PNH 301 FINAL EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE |
WITH COMPLETE SOLUTIONS - SENECA COLLEGE.
An outpatient who has heart failure returns to the clinic after 2 weeks of therapy with an ACE inhibitor.
Which of these assessment findings is most important for the nurse to report to the health care
provider?
a. Pulse rate of 56
b. 2+ pedal edema
c. BP of 88/42 mm Hg
d. Complaints of fatigue - (answer)c. BP of 88/42 mm Hg
The nurse is developing a health teaching plan for a 60-year-old man with the following risk factors for
coronary artery disease (CAD). Which of the following risk factors should the nurse focus on when
teaching the client?
a. Family history of coronary artery disease
b. Increased risk associated with the client's gender
c. High incidence of cardio vascular disease in older people
d. Elevation of the client's serum low density lipoprotein (LDL) level - (answer)d. Elevation of the client's
serum low density lipoprotein (LDL) level
The nurse is caring for a client with angina who has been prescribed nadolol. Which of the following
parameters should the nurse assess to determine whether the drug is effective?
a. Decreased blood pressure and apical pulse rate b.
b. Fewer complaints of having cold hands and feet
c. Improvement in the quality of the peripheral pulses
d. The ability to do daily activities without chest discomfort - (answer)d. The ability to do daily activities
without chest discomfort
The nurse is assessing a client who has chronic peripheral artery disease (PAD) of the legs and an ulcer
on the left great toe. Which of the following findings should the nurse expect?
a. A positive Homans' sign
b. Swollen, dry, scaly ankles
, PNH 301 FINAL EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE |
WITH COMPLETE SOLUTIONS - SENECA COLLEGE.
c. Prolonged capillary refill in all the toes
d. A large amount of drainage from the ulcer - (answer)c. Prolonged capillary refill in all the toes
The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed
heart failure has been effective when the client does which of the following actions?
a. Uses an additional pillow to sleep when feeling short of breath at night.
b. Tells the home care nurse that furosemide is taken daily at bedtime.
c. Calls the clinic when the weight increases from 56 to 59 kg in 2 days.
d. Says that the nitroglycerin patch will be used for any chest pain that develops. - (answer)c. Calls the
clinic when the weight increases from 56 to 59 kg in 2 days.
Which of the following information given by a client admitted with chronic stable angina will help the
nurse confirm this diagnosis?
a. The client rates the pain at a level 3-5 (0-10 scale).
b. The client states that the pain "wakes me up at night."
c. The client says that the frequency of the pain has increased over the last few weeks.
d. The client states that the pain is resolved after taking one sublingual nitroglycerin tablet. - (answer)d.
The client states that the pain is resolved after taking one sublingual nitroglycerin tablet.
Clinical manifestations of CAD (Coronary Artery Disease): - (answer)- Angina
- Shortness of Breath
- Fatigue
- Palpitations
- Syncope
- Myocardial Infarction (Heart Attack)
Clinical manifestations of PAD (Peripheral Artery Disease): - (answer)Claudication: Similar to intermittent
claudication in PVD, characterized by cramping leg pain during exercise that resolves with rest.
WITH COMPLETE SOLUTIONS - SENECA COLLEGE.
An outpatient who has heart failure returns to the clinic after 2 weeks of therapy with an ACE inhibitor.
Which of these assessment findings is most important for the nurse to report to the health care
provider?
a. Pulse rate of 56
b. 2+ pedal edema
c. BP of 88/42 mm Hg
d. Complaints of fatigue - (answer)c. BP of 88/42 mm Hg
The nurse is developing a health teaching plan for a 60-year-old man with the following risk factors for
coronary artery disease (CAD). Which of the following risk factors should the nurse focus on when
teaching the client?
a. Family history of coronary artery disease
b. Increased risk associated with the client's gender
c. High incidence of cardio vascular disease in older people
d. Elevation of the client's serum low density lipoprotein (LDL) level - (answer)d. Elevation of the client's
serum low density lipoprotein (LDL) level
The nurse is caring for a client with angina who has been prescribed nadolol. Which of the following
parameters should the nurse assess to determine whether the drug is effective?
a. Decreased blood pressure and apical pulse rate b.
b. Fewer complaints of having cold hands and feet
c. Improvement in the quality of the peripheral pulses
d. The ability to do daily activities without chest discomfort - (answer)d. The ability to do daily activities
without chest discomfort
The nurse is assessing a client who has chronic peripheral artery disease (PAD) of the legs and an ulcer
on the left great toe. Which of the following findings should the nurse expect?
a. A positive Homans' sign
b. Swollen, dry, scaly ankles
, PNH 301 FINAL EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE |
WITH COMPLETE SOLUTIONS - SENECA COLLEGE.
c. Prolonged capillary refill in all the toes
d. A large amount of drainage from the ulcer - (answer)c. Prolonged capillary refill in all the toes
The nurse working in the heart failure clinic will know that teaching for a client with newly diagnosed
heart failure has been effective when the client does which of the following actions?
a. Uses an additional pillow to sleep when feeling short of breath at night.
b. Tells the home care nurse that furosemide is taken daily at bedtime.
c. Calls the clinic when the weight increases from 56 to 59 kg in 2 days.
d. Says that the nitroglycerin patch will be used for any chest pain that develops. - (answer)c. Calls the
clinic when the weight increases from 56 to 59 kg in 2 days.
Which of the following information given by a client admitted with chronic stable angina will help the
nurse confirm this diagnosis?
a. The client rates the pain at a level 3-5 (0-10 scale).
b. The client states that the pain "wakes me up at night."
c. The client says that the frequency of the pain has increased over the last few weeks.
d. The client states that the pain is resolved after taking one sublingual nitroglycerin tablet. - (answer)d.
The client states that the pain is resolved after taking one sublingual nitroglycerin tablet.
Clinical manifestations of CAD (Coronary Artery Disease): - (answer)- Angina
- Shortness of Breath
- Fatigue
- Palpitations
- Syncope
- Myocardial Infarction (Heart Attack)
Clinical manifestations of PAD (Peripheral Artery Disease): - (answer)Claudication: Similar to intermittent
claudication in PVD, characterized by cramping leg pain during exercise that resolves with rest.
