NR 304- Chamberlain University-Illinois Health Assessment II Final
Exam || 100% Valid Solutions.
palpation of radial pulse correct answers Palpate both pulses noting the rate, rhythm, elasticity of
vessel wall and equal force
grading pulse correct answers 3+ full bounding
2+ normal
1+ weak
0 absent
brachial pulse correct answers palpate this pulse if you suspect arterial insufficiency
modified Allen's test correct answers tests for ulnar arterial insufficiency by occluding both the
radial and ulnar artery
normal results: normal color of hand should reappear approximately 2-5 seconds
abnormal results: pallor persists or a sluggish return to color suggest occlusion of the collateral
arterial flow
temporal artery correct answers palpated in front of the ear
carotid artery correct answers palpated in the groove b/t the sternomastoid muscle and the
trachea
brachial artery correct answers major artery supplying the arm
radial artery correct answers lies medial to the radius and wrist supplies blood to the hand
,ulnar artery correct answers lies lateral to the ulna. Deeper and often difficult to feel. Supplies
blood to the hand
femoral artery correct answers major artery in the leg. Palpated in the inguinal area
popliteal artery correct answers artery in the knee. Located posterior to the patella. Divides into
the anterior and posterial tibial artery
anterior tibial correct answers travels down the front of the leg on to the dorsal of the foot
becomes the dorsalis pedis.
carries blood to the anterior compartment of the leg and dorsal surface of the foot
posterior tibial correct answers travels down behind the medial malleolus and forms the plantar
arteries in the foot.
carries blood to the posterior compartment of the leg and plantar surface of the foot
dorsalis pedis correct answers a blood vessel of the lower limb that carries oxygenated blood to
the dorsal surface of the foot
claudication distance correct answers the number of blocks walked or stairs climbed to produce
pain
arterial claudication correct answers pain in the calf, thigh or hip or muscle fatigue that occurs
when walking a certain distance related to peripheral arterial disease (PAD)
peripheral perfusion correct answers checking for capillary refill by blanching the nail beds and
noting the time for color return
normal is less than 1-2 seconds
,doppler correct answers used if pulses are too weak to detect by palpation, monitor blood
pressure in infants or children, measure low blood pressure or blood pressure in the lower
extremities
A noninvasive test using sound waves to detect blood flow through blood vessels
ex. competent valves (varicosities)
edema correct answers fluid build up in the interstitial space
PVD correct answers circulation disorder in which narrowed blood vessels reduce blood flow to
the limbs. Caused by arteriosclerosis (hardening of arteries caused by plaque build up)
Inspect skin for ulcers, temperature and color
lymphedema correct answers swelling in the arms or legs caused by a blockage of the lymphatic
system , causes a build up of lymph fluid in tissues
intermittent claudication correct answers a condition in which cramping pain in the leg is
induced by exercise, typically caused by obstruction of the arteries
5 P's correct answers Pain
Pulselessness
Pallor
Parasthesia (can't feel)
Paralysis (can't move)
Grading Edema correct answers +1 mild pitting, no swelling
+2 moderate pulling, indentation goes away quickly
+3 deep pitting, swollen
+4 very deep pitting, indentation stays, very swollen
, Arterial Occlusion correct answers -5 P's
-Mottling
- Bluish/cyanosis
- decrease capillary refill
- cold temperature
arterial insufficiency correct answers - skin is cool
-skin is thin and shiny
- no edema
-no hair growth
- decreased pulses
-yellow toenails
-dependent rubor (ruddy red/blue)
-elevated pallor
venous insufficiency correct answers - normal temperature
-normal pulse
-flaky, dry, thick skin
-skin tears easily- friable
-edema
-brawny color
arterial ulcers correct answers -intermittent claudication pain
-no edema
-no pulse or weak pulse
-no drainage
-round smooth sores
Exam || 100% Valid Solutions.
palpation of radial pulse correct answers Palpate both pulses noting the rate, rhythm, elasticity of
vessel wall and equal force
grading pulse correct answers 3+ full bounding
2+ normal
1+ weak
0 absent
brachial pulse correct answers palpate this pulse if you suspect arterial insufficiency
modified Allen's test correct answers tests for ulnar arterial insufficiency by occluding both the
radial and ulnar artery
normal results: normal color of hand should reappear approximately 2-5 seconds
abnormal results: pallor persists or a sluggish return to color suggest occlusion of the collateral
arterial flow
temporal artery correct answers palpated in front of the ear
carotid artery correct answers palpated in the groove b/t the sternomastoid muscle and the
trachea
brachial artery correct answers major artery supplying the arm
radial artery correct answers lies medial to the radius and wrist supplies blood to the hand
,ulnar artery correct answers lies lateral to the ulna. Deeper and often difficult to feel. Supplies
blood to the hand
femoral artery correct answers major artery in the leg. Palpated in the inguinal area
popliteal artery correct answers artery in the knee. Located posterior to the patella. Divides into
the anterior and posterial tibial artery
anterior tibial correct answers travels down the front of the leg on to the dorsal of the foot
becomes the dorsalis pedis.
carries blood to the anterior compartment of the leg and dorsal surface of the foot
posterior tibial correct answers travels down behind the medial malleolus and forms the plantar
arteries in the foot.
carries blood to the posterior compartment of the leg and plantar surface of the foot
dorsalis pedis correct answers a blood vessel of the lower limb that carries oxygenated blood to
the dorsal surface of the foot
claudication distance correct answers the number of blocks walked or stairs climbed to produce
pain
arterial claudication correct answers pain in the calf, thigh or hip or muscle fatigue that occurs
when walking a certain distance related to peripheral arterial disease (PAD)
peripheral perfusion correct answers checking for capillary refill by blanching the nail beds and
noting the time for color return
normal is less than 1-2 seconds
,doppler correct answers used if pulses are too weak to detect by palpation, monitor blood
pressure in infants or children, measure low blood pressure or blood pressure in the lower
extremities
A noninvasive test using sound waves to detect blood flow through blood vessels
ex. competent valves (varicosities)
edema correct answers fluid build up in the interstitial space
PVD correct answers circulation disorder in which narrowed blood vessels reduce blood flow to
the limbs. Caused by arteriosclerosis (hardening of arteries caused by plaque build up)
Inspect skin for ulcers, temperature and color
lymphedema correct answers swelling in the arms or legs caused by a blockage of the lymphatic
system , causes a build up of lymph fluid in tissues
intermittent claudication correct answers a condition in which cramping pain in the leg is
induced by exercise, typically caused by obstruction of the arteries
5 P's correct answers Pain
Pulselessness
Pallor
Parasthesia (can't feel)
Paralysis (can't move)
Grading Edema correct answers +1 mild pitting, no swelling
+2 moderate pulling, indentation goes away quickly
+3 deep pitting, swollen
+4 very deep pitting, indentation stays, very swollen
, Arterial Occlusion correct answers -5 P's
-Mottling
- Bluish/cyanosis
- decrease capillary refill
- cold temperature
arterial insufficiency correct answers - skin is cool
-skin is thin and shiny
- no edema
-no hair growth
- decreased pulses
-yellow toenails
-dependent rubor (ruddy red/blue)
-elevated pallor
venous insufficiency correct answers - normal temperature
-normal pulse
-flaky, dry, thick skin
-skin tears easily- friable
-edema
-brawny color
arterial ulcers correct answers -intermittent claudication pain
-no edema
-no pulse or weak pulse
-no drainage
-round smooth sores
