Be Contraindicated?
1.Alcohol
2.Furosemide
3.Metformin
4.Pioglitazone
ANS>> 2. Furosemide
Rationale Loop Diuretics (E.G., Furosemide) Are Part Of The Recommended Medications For Heart
Failure. Alcohol,
Metformin, And Pioglitazone (A Thiazolidinedione) Are Contraindicated.
4.The Nurse Is Determining Nursing Diagnoses Appropriate For A Client Demonstrating Productive
Cough With Pink Frothy Sputum, Shortness Of Breath, And Crackles. Which Of The Following Nursing
Diagnoses Is Of The Most Importance?
1.Activity Intolerance
2.Anxiety
3. Impaired Gas Exchange
4. Risk For Ineffective Respiratory Function
ANS>> 3. Impaired Gas Exchange
Rationale The First Priority Is To Maintain Adequate Oxygenation. The Next Diagnoses In Priority
Would Be Risk
For Ineffective Respiratory Function. Activity Intolerance Would Be The Third Diagnosis. Anxiety Would
1. The Nurse Suspects A Clients Heart Is Failing When Which Of The Following Heart Sounds Is Assessed?
1. S1
2. S2
3. S3
4. S4
ANS>> 3. S3
Rationale An Auscultated S3 Is A Sign That Increased Blood Volume Remains In The Ventricle With
Each Beat And
That The Heart Is Beginning To Fail. S1 And S2 Sounds Are The First And Second Sounds Heard When
Auscultating The Heart. An S4 Sound May Indicate Increased Resistance To Ventricular Filling.
2.A Client Is Diagnosed With Heart Failure. Which Of The Following Diagnostic Tests Is Useful To
Determine The Degree Of The Failure?
1.Brain Natriuretic Peptide Level
2.Blood Cultures
3.Sedimentation Rate
4.Arterial Blood Gas
ANS>> 1.Brain Natriuretic Peptide Level
Rationale Brain Natriuretic Peptide Is A Hormone Found In The Left Ventricle; It Is Used To Help
Diagnose And
Grade The Severity Of Heart Failure. Blood Cultures Are Used To Diagnose Carditis. Sedimentation Rate
Is
Used To Diagnose Pericarditis. Arterial Blood Gasses Are Not Used To Determine The Degree Of Heart
, Failure.
3.A Nurse Is Instructing A Client Regarding Medications And Substances Contraindicated For The Client
With Heart Failure. Which Of The Following Would Not Be Contraindicated?
1.Alcohol
2.Furosemide
3.Metformin
4.Pioglitazone
ANS>> 2. Furosemide
Rationale Loop Diuretics (E.G., Furosemide) Are Part Of The Recommended Medications For Heart
Failure. Alcohol,
Metformin, And Pioglitazone (A Thiazolidinedione) Are Contraindicated.
4.The Nurse Is Determining Nursing Diagnoses Appropriate For A Client Demonstrating Productive
Cough With Pink Frothy Sputum, Shortness Of Breath, And Crackles. Which Of The Following Nursing
Diagnoses Is Of The Most Importance?
1.Activity Intolerance
2.Anxiety
3. Impaired Gas Exchange
4. Risk For Ineffective Respiratory Function
ANS>> 3. Impaired Gas Exchange
Rationale The First Priority Is To Maintain Adequate Oxygenation. The Next Diagnoses In Priority
Would Be Risk
For Ineffective Respiratory Function. Activity Intolerance Would Be The Third Diagnosis. Anxiety Would
