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AACN CCRN-Adult Exam - Topic 1 Question 28 Discussion

Posted by Davida on Aug 12, 2026 at 10:35 AM

Patients in end-stage cardiomyopathy often exhibit which of the following symptoms of right-sided heart failure?

Suggested Answer: B

JVD stands for jugular venous distension, which is a sign of increased pressure in the right atrium and the superior vena cava. Hepatomegaly means enlargement of the liver, which can occur due to congestion of blood in the portal vein and the hepatic vein. Both JVD and hepatomegaly are common symptoms of right-sided heart failure, as they indicate fluid retention and backup in the systemic circulation12. Hypotension and oliguria are not specific to right-sided heart failure, as they can also occur in left-sided heart failure or other conditions that affect the cardiac output and renal perfusion. Hypertension and polyuria are unlikely to be seen in right-sided heart failure, as they indicate increased blood pressure and urine output, which are opposite to the effects of reduced cardiac function and fluid overload. Pulmonary edema and restlessness are more characteristic of left-sided heart failure, as they indicate fluid accumulation and impaired gas exchange in the lungs12.


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12 comments · newest first
OR
Oretha 3 days ago
A is misleading. Hypotension and oliguria are more general.
FR
France 8 days ago
Agreed! Right-sided heart failure definitely shows those symptoms.
RA
Rasheeda 13 days ago
I think B is the right choice. JVD and hepatomegaly are classic signs.
IL
Ilda 18 days ago
B is the most common, can't argue with that!
AR
Arlen 23 days ago
Surprised that D) pulmonary edema isn't on the list!
BR
Bronwyn 28 days ago
No way, C) hypertension and polyuria doesn't fit here.
JU
Judy 1 month ago
I thought it could be A) hypotension and oliguria too.
LA
Lavelle 1 month ago
Definitely B) JVD and hepatomegaly. Classic signs!
YA
Yaeko 1 month ago
I recall that hypotension and oliguria are more related to acute issues, so I’m leaning towards B as well.
RO
Rory 2 months ago
I’m a bit confused about the differences between right-sided and left-sided heart failure symptoms. I feel like I need to review this more.
MA
Mattie 2 months ago
I remember practicing a similar question where we discussed the signs of heart failure, and I think B is the right choice.
AS
Ashton 2 months ago
I think right-sided heart failure symptoms include things like JVD and hepatomegaly, but I'm not completely sure if that's the main focus here.
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