NR601 Week 5 Case Study: Hyperlipidemia &
Cardiovascular Risk Assessment – 80 Multiple-Choice
Questions with Rationales- Chamberlain
CASE PRESENTATION & HISTORY (~10 questions)
1. Heather Nardone is a 56-year-old female presenting for a blood pressure recheck
after a workplace screening. What was her initial screening blood pressure?
A. 118/72 mmHg
B. 132/74 mmHg
C. 140/90 mmHg
D. 128/82 mmHg
Answer: B
Rationale: The case states her workplace health fair identified an elevated reading of
132/74 mmHg. Today's reading is 118/72 mmHg.
2. Which of the following is NOT part of Heather Nardone's past medical history?
A. Hypothyroidism
B. Obesity
C. Type 2 diabetes
D. Sedentary lifestyle
Answer: C
Rationale: Her history includes hypothyroidism and obesity, not diabetes. HbA1c is
5.3%, which is normal.
3. Which dietary pattern does Heather Nardone report?
A. Low-fat, high-fiber diet
B. High-fat, high-salt diet
C. Mediterranean diet
D. Vegetarian diet
Answer: B
Rationale: She reports a high-fat/high-salt diet, contributing to her hyperlipidemia.
,4. Which of the following symptoms does Heather Nardone deny?
A. Chest pain
B. Palpitations
C. Dyspnea
D. All of the above
Answer: D
Rationale: She denies chest pain, palpitations, dyspnea, syncope, dizziness, leg swelling,
polyuria, polydipsia, or heat/cold intolerance.
5. Which family history is most relevant to Heather Nardone's case?
A. History of asthma
B. History of cardiovascular disease
C. History of thyroid cancer
D. History of rheumatoid arthritis
Answer: B
Rationale: She has a strong family history of cardiovascular disease, which is a major
risk factor for hyperlipidemia and ASCVD.
6. Heather Nardone's lifestyle includes which of the following?
A. Regular aerobic exercise
B. Sedentary lifestyle
C. Daily yoga practice
D. Competitive swimming
Answer: B
Rationale: She reports a sedentary lifestyle, which contributes to her cardiovascular
risk.
7. Which of the following is a risk factor for hyperlipidemia present in Heather
Nardone's case?
A. Male gender
B. Obesity
C. Age under 50
D. Regular exercise
Answer: B
Rationale: Obesity is a risk factor for hyperlipidemia. She is also over 50 (female risk
increases after menopause).
, 8. Heather Nardone's history of hypothyroidism is relevant because:
A. Hypothyroidism causes hyperlipidemia
B. Hypothyroidism protects against hyperlipidemia
C. Hypothyroidism is unrelated to lipid levels
D. Hypothyroidism requires statin therapy
Answer: A
Rationale: Untreated hypothyroidism can cause secondary hyperlipidemia. Her TSH is
normal (1.5), so her thyroid is controlled.
9. Which vital sign is most notable in Heather Nardone's case today?
A. Heart rate 80 bpm
B. Blood pressure 118/72 mmHg
C. Respiratory rate 16/min
D. Temperature 98.6°F
Answer: B
Rationale: Her BP today is 118/72, which is normal. The elevated reading at the health fair
prompted the visit.
10. What is Heather Nardone's age, and why is it relevant to her cardiovascular risk?
A. 45 years; premenopausal protection
B. 56 years; postmenopausal increased risk
C. 65 years; Medicare eligibility
D. 35 years; low risk
Answer: B
Rationale: At 56, she is likely postmenopausal, and estrogen loss increases
cardiovascular risk.
PHYSICAL EXAM FINDINGS (~10 questions)
11. Which physical exam finding is most significant in Heather Nardone's case?
A. Corneal arcus bilaterally
B. Clear lung fields
C. Normal heart sounds
D. No peripheral edema
Answer: A
Cardiovascular Risk Assessment – 80 Multiple-Choice
Questions with Rationales- Chamberlain
CASE PRESENTATION & HISTORY (~10 questions)
1. Heather Nardone is a 56-year-old female presenting for a blood pressure recheck
after a workplace screening. What was her initial screening blood pressure?
A. 118/72 mmHg
B. 132/74 mmHg
C. 140/90 mmHg
D. 128/82 mmHg
Answer: B
Rationale: The case states her workplace health fair identified an elevated reading of
132/74 mmHg. Today's reading is 118/72 mmHg.
2. Which of the following is NOT part of Heather Nardone's past medical history?
A. Hypothyroidism
B. Obesity
C. Type 2 diabetes
D. Sedentary lifestyle
Answer: C
Rationale: Her history includes hypothyroidism and obesity, not diabetes. HbA1c is
5.3%, which is normal.
3. Which dietary pattern does Heather Nardone report?
A. Low-fat, high-fiber diet
B. High-fat, high-salt diet
C. Mediterranean diet
D. Vegetarian diet
Answer: B
Rationale: She reports a high-fat/high-salt diet, contributing to her hyperlipidemia.
,4. Which of the following symptoms does Heather Nardone deny?
A. Chest pain
B. Palpitations
C. Dyspnea
D. All of the above
Answer: D
Rationale: She denies chest pain, palpitations, dyspnea, syncope, dizziness, leg swelling,
polyuria, polydipsia, or heat/cold intolerance.
5. Which family history is most relevant to Heather Nardone's case?
A. History of asthma
B. History of cardiovascular disease
C. History of thyroid cancer
D. History of rheumatoid arthritis
Answer: B
Rationale: She has a strong family history of cardiovascular disease, which is a major
risk factor for hyperlipidemia and ASCVD.
6. Heather Nardone's lifestyle includes which of the following?
A. Regular aerobic exercise
B. Sedentary lifestyle
C. Daily yoga practice
D. Competitive swimming
Answer: B
Rationale: She reports a sedentary lifestyle, which contributes to her cardiovascular
risk.
7. Which of the following is a risk factor for hyperlipidemia present in Heather
Nardone's case?
A. Male gender
B. Obesity
C. Age under 50
D. Regular exercise
Answer: B
Rationale: Obesity is a risk factor for hyperlipidemia. She is also over 50 (female risk
increases after menopause).
, 8. Heather Nardone's history of hypothyroidism is relevant because:
A. Hypothyroidism causes hyperlipidemia
B. Hypothyroidism protects against hyperlipidemia
C. Hypothyroidism is unrelated to lipid levels
D. Hypothyroidism requires statin therapy
Answer: A
Rationale: Untreated hypothyroidism can cause secondary hyperlipidemia. Her TSH is
normal (1.5), so her thyroid is controlled.
9. Which vital sign is most notable in Heather Nardone's case today?
A. Heart rate 80 bpm
B. Blood pressure 118/72 mmHg
C. Respiratory rate 16/min
D. Temperature 98.6°F
Answer: B
Rationale: Her BP today is 118/72, which is normal. The elevated reading at the health fair
prompted the visit.
10. What is Heather Nardone's age, and why is it relevant to her cardiovascular risk?
A. 45 years; premenopausal protection
B. 56 years; postmenopausal increased risk
C. 65 years; Medicare eligibility
D. 35 years; low risk
Answer: B
Rationale: At 56, she is likely postmenopausal, and estrogen loss increases
cardiovascular risk.
PHYSICAL EXAM FINDINGS (~10 questions)
11. Which physical exam finding is most significant in Heather Nardone's case?
A. Corneal arcus bilaterally
B. Clear lung fields
C. Normal heart sounds
D. No peripheral edema
Answer: A
