PNH 301 PRACTICE TEST QUESTIONS
AND ANSWERS ALL CORRECT
A blood pressure of 180/110 with symptoms may indicate a hypertensive crisis which
can lead to a stroke, heart attack or organ damage.
A patient with hypertension is taking the thighs, diuretic hydrochlorothiazide. During a
follow up appointment that provider decides to lower the medication. Which assessment
finding would most likely explain this decision - Answer- Potassium level of 2.9 MMOL/L
Thighs eye genetics increased the excretion of sodium water and potassium through the
kidneys. One of the most common side effects is hypokalemia.
A patient with heart failure is taking the thigh side diuretic hydrochlorothiazide to help
reduce fluid overload. During a follow up visit the provider decides to lower the
medication dose. Which assessment finding would most likely explain the decision -
Answer- Blood pressure of 86/54MMHG and complaints of dizziness
The genetic reduces blood volume by increasing fluid loss through the kidneys which
lowers blood pressure. If the patient develops hypotension sometimes may include
dizziness, lightheadedness, weakness, or risk of fall. This blood pressure is dangerously
low, so the provider may lower the genetic dose to prevent complications such as
fainting or decreased organ perfusion.
Which of the following are modifiable factors for coronary artery disease? - Answer-
Smoking and high cholesterol
What is the primary cause of coronary artery disease? - Answer- Narrowing of coronary
arteries due to plaque buildup
A patient presents with chest pain during exertion that improves with rest. Which
diagnostic test with the nurse anticipate to evaluate for coronary artery disease. -
Answer- Cardiac Stress test and ECG
A stress test evaluate how well the heart receives blood during exercise and helps
detect reduced coronary blood flow
A patient with heart failure reports rapid weight gain of 2 kg in two days and increased
shortness of breath. What is most likely the case of this rapid weight gain? - Answer-
, Fluid retention due to worsening heart failure. When the heart cannot pump effectively
fluid accumulates in the body, causing edema and rapid weight gain.
Name two modifiable and two non-modifiable risk factors for cardiovascular disease -
Answer- Modifiable is smoking, diet, obesity, physical inactivity, and hypertension
non-modifiable is family history, genetics, and sex
Modifiable factors can be changed with lifestyle or treatment
Why are complaints such as headache, dizziness, or blurred vision important in a
patient with high blood pressure - Answer- They may indicate symptomatic hypertension
or hypertensive crisis
High BP can't affect cerebral circulation, causing neurological symptoms
Name two diagnostic tests used for heart failure, and explain why they are used -
Answer- Echocardiogram and chest x-ray
Echocardiogram evaluate heart, structure, and pumping ability - ejection fraction
X-ray of the chest identifies fluid and lungs or enlarged heart
What is an echocardiogram used for? - Answer- Examine the structure and function of
the heart
It is commonly used to diagnose heart failure, and valve disorders
Name three clinical findings associated with PAD - Answer- Clarification - pain during
walking
Cool or pale extremities
Weak or absent pulses
Others would be slow, wound healing or hair loss on legs
PAD results from reduced arterial blood flow to extremities
Which finding is most concerning in a patient with heart failure - Answer- Weight gain of
2 kg and 48 hours this can indicate fluid overload
Which finding indicates peripheral arterial disease - Answer- Pain and legs while
walking
Pain with activity is claudication a classic symptom of PAD
AND ANSWERS ALL CORRECT
A blood pressure of 180/110 with symptoms may indicate a hypertensive crisis which
can lead to a stroke, heart attack or organ damage.
A patient with hypertension is taking the thighs, diuretic hydrochlorothiazide. During a
follow up appointment that provider decides to lower the medication. Which assessment
finding would most likely explain this decision - Answer- Potassium level of 2.9 MMOL/L
Thighs eye genetics increased the excretion of sodium water and potassium through the
kidneys. One of the most common side effects is hypokalemia.
A patient with heart failure is taking the thigh side diuretic hydrochlorothiazide to help
reduce fluid overload. During a follow up visit the provider decides to lower the
medication dose. Which assessment finding would most likely explain the decision -
Answer- Blood pressure of 86/54MMHG and complaints of dizziness
The genetic reduces blood volume by increasing fluid loss through the kidneys which
lowers blood pressure. If the patient develops hypotension sometimes may include
dizziness, lightheadedness, weakness, or risk of fall. This blood pressure is dangerously
low, so the provider may lower the genetic dose to prevent complications such as
fainting or decreased organ perfusion.
Which of the following are modifiable factors for coronary artery disease? - Answer-
Smoking and high cholesterol
What is the primary cause of coronary artery disease? - Answer- Narrowing of coronary
arteries due to plaque buildup
A patient presents with chest pain during exertion that improves with rest. Which
diagnostic test with the nurse anticipate to evaluate for coronary artery disease. -
Answer- Cardiac Stress test and ECG
A stress test evaluate how well the heart receives blood during exercise and helps
detect reduced coronary blood flow
A patient with heart failure reports rapid weight gain of 2 kg in two days and increased
shortness of breath. What is most likely the case of this rapid weight gain? - Answer-
, Fluid retention due to worsening heart failure. When the heart cannot pump effectively
fluid accumulates in the body, causing edema and rapid weight gain.
Name two modifiable and two non-modifiable risk factors for cardiovascular disease -
Answer- Modifiable is smoking, diet, obesity, physical inactivity, and hypertension
non-modifiable is family history, genetics, and sex
Modifiable factors can be changed with lifestyle or treatment
Why are complaints such as headache, dizziness, or blurred vision important in a
patient with high blood pressure - Answer- They may indicate symptomatic hypertension
or hypertensive crisis
High BP can't affect cerebral circulation, causing neurological symptoms
Name two diagnostic tests used for heart failure, and explain why they are used -
Answer- Echocardiogram and chest x-ray
Echocardiogram evaluate heart, structure, and pumping ability - ejection fraction
X-ray of the chest identifies fluid and lungs or enlarged heart
What is an echocardiogram used for? - Answer- Examine the structure and function of
the heart
It is commonly used to diagnose heart failure, and valve disorders
Name three clinical findings associated with PAD - Answer- Clarification - pain during
walking
Cool or pale extremities
Weak or absent pulses
Others would be slow, wound healing or hair loss on legs
PAD results from reduced arterial blood flow to extremities
Which finding is most concerning in a patient with heart failure - Answer- Weight gain of
2 kg and 48 hours this can indicate fluid overload
Which finding indicates peripheral arterial disease - Answer- Pain and legs while
walking
Pain with activity is claudication a classic symptom of PAD
