ATI RN
ATI Clinical Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult patient with left-sided heart failure. What assessment findings should the nurse expect? What finding should the nurse expect in left-sided heart failure?
Correct Answer: A
Rationale: The correct answer is A: Frothy sputum. In left-sided heart failure, the failing left ventricle results in blood backing up into the lungs causing pulmonary congestion. This leads to the production of frothy, pink-tinged sputum due to blood-tinged fluid leaking into the alveoli. Dependent edema (choice
B) is more indicative of right-sided heart failure. Nocturnal polyuria (choice
C) is not a typical finding in left-sided heart failure. Jugular distention (choice
D) is more commonly seen in right-sided heart failure due to increased venous pressure.
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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