Question 1

Which of the following veins are responsible for most of the venous return in the arm?

Accepted Answer

A)  Deep veins
B)  Ulnar veins
C)  Subclavian veins
D)  Superficial veins

Question 2

When assessing a patient,the nurse documents the left femoral pulse as 0/0-3+.Which of the following findings would the nurse expect at the dorsalis pedis pulse?

Accepted Answer

A)  0/0-3+
B)  1+/0-3+
C)  2+/0-3+
D)  3+/0-3+

Question 3

Which of the following is a normal physiological change associated with the aging process?

Accepted Answer

A)  Hormonal changes causing vasodilation and a resulting drop in blood pressure
B)  Progressive atrophy of the intramuscular calf veins,causing venous insufficiency
C)  Peripheral blood vessels growing more rigid with age,producing a rise in systolic blood pressure
D)  Narrowing of the inferior vena cava,causing low blood flow and increases in venous pressure,resulting in varicosities

Question 4

A patient has bilateral pitting edema of the feet.While assessing the peripheral vascular system,the nurse's primary focus should be:

Accepted Answer

A)  oxygenation of the lower extremities.
B)  arterial function of the lower extremities.
C)  venous function of the lower extremities.
D)  possible thrombophlebitis of the lower extremities.

Question 5

Which of the following sounds is heard when using a Doppler ultrasonic stethoscope to recognize venous flow?

Accepted Answer

A)  A low humming sound
B)  A regular "lub,dub" pattern
C)  A swishing,whooshing sound
D)  A steady,even,flowing sound

Question 6

When performing peripheral vascular assessment on a patient,the nurse is unable to palpate the ulnar pulses.The patient's skin is warm,and capillary refill time is normal.The nurse would next:

Accepted Answer

A)  check for the presence of claudication.
B)  refer the individual for further evaluation.
C)  consider this a normal finding and proceed with peripheral vascular evaluation.
D)  ask the patient if he or she has experienced any unusual cramping or tingling in the arm.

Question 7

How would the nurse document mild,slightly pitting edema of the ankles of a pregnant patient?

Accepted Answer

A)  1+/0-4+
B)  3+/0-4+
C)  4+/0-4+
D)  Edema present

Question 8

A patient has hard,nonpitting edema of the left lower leg and ankle.The nurse is aware that:

Accepted Answer

A)  nonpitting,hard edema occurs with lymphatic obstruction.
B)  alterations in arterial function will cause this edema.
C)  phlebitis of a superficial vein will cause bilateral edema.
D)  longstanding arterial obstruction will cause pitting edema.

Question 9

Which of the following pulses would most likely be a finding in an individual with untreated hyperthyroidism?

Accepted Answer

A)  A normal pulse
B)  An absent pulse
C)  A bounding pulse
D)  A weak,thready pulse

Question 10

A patient has been diagnosed with venous stasis.Which of the following would the nurse most likely observe?

Accepted Answer

A)  A cool foot
B)  Thin,shiny,atrophic skin
C)  Pallor of the toes and cyanosis of the nail beds
D)  Brownish discoloration of the skin on the lower leg

Question 11

A patient is recovering after having undergone several hours of orthopedic surgery.During assessment of the patient's lower legs,the nurse will look for signs of acute venous problems.What are these signs of acute venous problems? (Select all that apply. )

Accepted Answer

A)  Intense,sharp pain,with the deep muscle tender to touch
B)  Aching,tired pain,with a feeling of fullness
C)  Pain worse at the end of the day
D)  Sudden onset
E)  Warm,red,and swollen calfF) Pain relieved with elevation of leg

Question 12

Which of the following statements about the lymphatic system is true?

Accepted Answer

A)  Lymph flow is propelled by the contraction of the heart.
B)  The flow of lymph is slow compared with that of blood.
C)  One of the functions of the lymph is to absorb lipids from the biliary tract.
D)  Lymph vessels have no valves,so there is a free flow of lymph from the tissue spaces into the bloodstream and back again.

Question 13

The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?

