ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
While performing an assessment, the nurse hears crackles in the patient's lung fields. The nurse also learns that the patient is sleeping on three pillows to help with the difficulty breathing during the night. Which condition will the nurse most likely observe written in the patient's medical record?
Correct Answer: A
Rationale:
Correct
Answer: A - Left-sided heart failure
Rationale:
1. Crackles in lung fields indicate fluid accumulation in the lungs, a common sign of heart failure.
2. Sleeping on multiple pillows helps alleviate difficulty breathing, a symptom of left-sided heart failure due to pulmonary congestion.
3. Left-sided heart failure typically presents with pulmonary symptoms such as crackles and orthopnea.
Summary:
- B: Myocardial ischemia typically presents with chest pain, not crackles in lung fields.
- C: Right-sided heart failure presents with systemic symptoms like peripheral edema and distended neck veins, not crackles in lung fields.
- D: Atrial fibrillation is an arrhythmia and may not directly cause crackles in lung fields.
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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