ATI RN
ATI Maternal Newborn Exam 3 Fall 2023 Questions
Extract:
A client with complications of left-sided heart failure.
Question 1 of 5
The practical nurse (PN) is assisting with the admission of a client with complications of left-sided heart failure. Which focused assessment should the PN implement first?
Correct Answer: C
Rationale: The correct answer is C: Bilateral lung sounds. In left-sided heart failure, fluid accumulates in the lungs causing respiratory symptoms. Assessing lung sounds first helps identify any signs of pulmonary congestion, such as crackles or wheezes. This is crucial for immediate intervention to prevent respiratory distress. Heart sounds (
A) and chest pain (
B) are important but assessing lung sounds takes priority to address the immediate respiratory distress. Mood and affect (
D) assessment is important but not urgent in this situation.
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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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