ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
A client with a diagnosis of heart failure is admitted to the cardiac unit. Which intervention should the nurse complete first?
Correct Answer: C
Rationale: Auscultating the lung and heart sounds is correct. In heart failure, pulmonary congestion and fluid overload can lead to respiratory distress. Immediate assessment for crackles, wheezing, or abnormal heart sounds evaluates for acute decompensation. Drawing a BMP, obtaining a health history, and assessing pulse and temperature are important but secondary to assessing for immediate respiratory or cardiac compromise.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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