NR 601 Week 2 Quiz

10. Which client report indicates a need to contact the provider due to potential worsening of stable angina? A. mild fatigue after a full day of activity. B. shortness of breath during exercise that is relieved with periods of rest. C. occasional skipped heartbeats without associated symptoms. D. chest discomfort that now occurs at rest instead of only with exertion. 11. Which assessment finding is most indicative of peripheral artery disease in a client reporting leg pain with activity? A. bounding pedal pulses and pink warm feet, B. bilateral pitting edema, and dusky skin color when legs are elevated. C. smooth shiny skin with diminished hair growth and cool temperature. D. warm dry skin and rapid capillary refill in lower extremities. 12. Which clinical presentation is most consistent with the diagnosis of left- sided heart failure? A. peripheral edema, ascites, and weight gain. B. clear lung sounds, irregular heart rate, and ankle swelling. C. jugular vein distension, hepatomegaly, and cold extremities. D. shortness of breath on exertion, orthopnea, and paroxysmal nocturnal dyspnea. 13. Which client is at the highest risk for developing coronary artery disease? A. a 35-year-old female with no medical history who occasionally exercises. B. a 59-year-old female with mild asthma and seasonal allergies. C. a 28-year-old male who drinks alcohol daily and follows a vegetarian diet. D. a 42-year-old male with hypertension and a family history of early CAD. 19. 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 defects. B. resting echocardiogram showing diffuse hypokinesis and reduced ejection fraction. C. stress-induced ST segment depression and normalization of perfusion on rest imaging. D. fixed luminal narrowing on coronary angiography without collateral circulation. 20. Which finding best supports a new diagnosis of heart failure in a client with known coronary artery disease and diabetes? A. BNP level of 780 and shortness of breath with exertion. B. clear lung fields, trace protein in urine, and a history of obesity. C. elevated potassium and peaked T waves. D. normal pro-BNP and blood pressure of 140 over 88. 21. Which non-pharmacologic intervention is most effective in directly improving lipid profiles? A. Annual cholesterol screening in adults under 40 with no risk factors. B. Reducing caffeine intake. C. Regular moderate to vigorous physical activity three to four days of the week. D. A diet emphasizing high protein, organic vegetables, and low carbohydrate intake. 22. Which client report warrants the most immediate evaluation when managing hyperlipidemia with statin therapy? A. muscle soreness after beginning an exercise routine. B. forgetfulness during stressful periods. C. dark colored urine. D. fatigue after a long workday.