Midterm Exam : NR 509 / NR509 | Latest 202 3-2024 | Advanced Physical Assessment Exam | Grade A Questions & Verified Answers -Chamberlain 1. A 65 -year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _______ the left leg. a. Venous obstruction of b. Claudication due t o venous abnormalities in c. Ischemia caused by a partial blockage of an artery supplying d. Ischemia caused by the complete blockage of an artery supplying ✓ Answer: c. Ischemia caused by a partial blockage of an artery supplying 2. The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart? a. Intraluminal valves ensure unidirectional flow toward the heart. b. Contracting skeletal muscles milk blood distally to ward the veins. c. High -pressure system of the heart helps facilitate venous return. d. Increased thoracic pressure and decreased abdominal pressure facilitate venous return to the heart. ✓ Answer: a. Intraluminal valves ensure unidirectional flow toward the hea rt. 3. Which vein(s) is(are) responsible for most of the venous return in the arm? a. Deep b. Ulnar c. Subclavian d. Superficial ✓ Answer: d. Superficial 4. A 70 -year-old patient is scheduled for open -heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when this vein is removed?" The nurse should reply: Stuvia.com - The Marketplace to Buy and Sell your Study Material Stuvia.com - The Marketplace to Buy and Sell your Study Material
a. "Venous insufficiency is a common problem after this type of surgery." b. "Oh, you have lots of veins —you won' t even notice that it has been removed." c. "You will probably experience decreased circulation after the vein is removed." d. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." ✓ Answer: d. "T his vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." 5. The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the d evelopment of venous disease? a. Woman in her second month of pregnancy b. Person who has been on bed rest for 4 days c. Person with a 30 -year, 1 pack per day smoking habit d. Older adult taking anticoagulant medication ✓ Answer: b. Person who has been on bed rest fo r 4 days 6. The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement? a. "Lymph flow is propelled by the contraction of the heart." b. "The flow of lymph is slow, compared with that of the blood." c. "One of the functions of the lymph is to absorb lipids from the biliary tract." d. "Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream." ✓ Answer: b. "The flow of lym ph is slow, compared with that of the blood." 7. When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next? a. Assess the patient's abdomen, and notice any tenderness . b. Carefully assess the cervical lymph nodes, and check for any enlargement. c. Ask additional health history questions regarding any recent ear infections or sore throats. d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions. Stuvia.com - The Marketplace to Buy and Sell your Study Material Stuvia.com - The Marketplace to Buy and Sell your Study Material ✓ Answer: d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions. 8. A 35 -year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient? a. Hard and fixed cervical nodes b. Enlarged and tender inguinal nodes c. Bilateral enlargement of the popliteal nodes d. Pelletlike nodes in the supraclavicular region ✓ Answer: b. Enlarged and tender inguinal nodes 9. The nurse is examining the lymphatic system of a healthy 3 -year-old child. Which finding should the nurse expect? a. Excessive swelling of the lymph nodes b. Presence of palpable lymph nodes c. No palpable nodes because of the immature immune system of a child d. Fewer numbers and a smaller size of lymph nodes compared with those of an adult ✓ Answer: b. Presence of palpable lymph nodes 10. During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process? 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 ✓ Answer: c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure Stuvia.com - The Marketplace to Buy and Sell your Study Material
a. "Venous insufficiency is a common problem after this type of surgery." b. "Oh, you have lots of veins —you won' t even notice that it has been removed." c. "You will probably experience decreased circulation after the vein is removed." d. "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." ✓ Answer: d. "T his vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." 5. The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the d evelopment of venous disease? a. Woman in her second month of pregnancy b. Person who has been on bed rest for 4 days c. Person with a 30 -year, 1 pack per day smoking habit d. Older adult taking anticoagulant medication ✓ Answer: b. Person who has been on bed rest fo r 4 days 6. The nurse is teaching a review class on the lymphatic system. A participant shows correct understanding of the material with which statement? a. "Lymph flow is propelled by the contraction of the heart." b. "The flow of lymph is slow, compared with that of the blood." c. "One of the functions of the lymph is to absorb lipids from the biliary tract." d. "Lymph vessels have no valves; therefore, lymph fluid flows freely from the tissue spaces into the bloodstream." ✓ Answer: b. "The flow of lym ph is slow, compared with that of the blood." 7. When performing an assessment of a patient, the nurse notices the presence of an enlarged right epitrochlear lymph node. What should the nurse do next? a. Assess the patient's abdomen, and notice any tenderness . b. Carefully assess the cervical lymph nodes, and check for any enlargement. c. Ask additional health history questions regarding any recent ear infections or sore throats. d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions. Stuvia.com - The Marketplace to Buy and Sell your Study Material Stuvia.com - The Marketplace to Buy and Sell your Study Material ✓ Answer: d. Examine the patient's lower arm and hand, and check for the presence of infection or lesions. 8. A 35 -year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the nurse expect to see during an assessment of this patient? a. Hard and fixed cervical nodes b. Enlarged and tender inguinal nodes c. Bilateral enlargement of the popliteal nodes d. Pelletlike nodes in the supraclavicular region ✓ Answer: b. Enlarged and tender inguinal nodes 9. The nurse is examining the lymphatic system of a healthy 3 -year-old child. Which finding should the nurse expect? a. Excessive swelling of the lymph nodes b. Presence of palpable lymph nodes c. No palpable nodes because of the immature immune system of a child d. Fewer numbers and a smaller size of lymph nodes compared with those of an adult ✓ Answer: b. Presence of palpable lymph nodes 10. During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with the aging process? 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 ✓ Answer: c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure Stuvia.com - The Marketplace to Buy and Sell your Study Material
