NU 664B Exam 2 Study Questions with Detailed
Solutions Graded 2025-2026
Peripheral Arterial Disease (PAD)Risk Factors
Smoking, diabetes, hypertension, hyperlipidemia, advanced age
Peripheral Arterial Disease (PAD)Symptoms
Claudication (pain in the legs while walking, relieved by rest), rest pain, non-
healing wounds on feet.
Peripheral Arterial Disease (PAD) Lifestyle Management
Smoking cessation, regular exercise.
Peripheral Arterial Disease (PAD) Pharmacological Management
Antiplatelet agents (e.g., aspirin), statins, cilostazol.
Peripheral Arterial Disease (PAD) Surgical Management
Angioplasty, stenting, bypass surgery.
A 60-year-old male smoker with diabetes and hypertension presents with calf pain
when walking. An ankle-brachial index (ABI) test reveals PAD. What as the NP
should you prescribe for treatment?
Advise pt to stop smoking, start a supervised exercise program, and begin aspirin
and statin therapy
Heart Failure Symptoms
Dyspnea, orthopnea, paroxysmal nocturnal dyspnea, edema, fatigue.
Heart Failure Diagnostic Tests
Echocardiogram, BNP (B-type natriuretic peptide) levels, chest X-ray
Heart Failure Lifestyle Modification
Sodium restriction, fluid management, weight monitoring
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Heart Failure Pharmacological
ACE (Angiotensin Converting Enzyme) inhibitors, betablockers, diuretics,
aldosterone antagonists.
Heart Failure Advanced Therapies
ICD (implantable cardioverter-defibrillator), CRT (cardiac resynchronization
therapy), heart transplant.
A 70-year-old woman with a history of myocardial infarction presents with
shortness of breath and ankle swelling. Echocardiogram shows reduced ejection
fraction (HFrEF). What is the pharmacological intervention of the clinician?
Start on an ACE inhibitor, beta-blocker, and diuretics.
Aldosterone Antagonists
Eplerenone (Inspra) Spirinolactone (Aldactone)
potassium sparing diuretics
Hypertension Stages: Normal
<120/80 mmHg
Hypertension Stage 1
130-139/80-89 mmHg
Hypertension Elevated
120-129/<80 mmHg
Hypertension Stage 2
: ≥140/90 mmHg
Hypertension Lifestyle Treatment
Dietary changes (DASH diet), exercise, weight loss, reducing sodium and alcohol
intake.
Hypertension Pharmacological
Thiazide diuretics, ACE inhibitors, ARBs, calcium channel blockers
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