ATI HEART FAILURE QUESTIONS WITH VERIFIED
ANSWERS
A nurse is reviewing the laboratory values for a client who is taking an ACE inhibitor and
spironolactone for heart failure. The nurse should notify the provider for which of the
following laboratory values? Creatinine 1.8mg/dL,
Potassium 4.2 mEq/L,
BNP 98 pg/mL,
d-Dimer 0.3 mcg/mL - Answers - Creatinine 1.8mg/dL
(The nurse should notify the provider if the client has a creatinine of 1.8 mg/dL. Clients
who are receiving an ACE inhibitor and spironolactone together can develop
hyperkalemia and dysthymias.)
A nurse is monitoring a client who has received enalapril for heart failure. The nurse
should identify that which of the following findings as an adverse effect of this
medication? Bradycardia,
Orthostatic hypotension,
Increased perspiration,
Somnolence - Answers - Orthostatic hypotension
(Enalapril, an angiotensin-converting enzyme, prevents conversion of angiotensin 1 to
angiotensin 2, which causes dilation of the arterial and venous vessels. This can cause
an adverse effect of orthostatic hypotension.)
A nurse is assessing a client who has left-sided heart failure with decrease cardiac
output. Which of the following manifestations should the nurse expect? Flushing of the
skin on exertion,
Respiratory rate of 16/min,
Warm lower extremities,
Nocturia at night. - Answers - Nocturia at night.
(A client who has left-sided heart failure with decreased cardiac output can have oliguria
during the day and nocturia at night due to poor tissue perfusion to the kidneys.)
A nurse is assessing a client who is restricted to bedrest for manifestations of right-
sided heart failure. Which of the following findings should the nurse expect? Weak
peripheral pulses,
Angina,
Sacrum edema,
Crackles in the lungs - Answers - Sacrum edema.
(A client who has right-sided heart failure and is restricted to bedrest will often have fluid
accumulation in the sacral area when compared to a client who is ambulatory. The
edema is caused by increased systemic venous pressures and congestion.)
ANSWERS
A nurse is reviewing the laboratory values for a client who is taking an ACE inhibitor and
spironolactone for heart failure. The nurse should notify the provider for which of the
following laboratory values? Creatinine 1.8mg/dL,
Potassium 4.2 mEq/L,
BNP 98 pg/mL,
d-Dimer 0.3 mcg/mL - Answers - Creatinine 1.8mg/dL
(The nurse should notify the provider if the client has a creatinine of 1.8 mg/dL. Clients
who are receiving an ACE inhibitor and spironolactone together can develop
hyperkalemia and dysthymias.)
A nurse is monitoring a client who has received enalapril for heart failure. The nurse
should identify that which of the following findings as an adverse effect of this
medication? Bradycardia,
Orthostatic hypotension,
Increased perspiration,
Somnolence - Answers - Orthostatic hypotension
(Enalapril, an angiotensin-converting enzyme, prevents conversion of angiotensin 1 to
angiotensin 2, which causes dilation of the arterial and venous vessels. This can cause
an adverse effect of orthostatic hypotension.)
A nurse is assessing a client who has left-sided heart failure with decrease cardiac
output. Which of the following manifestations should the nurse expect? Flushing of the
skin on exertion,
Respiratory rate of 16/min,
Warm lower extremities,
Nocturia at night. - Answers - Nocturia at night.
(A client who has left-sided heart failure with decreased cardiac output can have oliguria
during the day and nocturia at night due to poor tissue perfusion to the kidneys.)
A nurse is assessing a client who is restricted to bedrest for manifestations of right-
sided heart failure. Which of the following findings should the nurse expect? Weak
peripheral pulses,
Angina,
Sacrum edema,
Crackles in the lungs - Answers - Sacrum edema.
(A client who has right-sided heart failure and is restricted to bedrest will often have fluid
accumulation in the sacral area when compared to a client who is ambulatory. The
edema is caused by increased systemic venous pressures and congestion.)
