Certified Cardiac Rehabilitation Professional (CCRP) Practice Test 2025 - Free CCRP Practice Questions and Study Guide

Bilateral ankle swelling is not typically associated with pulmonary congestion. This symptom is more indicative of systemic fluid retention, which is often caused by peripheral edema related to heart failure or other conditions affecting fluid balance in the body. Pulmonary congestion primarily results from fluid accumulation in the lungs, leading to respiratory symptoms.

Other options listed, such as cough, crackles, and blood-tinged sputum, are directly related to pulmonary congestion. A cough can be a reflex action due to irritation in the airways or fluid build-up in the lungs. Crackles, also known as rales, are abnormal lung sounds that suggest the presence of fluid in the small airways. Blood-tinged sputum can occur when pulmonary congestion is severe enough to cause blood vessels in the lungs to leak fluid, creating a mix of blood and mucus. Thus, while bilateral ankle swelling may indicate heart failure, it is not a symptom of pulmonary congestion itself.