Practice Question
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?
Answer Choices:
Correct Answer:
Bilateral lung sounds
Rationale:
🔵 In left-sided heart failure, blood backs up into the pulmonary circulation, causing pulmonary edema and crackles.
🔵 Assessing lung sounds bilaterally helps identify fluid accumulation and guides interventions such as diuretics or oxygen therapy.
🔵 Respiratory compromise is a more immediate concern than heart sounds or mood in this scenario.
🔵 This assessment reveals early signs of respiratory distress like rales, dyspnea, or decreased oxygenation.
🔵 Prioritizing lung assessment supports oxygenation and early detection of deterioration.
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This question is from RN ATI Maternal Newborn Exam 3 Fal~2023. which contains 57 questions.
More Questions from This Exam
Which intervention is most important for the practical nurse (PN) to implement for a client who is receiving total parenteral nutrition (TPN)?
Answer Choices:
A. Collect finger stick glucose levels
B. Implement bleeding precautions
C. Obtain daily weights
D. Check urine for albumin
An oil retention enema is prescribed for a hospitalized client. The practical nurse (PN) should administer the enema solution at which temperature?
Answer Choices:
A. The solution temperature should be determined by the clients comfort level
B. The temperature of the enema is unrelated to the enemas effectiveness
C. The solution should approximate the client's body temperature (98°F or 36°C).
D. The temperature should be higher (110°F or 43°C) than the client's body temperature
A male preoperative client who has already signed the informed consent for a surgical procedure confides to the practical nurse (PN) that he is really frightened and unsure about undergoing the surgery. Which priority action should the PN take?
Answer Choices:
A. Document that the client has expressed concerns about the surgery
B. Encourage the client to continue with the scheduled surger
C. Remind the client that the consent has already been obtained
D. Notify the charge nurse of the clients concerns about surgery
A client reports experiencing numbness and tingling in the extremities. Which of the clients serum laboratory values should the practical nurse (PN) prioritize reporting to the healthcare provider?
Answer Choices:
A. Albumin and protein levels
B. Electrolytes
C. White blood cell count (WBC)
D. Hematocrit
The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply)
Answer Choices:
A. Transport a urine culture sample to the laboratory
B. Obtain a post-voided residual (PVR) volume
C. Teach the client with fluid restrictions how to measure urine output
D. Irrigate an indwelling urinary catheter for a client with bladder suspension
E. Empty bedside drainage unit for a client with indwelling urinary catheter
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4
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