NURS347 - Final Exam QUESTIONS AND
VERIFIED ANSWERS (DETAILED &
ELABORATED) ACTUAL EXAM 2026 TEST 100%
SOLVED
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Terms in this set (160)
While performing an admission d. Impaired tissue perfusion
assessment for a client, the nurse
notes that the client has varicose
veins with ulcerations and lower
extremity edema with a report of a
feeling of heaviness. Which of the
following nursing diagnoses should
the nurse identify as being the
priority in the client's care?
a. Impaired skin integrity
b. Alteration in body image
c. Alteration in activity tolerance
d. Impaired tissue perfusion
,S.E. is a 30 year old Caucasian male d. Right calf slightly red and swollen a few cm
with no significant past medical larger than the left calf with all pulses equal
history and family history is bilaterally.
unremarkable. He had a recent
basketball injury resulting in a torn
Achilles tendon 3 weeks ago and a
non-weight bearing cast was
placed. He is complaining of right
calf pain. Which of the following is
indicative of deep vein thrombosis?
a. Left leg tan with pale cool toes
b. Dull throbbing right leg pain with
cold pale toes
c. Intermittent sharp stabbing right
ankle pain without edema
d. Right calf slightly red and
swollen a few cm larger than the
left calf with all pulses equal
bilaterally.
A patient has been diagnosed with a. Brownish discoloration to the skin of the lower
venous stasis. Which of these leg
findings would the nurse most likely
observe?
a. Brownish discoloration to the skin
of the lower leg
b. Pallor of the toes and cyanosis of
the nail beds
c. Thin, shiny, atrophic skin
d. Unilateral cool foot
,When performing an assessment of d. Examine the patient's lower arm and hand, and
a patient, the nurse notices the check for the presence of infection or lesions
presence of an enlarged right
epitrochlear lymph node. What
should the nurse do next?
a. Ask additional health history
questions regarding any recent ear
infections or sore throats
b. Assess the patient's abdomen,
and notice any tenderness
c. Carefully assess the cervical
lymph nodes, and check for any
enlargement
d. Examine the patient's lower arm
and hand, and check for the
presence of infection or lesions
A patient complains of leg pain that d. Problems related to arterial insufficiency
wakes him at night. He states that
he "has been having problems" with
his legs. He has pain in his legs
when they are elevated that
disappears when he dangles them.
He recently noticed "a sore" on the
inner aspect of the right ankle. On
the basis of this health history
information, the nurse interprets
that the patient is most likely
experiencing:
a. Problems related to venous
insufficiency
b. Pain related to lymphatic
abnormalities
c. Pain related to musculoskeletal
abnormalities
d. Problems related to arterial
insufficiency
, During an assessment, a patient b. Raynaud's phenomenon
tells the nurse that her fingers often
change color when she goes out in
cold weather. She describes these
episodes as her fingers first turning
white, then blue, then red with a
burning, throbbing pain. The nurse
suspects that she is experiencing:
a. Chronic arterial insufficiency
b. Raynaud's phenomenon
c. Lymphedema
d. Deep-vein thrombosis
A nurse is preparing to measure a c. Earlobe
client's level of oxygen saturation
and observes edema of both hands
and thickened toe nails. The nurse
should apply the pulse oximeter
probe to which of the following
locations?
a. Toe
b. Skin fold
c. Earlobe
d. Finger
VERIFIED ANSWERS (DETAILED &
ELABORATED) ACTUAL EXAM 2026 TEST 100%
SOLVED
Save
Terms in this set (160)
While performing an admission d. Impaired tissue perfusion
assessment for a client, the nurse
notes that the client has varicose
veins with ulcerations and lower
extremity edema with a report of a
feeling of heaviness. Which of the
following nursing diagnoses should
the nurse identify as being the
priority in the client's care?
a. Impaired skin integrity
b. Alteration in body image
c. Alteration in activity tolerance
d. Impaired tissue perfusion
,S.E. is a 30 year old Caucasian male d. Right calf slightly red and swollen a few cm
with no significant past medical larger than the left calf with all pulses equal
history and family history is bilaterally.
unremarkable. He had a recent
basketball injury resulting in a torn
Achilles tendon 3 weeks ago and a
non-weight bearing cast was
placed. He is complaining of right
calf pain. Which of the following is
indicative of deep vein thrombosis?
a. Left leg tan with pale cool toes
b. Dull throbbing right leg pain with
cold pale toes
c. Intermittent sharp stabbing right
ankle pain without edema
d. Right calf slightly red and
swollen a few cm larger than the
left calf with all pulses equal
bilaterally.
A patient has been diagnosed with a. Brownish discoloration to the skin of the lower
venous stasis. Which of these leg
findings would the nurse most likely
observe?
a. Brownish discoloration to the skin
of the lower leg
b. Pallor of the toes and cyanosis of
the nail beds
c. Thin, shiny, atrophic skin
d. Unilateral cool foot
,When performing an assessment of d. Examine the patient's lower arm and hand, and
a patient, the nurse notices the check for the presence of infection or lesions
presence of an enlarged right
epitrochlear lymph node. What
should the nurse do next?
a. Ask additional health history
questions regarding any recent ear
infections or sore throats
b. Assess the patient's abdomen,
and notice any tenderness
c. Carefully assess the cervical
lymph nodes, and check for any
enlargement
d. Examine the patient's lower arm
and hand, and check for the
presence of infection or lesions
A patient complains of leg pain that d. Problems related to arterial insufficiency
wakes him at night. He states that
he "has been having problems" with
his legs. He has pain in his legs
when they are elevated that
disappears when he dangles them.
He recently noticed "a sore" on the
inner aspect of the right ankle. On
the basis of this health history
information, the nurse interprets
that the patient is most likely
experiencing:
a. Problems related to venous
insufficiency
b. Pain related to lymphatic
abnormalities
c. Pain related to musculoskeletal
abnormalities
d. Problems related to arterial
insufficiency
, During an assessment, a patient b. Raynaud's phenomenon
tells the nurse that her fingers often
change color when she goes out in
cold weather. She describes these
episodes as her fingers first turning
white, then blue, then red with a
burning, throbbing pain. The nurse
suspects that she is experiencing:
a. Chronic arterial insufficiency
b. Raynaud's phenomenon
c. Lymphedema
d. Deep-vein thrombosis
A nurse is preparing to measure a c. Earlobe
client's level of oxygen saturation
and observes edema of both hands
and thickened toe nails. The nurse
should apply the pulse oximeter
probe to which of the following
locations?
a. Toe
b. Skin fold
c. Earlobe
d. Finger
