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TOP RANK REVIEW ACADEMY, INC. Page 1 | 14 COACHING WITH THE ICONS MEDICAL - SURGICAL CRITICAL THINKING DRILLS Prepared By: Dr. Josie Quiambao-Udan, DNM, RN November 2025 Philippine Nurse Licensure Examination Review NAME: SCORE: /100 Critical Thinking Drills : Congestive Heart Failure UDAN Concepts: Right- sided CHF “VENOUS BACK- UP” “SYSTEMIC MANIFESTATIONS” Left- sided CHF “LEFT – LUNGS” “CELLULAR HYPOXIA” “RAAS ACTIVATION” (HPN, HypoK+) Signs/Symptoms RSCHF LSCHF 1. Hemoptysis 2. Enlarged Liver 3. Difficulty of breathing in supine position 4. Ascites 5. Brief bursts of popping bubbles on auscultation of the chest 6. Hemolytic anemia 7. BP= 160/100 8. Serum K+ = 3.0 mEq/ L 9. Clubbing of fingers 10. Bipedal edema 11. Weight loss 12. RBC= 6.6 M 13. Engorged neck vein 14. Splenomegaly 15. PAP = 28 mmHg 16. Faintness 17. Oxygen saturation= 90% 18. Jaundice 19. . Internal hemorrhoids 20. CVP = 18 cm H2O Jqu * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH