NR601 WEEK 2 QUIZ: PRIMARY CARE OF
THE MATURING & AGED FAMILY
PRACTICUM, (LATEST 2026/2027 UPDATE),
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN COLLEGE OF NURSING
1. Which finding best supports a new diagnosis of heart failure in a
client with known coronary artery disease and diabetes?
A. Clear lung sounds, trace protein in urine, and history of obesity
B. Normal pro-BNP and blood pressure of 140/88
C. BNP level of 780 and shortness of breath with exertion
D. Elevated potassium and peaked T waves
Answer: C. BNP level of 780 and shortness of breath with exertion
Rationale: B-type natriuretic peptide (BNP) is released in response to ventricular
stretch and volume overload. A level of 780 is significantly elevated and strongly
supports heart failure, especially when accompanied by exertional dyspnea. In clients
with coronary artery disease and diabetes, myocardial dysfunction is common, making
this combination highly suggestive of new-onset heart failure.
2. Which diagnostic finding is most indicative of reversible
myocardial ischemia in a client with suspected stable angina?
A. Coronary artery calcium score of 300 with no perfusion deficits
B. Stress-induced ST segment depression and normalization of perfusion on rest
imaging
C. Fixed luminal narrowing on coronary angiography without collateral circulation
D. Resting echocardiogram showing diffuse hypokinesis and reduced ejection fraction
Answer: B. Stress-induced ST segment depression and normalization of
perfusion on rest imaging
Rationale: Reversible ischemia is characterized by reduced blood flow during stress
that resolves at rest. ST-segment depression during stress indicates subendocardial
, ischemia, while normalization on rest imaging confirms reversibility. This pattern is
classic for stable angina and helps differentiate it from infarction, where defects are
fixed.
3. Which assessment finding is most consistent with developing
coronary artery disease in an older adult client?
A. Sudden onset of unilateral lower extremity weakness
B. Warm, well-perfused extremities and brisk capillary refill
C. Occasional shortness of breath during exertion and an S3 heart sound
D. Chronic productive cough and inspiratory wheezes
Answer: C. Occasional shortness of breath during exertion and an S3 heart
sound
Rationale: Exertional dyspnea may reflect myocardial ischemia due to reduced
coronary perfusion. An S3 heart sound suggests decreased ventricular compliance or
early ventricular dysfunction, often associated with ischemic heart disease. Together,
these findings are concerning for evolving coronary artery disease.
4. Which non-pharmacologic intervention is most effective in
directly improving lipid profiles?
A. Regular moderate to vigorous physical activity three to four days a week
B. A diet emphasizing high protein, organic vegetables, and low carb intake
C. Annual cholesterol screening in adults under 40 with no risk factors
D. Reducing caffeine intake
Answer: A. Regular moderate to vigorous physical activity three to four days
a week
Rationale: Regular aerobic exercise increases HDL cholesterol and lowers LDL and
triglycerides. Physical activity also improves insulin sensitivity and supports weight
management. This makes it one of the most effective lifestyle interventions for
improving lipid profiles and reducing cardiovascular risk.
5. Which client is at highest risk for developing coronary artery
disease?
A. A 42-year-old male with hypertension and a family history of early CAD
B. A 59-year-old female with mild asthma and seasonal allergies
THE MATURING & AGED FAMILY
PRACTICUM, (LATEST 2026/2027 UPDATE),
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN COLLEGE OF NURSING
1. Which finding best supports a new diagnosis of heart failure in a
client with known coronary artery disease and diabetes?
A. Clear lung sounds, trace protein in urine, and history of obesity
B. Normal pro-BNP and blood pressure of 140/88
C. BNP level of 780 and shortness of breath with exertion
D. Elevated potassium and peaked T waves
Answer: C. BNP level of 780 and shortness of breath with exertion
Rationale: B-type natriuretic peptide (BNP) is released in response to ventricular
stretch and volume overload. A level of 780 is significantly elevated and strongly
supports heart failure, especially when accompanied by exertional dyspnea. In clients
with coronary artery disease and diabetes, myocardial dysfunction is common, making
this combination highly suggestive of new-onset heart failure.
2. Which diagnostic finding is most indicative of reversible
myocardial ischemia in a client with suspected stable angina?
A. Coronary artery calcium score of 300 with no perfusion deficits
B. Stress-induced ST segment depression and normalization of perfusion on rest
imaging
C. Fixed luminal narrowing on coronary angiography without collateral circulation
D. Resting echocardiogram showing diffuse hypokinesis and reduced ejection fraction
Answer: B. Stress-induced ST segment depression and normalization of
perfusion on rest imaging
Rationale: Reversible ischemia is characterized by reduced blood flow during stress
that resolves at rest. ST-segment depression during stress indicates subendocardial
, ischemia, while normalization on rest imaging confirms reversibility. This pattern is
classic for stable angina and helps differentiate it from infarction, where defects are
fixed.
3. Which assessment finding is most consistent with developing
coronary artery disease in an older adult client?
A. Sudden onset of unilateral lower extremity weakness
B. Warm, well-perfused extremities and brisk capillary refill
C. Occasional shortness of breath during exertion and an S3 heart sound
D. Chronic productive cough and inspiratory wheezes
Answer: C. Occasional shortness of breath during exertion and an S3 heart
sound
Rationale: Exertional dyspnea may reflect myocardial ischemia due to reduced
coronary perfusion. An S3 heart sound suggests decreased ventricular compliance or
early ventricular dysfunction, often associated with ischemic heart disease. Together,
these findings are concerning for evolving coronary artery disease.
4. Which non-pharmacologic intervention is most effective in
directly improving lipid profiles?
A. Regular moderate to vigorous physical activity three to four days a week
B. A diet emphasizing high protein, organic vegetables, and low carb intake
C. Annual cholesterol screening in adults under 40 with no risk factors
D. Reducing caffeine intake
Answer: A. Regular moderate to vigorous physical activity three to four days
a week
Rationale: Regular aerobic exercise increases HDL cholesterol and lowers LDL and
triglycerides. Physical activity also improves insulin sensitivity and supports weight
management. This makes it one of the most effective lifestyle interventions for
improving lipid profiles and reducing cardiovascular risk.
5. Which client is at highest risk for developing coronary artery
disease?
A. A 42-year-old male with hypertension and a family history of early CAD
B. A 59-year-old female with mild asthma and seasonal allergies
