GUA RA N T EED
PASS.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR 304 Health Assessment II
Exam 1 Practice Question Bank
NCLEX-Style Questions with Detailed Rationales
COMPREHENSIVE COVERAGE:
Peripheral Vascular · Lymphatic · Arterial vs. Venous
— DVT · PAD · Edema · Pulse Assessment · Wounds
Edition 1 · July 2026
EXAM FOCUSED HIGH-YIELD CONFIDENCE RATIONALES
Aligned with NR 304 HA II Focus on tested concepts to Practice smarter, pass with Clear explanations for every
Exam 1 blueprint maximize your score confidence answer
Table of Contents
1. Instructions for Use 2
2. Arterial Assessment — PAD, Pulses & Claudication 2
3. Venous Assessment — CVI, DVT & Varicose Veins 3
4. Lymphatic System & Edema Assessment 4
P r e pa r e · P r a c t i c e · Pa s s
5. Wound Assessment — Arterial vs. Venous Ulcers 5
Excellence in Nursing Education
6. Nursing Interventions & Patient Education 6
,NR 3 04 · CHAMBERLAIN UNIVERSIT Y ARTERIAL ASSESSMENT & PAD
Peripheral Arterial Assessment & PAD
How to Use This Guide
Read each question carefully, select your answer(s), then review the rationale directly below. The correct option is
clearly marked, and each incorrect option is explained.
S EC T ION 1 : A RT E RI A L I N S UF F IC I E NC Y & PA D
1 A 68-year-old client reports calf pain that begins after walking two blocks and disappears with
rest. Which structure is most likely compromised?
A Arteries supplying the lower extremities
B Veins returning blood from the lower extremities
C Lymphatic vessels draining the legs
D Peripheral nerves innervating the calf muscles
Why A is correct: Intermittent claudication — calf pain with exertion that resolves with rest — is
the classic symptom of peripheral arterial disease (PAD). The exercising muscle demands more oxygen, but
narrowed or occluded arteries cannot meet this demand, causing ischemic pain. Rest reduces metabolic
demand, relieving symptoms.
, 2 What does a capillary refill time of 4 seconds indicate?
A Possible arterial insufficiency or hypoperfusion
B Normal peripheral perfusion
C Venous stasis
D Lymphatic obstruction
Why A is correct: Normal capillary refill is less than 2-3 seconds. A time of 4 seconds or more
indicates possible arterial insufficiency, hypoperfusion, or vasoconstriction. It reflects decreased blood flow
to the capillary beds in the extremities.
3 What do hair loss and shiny skin on the legs indicate?
A Chronic decreased arterial perfusion
B Chronic venous insufficiency
C Acute deep vein thrombosis
D Lymphedema
Why A is correct: Hair loss, shiny skin, thickened toenails, and cool temperature are trophic skin
changes caused by chronic decreased arterial perfusion. Without adequate oxygen and nutrient delivery, skin
appendages atrophy. These are hallmark findings of PAD, not venous or lymphatic disorders.
4 How should an ankle-brachial index (ABI) of 0.65 be interpreted?
A Moderate peripheral arterial disease
B Normal arterial flow
C Mild venous insufficiency
D Severe lymphedema
Why A is correct: ABI interpretation: Normal = 1.0-1.4, Mild PAD = 0.8-0.99, Moderate PAD =
0.4-0.79, Severe PAD = <0.4. An ABI of 0.65 falls in the moderate PAD range, indicating significant arterial
narrowing requiring medical management and risk factor modification.
PASS.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR 304 Health Assessment II
Exam 1 Practice Question Bank
NCLEX-Style Questions with Detailed Rationales
COMPREHENSIVE COVERAGE:
Peripheral Vascular · Lymphatic · Arterial vs. Venous
— DVT · PAD · Edema · Pulse Assessment · Wounds
Edition 1 · July 2026
EXAM FOCUSED HIGH-YIELD CONFIDENCE RATIONALES
Aligned with NR 304 HA II Focus on tested concepts to Practice smarter, pass with Clear explanations for every
Exam 1 blueprint maximize your score confidence answer
Table of Contents
1. Instructions for Use 2
2. Arterial Assessment — PAD, Pulses & Claudication 2
3. Venous Assessment — CVI, DVT & Varicose Veins 3
4. Lymphatic System & Edema Assessment 4
P r e pa r e · P r a c t i c e · Pa s s
5. Wound Assessment — Arterial vs. Venous Ulcers 5
Excellence in Nursing Education
6. Nursing Interventions & Patient Education 6
,NR 3 04 · CHAMBERLAIN UNIVERSIT Y ARTERIAL ASSESSMENT & PAD
Peripheral Arterial Assessment & PAD
How to Use This Guide
Read each question carefully, select your answer(s), then review the rationale directly below. The correct option is
clearly marked, and each incorrect option is explained.
S EC T ION 1 : A RT E RI A L I N S UF F IC I E NC Y & PA D
1 A 68-year-old client reports calf pain that begins after walking two blocks and disappears with
rest. Which structure is most likely compromised?
A Arteries supplying the lower extremities
B Veins returning blood from the lower extremities
C Lymphatic vessels draining the legs
D Peripheral nerves innervating the calf muscles
Why A is correct: Intermittent claudication — calf pain with exertion that resolves with rest — is
the classic symptom of peripheral arterial disease (PAD). The exercising muscle demands more oxygen, but
narrowed or occluded arteries cannot meet this demand, causing ischemic pain. Rest reduces metabolic
demand, relieving symptoms.
, 2 What does a capillary refill time of 4 seconds indicate?
A Possible arterial insufficiency or hypoperfusion
B Normal peripheral perfusion
C Venous stasis
D Lymphatic obstruction
Why A is correct: Normal capillary refill is less than 2-3 seconds. A time of 4 seconds or more
indicates possible arterial insufficiency, hypoperfusion, or vasoconstriction. It reflects decreased blood flow
to the capillary beds in the extremities.
3 What do hair loss and shiny skin on the legs indicate?
A Chronic decreased arterial perfusion
B Chronic venous insufficiency
C Acute deep vein thrombosis
D Lymphedema
Why A is correct: Hair loss, shiny skin, thickened toenails, and cool temperature are trophic skin
changes caused by chronic decreased arterial perfusion. Without adequate oxygen and nutrient delivery, skin
appendages atrophy. These are hallmark findings of PAD, not venous or lymphatic disorders.
4 How should an ankle-brachial index (ABI) of 0.65 be interpreted?
A Moderate peripheral arterial disease
B Normal arterial flow
C Mild venous insufficiency
D Severe lymphedema
Why A is correct: ABI interpretation: Normal = 1.0-1.4, Mild PAD = 0.8-0.99, Moderate PAD =
0.4-0.79, Severe PAD = <0.4. An ABI of 0.65 falls in the moderate PAD range, indicating significant arterial
narrowing requiring medical management and risk factor modification.