Accepted Answer

A)  Have the patient assume a prone position.
B)  Ask the patient to bend the knees to the side in a froglike position.
C)  With the patient in a semi-Fowler's position,press firmly against the bone.
D)  Listen with a stethoscope for pulsations because it is very difficult to palpate the pulse.

Question 14

Which of the following statements about the arterial system is true?

Accepted Answer

A)  Arteries are large-diameter vessels.
B)  The arterial system is a high-pressure system.
C)  The walls of arteries are thinner than those of veins.
D)  Arteries can expand greatly to accommodate a large blood volume increase.

Question 15

During a routine visit to the clinic,a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On examination,the nurse notes on the left great toe a 3-cm round ulcer with a pale ischemic base,well-defined edges,and no drainage.The nurse will assess for other signs and symptoms of:

Accepted Answer

A)  varicosities.
B)  a venous stasis ulcer.
C)  an arterial ischemic ulcer.
D)  pitting edema.

Question 16

A 65-year-old patient is experiencing pain in his left calf during exercise,which disappears after resting for a few minutes.The nurse recognizes that this description is most consistent with:

Accepted Answer

A)  venous obstruction of the left leg.
B)  claudication due to venous abnormalities in the left leg.
C)  ischemia caused by partial blockage of an artery supplying the left leg.
D)  ischemia caused by complete blockage of an artery supplying the left leg.

Question 17

During an assessment the nurse assists the patient to sit up and dangle his legs over the side of the table.The nurse would expect that a normal finding at this point would be:

Accepted Answer

A)  marked elevational pallor.
B)  venous filling within 15 seconds.
C)  pain in the feet and lower legs when assuming a sitting position.
D)  colour returning to the feet within 20 seconds of assuming a sitting position.

Question 18

A 35-year-old man is at the clinic for an "infection in my left foot." Which of the following would the nurse expect to find during assessment of this patient?

Accepted Answer

A)  Hard and fixed cervical nodes
B)  Enlarged and tender inguinal nodes
C)  Bilateral enlargement of the popliteal nodes
D)  "Pellet-like" nodes in the supraclavicular region

Question 19

During assessment of a patient,the nurse notes an enlarged right epitrochlear lymph node.What should the nurse do next?

Accepted Answer

A)  Palpate the patient's abdomen,noting any tenderness.
B)  Carefully palpate the cervical lymph nodes,checking for any enlargement.
C)  Ask additional history questions regarding any recent ear infection or sore throat.
D)  Examine the patient's lower arm and hand,checking for the presence of any infection or lesions.

Question 20

The nurse is performing a well-child assessment on a 3-year-old child.The child's vital signs are normal.Capillary refill time is 5 seconds.The nurse would:

Accepted Answer

A)  ask the parent if the child has had frostbite in the past.
B)  suspect that the child has a venous insufficiency problem.
C)  consider this a delayed capillary refill time and investigate further.
D)  consider this a normal capillary refill time that requires no further assessment.

Exam 21: Peripheral Vascular System and Lymphatic System

How would the nurse document mild,slightly pitting edema of the ankles of a pregnant patient?

Correct Answer
verified

Which of the following pulses would most likely be a finding in an individual with untreated hyperthyroidism?

Correct Answer
verified

A patient has hard,nonpitting edema of the left lower leg and ankle.The nurse is aware that:

Correct Answer
verified

When assessing a patient,the nurse documents the left femoral pulse as 0/0-3+.Which of the following findings would the nurse expect at the dorsalis pedis pulse?

Correct Answer
verified

A patient has bilateral pitting edema of the feet.While assessing the peripheral vascular system,the nurse's primary focus should be:

Correct Answer
verified

A patient is recovering after having undergone several hours of orthopedic surgery.During assessment of the patient's lower legs,the nurse will look for signs of acute venous problems.What are these signs of acute venous problems? (Select all that apply. )

Correct Answer
verified

A patient has been diagnosed with venous stasis.Which of the following would the nurse most likely observe?

Correct Answer
verified

A 35-year-old man is at the clinic for an "infection in my left foot." Which of the following would the nurse expect to find during assessment of this patient?

