NUR 242 exam 2 Questions with 100% Answers
d). Always compare arms and legs bilateral - ✔✔The nurse is preparing to perform a peripheral vascular
assessment on a patient w/ a ulcer on the right foot. Which general principle of physical assessment is
most important for the nurse to remember in performing a peripheral vascular assessment?
a). have patient stand upright for the physical assessment
b). palpate for skin temperature using the fingertips
c). Ensure that the stethoscope is warmed before using
d). Always compare arms and legs bilaterally
c). Palpate dorsalis pedis - ✔✔The nurse is performing a peripheral vascular assessment on the lower
extremities of a patient diagnosed w/ diabetes. Which assessment is important for the nurse to include?
a). Inspect nails for fungal growth
b). Assess patellar reflexes
c). Palpate dorsalis pedis pulse
d). Measure degree of knee flexion
b). Venous stasis and obstruction - ✔✔The nurse is performing an assessment on the peripheral vascular
system and notes edema in one of the lower extremities. Which are causes of unilateral edema of the
lower extremities?
a). Prolonged standing position
b). Venous stasis and obstruction
c). Congestive heart failure (CHF)
d). Prolonged presence of a cast on the extremity
C). Aching, cramping pain - ✔✔The nurse is assessing a patient for clinical manifestations of venous
insufficiency. Which of the following is a characteristic of venous insufficiency?
a). Dry, shiny skin
b). Nails thickened and ridged
c). Aching, cramping pain
d). Always compare arms and legs bilateral - ✔✔The nurse is preparing to perform a peripheral vascular
assessment on a patient w/ a ulcer on the right foot. Which general principle of physical assessment is
most important for the nurse to remember in performing a peripheral vascular assessment?
a). have patient stand upright for the physical assessment
b). palpate for skin temperature using the fingertips
c). Ensure that the stethoscope is warmed before using
d). Always compare arms and legs bilaterally
c). Palpate dorsalis pedis - ✔✔The nurse is performing a peripheral vascular assessment on the lower
extremities of a patient diagnosed w/ diabetes. Which assessment is important for the nurse to include?
a). Inspect nails for fungal growth
b). Assess patellar reflexes
c). Palpate dorsalis pedis pulse
d). Measure degree of knee flexion
b). Venous stasis and obstruction - ✔✔The nurse is performing an assessment on the peripheral vascular
system and notes edema in one of the lower extremities. Which are causes of unilateral edema of the
lower extremities?
a). Prolonged standing position
b). Venous stasis and obstruction
c). Congestive heart failure (CHF)
d). Prolonged presence of a cast on the extremity
C). Aching, cramping pain - ✔✔The nurse is assessing a patient for clinical manifestations of venous
insufficiency. Which of the following is a characteristic of venous insufficiency?
a). Dry, shiny skin
b). Nails thickened and ridged
c). Aching, cramping pain
