NR 304- Health Assessment II Final Exam
Questions and Answers 100% Verified 2025
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
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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
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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
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