Correct Answer
verified

When performing peripheral vascular assessment on a patient,the nurse is unable to palpate the ulnar pulses.The patient's skin is warm,and capillary refill time is normal.The nurse would next:

Correct Answer
verified

During an assessment the nurse assists the patient to sit up and dangle his legs over the side of the table.The nurse would expect that a normal finding at this point would be:

Correct Answer
verified

The nurse is performing a well-child assessment on a 3-year-old child.The child's vital signs are normal.Capillary refill time is 5 seconds.The nurse would:

Correct Answer
verified

Correct Answer
verified

Which of the following is a normal physiological change associated with the aging process?

Correct Answer
verified

A 65-year-old patient is experiencing pain in his left calf during exercise,which disappears after resting for a few minutes.The nurse recognizes that this description is most consistent with:

Correct Answer
verified

Which of the following statements about the arterial system is true?

Correct Answer
verified

During assessment of a patient,the nurse notes an enlarged right epitrochlear lymph node.What should the nurse do next?

Correct Answer
verified

Which of the following statements about the lymphatic system is true?

Correct Answer
verified

Which of the following sounds is heard when using a Doppler ultrasonic stethoscope to recognize venous flow?

Correct Answer
verified

Which of the following veins are responsible for most of the venous return in the arm?

Correct Answer
verified

The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?

Correct Answer
verified

Exam 21: Peripheral Vascular System and Lymphatic System

How would the nurse document mild,slightly pitting edema of the ankles of a pregnant patient?

Correct AnswerverifiedShow Answer

Which of the following pulses would most likely be a finding in an individual with untreated hyperthyroidism?

Correct AnswerverifiedShow Answer

A patient has hard,nonpitting edema of the left lower leg and ankle.The nurse is aware that:

Correct AnswerverifiedShow Answer

When assessing a patient,the nurse documents the left femoral pulse as 0/0-3+.Which of the following findings would the nurse expect at the dorsalis pedis pulse?

Correct AnswerverifiedShow Answer

A patient has bilateral pitting edema of the feet.While assessing the peripheral vascular system,the nurse's primary focus should be:

Correct AnswerverifiedShow Answer

A patient is recovering after having undergone several hours of orthopedic surgery.During assessment of the patient's lower legs,the nurse will look for signs of acute venous problems.What are these signs of acute venous problems? (Select all that apply. )

Correct AnswerverifiedShow Answer

A patient has been diagnosed with venous stasis.Which of the following would the nurse most likely observe?

Correct AnswerverifiedShow Answer

A 35-year-old man is at the clinic for an "infection in my left foot." Which of the following would the nurse expect to find during assessment of this patient?

Correct AnswerverifiedShow Answer

When performing peripheral vascular assessment on a patient,the nurse is unable to palpate the ulnar pulses.The patient's skin is warm,and capillary refill time is normal.The nurse would next:

Correct AnswerverifiedShow Answer

During an assessment the nurse assists the patient to sit up and dangle his legs over the side of the table.The nurse would expect that a normal finding at this point would be:

Correct AnswerverifiedShow Answer

The nurse is performing a well-child assessment on a 3-year-old child.The child's vital signs are normal.Capillary refill time is 5 seconds.The nurse would:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which of the following is a normal physiological change associated with the aging process?

Correct AnswerverifiedShow Answer

A 65-year-old patient is experiencing pain in his left calf during exercise,which disappears after resting for a few minutes.The nurse recognizes that this description is most consistent with:

Correct AnswerverifiedShow Answer

Which of the following statements about the arterial system is true?

Correct AnswerverifiedShow Answer

During assessment of a patient,the nurse notes an enlarged right epitrochlear lymph node.What should the nurse do next?

Correct AnswerverifiedShow Answer

Which of the following statements about the lymphatic system is true?

Correct AnswerverifiedShow Answer

Which of the following sounds is heard when using a Doppler ultrasonic stethoscope to recognize venous flow?

Correct AnswerverifiedShow Answer

Which of the following veins are responsible for most of the venous return in the arm?

Correct AnswerverifiedShow Answer

The nurse is attempting to assess the femoral pulse in an obese patient.Which of the following actions would be most appropriate?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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