NURSE PRACTITIONERS IN PRIMARY CARE
EXAM 4 FINAL TEST PAPER 2026 FULL
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ Chronic Arterial insufficiency (PAD). Answer: fatigue, soreness,
pain
claudication--exertional leg symptoms
impaired walking
poor wound healing
pain at rest in legs/feet
abdominal pain after eating+ weight loss
family hx AAA
◉ diagnostics of PAD. Answer: should check BP in both arms
doppler ankle and arm index (ABI)
glucose, lipids, CRP, homocysteine
duplex US
MRA or CTA
◉ ABI. Answer: ankle brachial index--measures pressure of brachial
artery and dorsalis pedis+posterior tibial arteries.
ABI <0.9 =PAD
, 0.5-0.75=claudication
<0.5=tissue loss/pain at rest
>1.4 is also abnormal--potentially noncompressible calcified vessels
◉ If ABI is abnormal or if borderline what to order next?. Answer:
may use treadmill exercise test
◉ management of chronic arterial insufficiency. Answer: Smoking
cessation
Lipid management (LDL, Triglycerides)
Control Diabetes
Control HTN
Exercise program (improves collaterals)
Proper foot care
meds: aspirin or plavix; statin; antihtn (ACEI or ARB); cilostazol
(pletal) PDE3 inhibitor may help with claudication
surgery if obstruction (angioplasty)
◉ complications of chronic PAD. Answer: ulcers, AAA, renal artery
stenosis, infection
EXAM 4 FINAL TEST PAPER 2026 FULL
QUESTIONS AND SOLUTIONS VERIFIED A+
◉ Chronic Arterial insufficiency (PAD). Answer: fatigue, soreness,
pain
claudication--exertional leg symptoms
impaired walking
poor wound healing
pain at rest in legs/feet
abdominal pain after eating+ weight loss
family hx AAA
◉ diagnostics of PAD. Answer: should check BP in both arms
doppler ankle and arm index (ABI)
glucose, lipids, CRP, homocysteine
duplex US
MRA or CTA
◉ ABI. Answer: ankle brachial index--measures pressure of brachial
artery and dorsalis pedis+posterior tibial arteries.
ABI <0.9 =PAD
, 0.5-0.75=claudication
<0.5=tissue loss/pain at rest
>1.4 is also abnormal--potentially noncompressible calcified vessels
◉ If ABI is abnormal or if borderline what to order next?. Answer:
may use treadmill exercise test
◉ management of chronic arterial insufficiency. Answer: Smoking
cessation
Lipid management (LDL, Triglycerides)
Control Diabetes
Control HTN
Exercise program (improves collaterals)
Proper foot care
meds: aspirin or plavix; statin; antihtn (ACEI or ARB); cilostazol
(pletal) PDE3 inhibitor may help with claudication
surgery if obstruction (angioplasty)
◉ complications of chronic PAD. Answer: ulcers, AAA, renal artery
stenosis, infection
