American Association of Critical-Care Nurses (AACN) Certification Practice Test

What is indicated by Class I in the New York Heart Association classification of heart failure?

1. Severe limitation of physical activity

2. No limitation on physical activity

3. Slight limitation of physical activity

4. Symptomatic at rest

The correct answer is: No limitation on physical activity

Class I in the New York Heart Association (NYHA) classification indicates no limitation on physical activity. Individuals classified as Class I can perform ordinary physical activities without experiencing any discomfort or symptoms, such as shortness of breath, fatigue, or palpitations. This classification serves to identify patients with heart failure who are asymptomatic during routine activities, illustrating that they can engage fully in their day-to-day exercises without any restriction. In contrast, the other classifications highlight varying degrees of limitations that become apparent with physical activity or at rest. Severe limitations and symptomatic experiences during ordinary activities indicate more advanced stages of heart failure, which would not apply to those in Class I. Thus, the identification of Class I as representing no limitations reinforces the understanding that these patients maintain normal activity levels and do not exhibit symptoms during exertion.