ATI QUIZ HEART FAILURE THEORY QUESTIONS WITH VERIFIED ANSWERS
Question:
A nurse is providing discharge instructions for a client who has congestive heart failure.
Which of the following client statements indicates to the nurse that the teaching was
effective?
A. "I will read food labels and limit my sodium to 4 grams per day."
B. "I should use naproxen to manage discomfort."
C. "I plan to slow down if I am tired the day after exercising."
D. "I will take my diuretic before sleep and drink fluids during the day." - Answers - C. "I
plan to slow down if I am tired the day after exercising."
Rationale:
A: Incorrect. Client should consume no more than 2 g sodium/day.
B: Incorrect. NSAIDs cause sodium retention; acetaminophen is safer.
C: Correct. Slowing down if fatigued indicates understanding of activity tolerance.
D: Incorrect. Diuretics should be taken in the morning to avoid nocturia.
Question:
A nurse admitting a client with a history of heart failure must check the 5 findings that
require immediate follow-up. Which are they?
A. Vital signs
B. Respiratory assessment
C. Renal function
D. Cardiac enzymes
E. BNP
F. ECG results
G. Neurologic status - Answers - A. Vital signs, B. Respiratory assessment, C. Renal
function, E. BNP, F. ECG results
Rationale:
A: Correct. HR 138 indicates atrial fibrillation with RVR.
B: Correct. Pink-tinged sputum shows pulmonary edema.
C: Correct. Elevated BUN/creatinine = impaired renal perfusion.
D: Incorrect. Enzymes within range, no MI.
E: Correct. BNP critical = worsening HF.
F: Correct. A-fib with RVR = risk for decompensation.
G: Incorrect. Neuro status normal.
Question:
A nurse is caring for a client with valvular heart disease and risk for left-sided HF. Which
manifestation indicates the client is developing left-sided HF?
A. Anorexia
B. Weight gain
C. Breathlessness
Question:
A nurse is providing discharge instructions for a client who has congestive heart failure.
Which of the following client statements indicates to the nurse that the teaching was
effective?
A. "I will read food labels and limit my sodium to 4 grams per day."
B. "I should use naproxen to manage discomfort."
C. "I plan to slow down if I am tired the day after exercising."
D. "I will take my diuretic before sleep and drink fluids during the day." - Answers - C. "I
plan to slow down if I am tired the day after exercising."
Rationale:
A: Incorrect. Client should consume no more than 2 g sodium/day.
B: Incorrect. NSAIDs cause sodium retention; acetaminophen is safer.
C: Correct. Slowing down if fatigued indicates understanding of activity tolerance.
D: Incorrect. Diuretics should be taken in the morning to avoid nocturia.
Question:
A nurse admitting a client with a history of heart failure must check the 5 findings that
require immediate follow-up. Which are they?
A. Vital signs
B. Respiratory assessment
C. Renal function
D. Cardiac enzymes
E. BNP
F. ECG results
G. Neurologic status - Answers - A. Vital signs, B. Respiratory assessment, C. Renal
function, E. BNP, F. ECG results
Rationale:
A: Correct. HR 138 indicates atrial fibrillation with RVR.
B: Correct. Pink-tinged sputum shows pulmonary edema.
C: Correct. Elevated BUN/creatinine = impaired renal perfusion.
D: Incorrect. Enzymes within range, no MI.
E: Correct. BNP critical = worsening HF.
F: Correct. A-fib with RVR = risk for decompensation.
G: Incorrect. Neuro status normal.
Question:
A nurse is caring for a client with valvular heart disease and risk for left-sided HF. Which
manifestation indicates the client is developing left-sided HF?
A. Anorexia
B. Weight gain
C. Breathlessness