PNH301 CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● 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
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."
SOLUTION GRADED A+
● 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
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."
