A patient with heart failure has difficulty breathing when lying flat and crackles on lung assessment. Which pattern do these findings most strongly suggest?
2 Heart Failure Assessment and Findings Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Heart Failure Assessment and Findings, test your knowledge, and prepare for your next test or exam.
Which statement best describes the role of a chest X-ray when evaluating possible heart failure?
- A
A chest X-ray alone confirms heart failure.
- B
A chest X-ray can show lung congestion, but it is not a stand-alone confirmation or exclusion test.
- C
A normal-looking chest X-ray rules out every form of heart failure.
- D
A chest X-ray alone determines the ejection fraction.
A patient with heart failure now needs three pillows instead of one and wakes at night short of breath. What is the best interpretation?
- A
Heart failure may be worsening, so the change should be reported to the healthcare team.
- B
The changes specifically establish right-sided heart failure.
- C
The changes prove that ejection fraction has decreased.
- D
The changes are expected and require no follow-up.
A patient with known left-sided heart failure develops leg edema and abdominal fullness. Which conclusion is best supported?
- A
Systemic venous congestion may also be present; heart-failure findings can overlap.
- B
The existing diagnosis of left-sided heart failure must be incorrect.
- C
The findings rule out heart failure.
- D
The findings prove that ejection fraction is reduced.
Which changes in a person with heart failure should be reported according to the person's care plan? Select all that apply.
- A
New or worsening breathlessness
- B
Stable usual activity tolerance
- C
New or worsening swelling
- D
New difficulty sleeping because of breathlessness
- E
Rapid weight gain
Which can contribute to an evaluation for heart failure when considered together? Select all that apply.
- A
BNP or NT-proBNP results
- B
The patient's history
- C
Clinical examination
- D
Echocardiography
- E
Ejection fraction alone as a complete diagnostic test
What type of congestion is most strongly suggested by breathlessness, difficulty lying flat, and crackles on lung assessment? Enter the two-word term.
A heart-failure care example describes a daily weight increase of 2.5 lb as approximately how many kilograms?
A chest X-ray may show an or , but it does not confirm or rule out heart failure by itself.
A rapid weight increase together with worsening swelling can signal . The change should be reported according to the patient's .
Compare findings that suggest pulmonary congestion with findings that suggest systemic venous congestion in heart failure. Include examples of each and explain why a clinician should consider the overall pattern rather than rely on one sign.
True or false: Fatigue and reduced ability to perform usual activities can occur with either left-sided or right-sided heart-failure congestion.
- A
True
- B
False
A patient with heart failure becomes short of breath when lying flat. Which lung-assessment finding listed in the material would further support pulmonary congestion?
A patient with heart failure develops visible neck veins, ankle swelling, and abdominal fullness. Which pattern do these findings most strongly suggest?
- A
Right-sided systemic venous congestion
- B
Left-sided pulmonary congestion only
- C
Dehydration
- D
A normal finding that needs no assessment
If a person's heart-failure symptoms become severe or rapidly worsen, what type of help should they seek?
A patient has shortness of breath and leg swelling. How should a BNP or NT-proBNP result be used when evaluating the possibility of heart failure?
- A
BNP or NT-proBNP can support evaluation, but the clinical assessment and other test findings matter too.
- B
A BNP result alone confirms heart failure.
- C
A chest X-ray alone confirms or rules out heart failure.
- D
Leg swelling means these tests are unnecessary.
Which statement about ejection fraction is most accurate when assessing a patient for heart failure?
- A
A normal ejection fraction rules out every form of heart failure.
- B
Ejection fraction alone does not determine whether a patient has any form of heart failure.
- C
Ejection fraction identifies whether congestion is pulmonary or systemic.
- D
Ejection fraction replaces the need to consider clinical findings.
Which new finding in a patient with heart failure needs urgent evaluation?
- A
Mild fatigue after a busy day
- B
Shortness of breath at rest
- C
Stable weight and usual activity tolerance
- D
A brief cough that has resolved
True or false: Daily weight tracking can be part of a person's heart-failure self-check routine.
- A
True
- B
False
True or false: A person with heart failure should make a major change to fluid intake on their own whenever swelling occurs.
- A
True
- B
False
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