NR 304- Health Assessment II Final Exam Questions and
Answers all correct
palpation of radial pulse - ☑️☑️ ☑P ️alpate both pulses noting the rate,
rhythm, elasticity of vessel wall and equal force
grading pulse - ☑️
☑️☑3
️ + full bounding
2+ normal
1+ weak
0 absent
brachial pulse - ☑️
☑️
☑️palpate this pulse if you suspect arterial
insufficiency
modified Allen's test - ☑️ ☑️ ☑️ 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 - ☑️
☑️☑p
️ alpated in front of the ear
carotid artery - ☑️
☑️ ☑p️alpated in the groove b/t the sternomastoid
muscle and the trachea
brachial artery - ☑️
☑️
☑️major artery supplying the arm
radial artery - ☑️
☑️
☑️lies medial to the radius and wrist supplies blood to
the hand
,NR 304- Health Assessment II Final Exam Questions and
Answers all correct
ulnar artery - ☑️ ☑️ ☑l️ ies lateral to the ulna. Deeper and often difficult to
feel. Supplies blood to the hand
femoral artery - ☑️
☑️
☑️major artery in the leg. Palpated in the inguinal
area
popliteal artery - ☑️ ☑️ ☑️ artery in the knee. Located posterior to the
patella. Divides into the anterior and posterial tibial artery
anterior tibial - ☑️
☑️ ☑t️ ravels 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 - ☑️
☑️ ☑t️ ravels 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 - ☑️
☑️ ☑️a blood vessel of the lower limb that carries
oxygenated blood to the dorsal surface of the foot
claudication distance - ☑️
☑️
☑️the number of blocks walked or stairs
climbed to produce pain
,NR 304- Health Assessment II Final Exam Questions and
Answers all correct
arterial claudication - ☑️
☑️☑p ️ain in the calf, thigh or hip or muscle
fatigue that occurs when walking a certain distance related to peripheral
arterial disease (PAD)
peripheral perfusion - ☑️ ☑️ ☑c️ hecking for capillary refill by blanching the
nail beds and noting the time for color return
normal is less than 1-2 seconds
doppler - ☑️☑️ ☑️ 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 - ☑️
☑️☑fl
️ uid build up in the interstitial space
PVD - ☑️ ☑️ ☑️ 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 - ☑️ ☑️☑️ 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 - ☑️ ☑️ ☑️ a condition in which cramping pain in
the leg is induced by exercise, typically caused by obstruction of the arteries
, NR 304- Health Assessment II Final Exam Questions and
Answers all correct
5 P's - ☑️ ☑️☑P ️ain
Pulselessness
Pallor
Parasthesia (can't feel)
Paralysis (can't move)
Grading Edema - ☑️ ☑️ ☑+️ 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 - ☑️
☑️ ☑-️ 5 P's
-Mottling
o Bluish/cyanosis
o decrease capillary refill
o cold temperature
arterial insufficiency - ☑️
☑️
☑️- skin is cool
-skin is thin and shiny
o no edema
-no hair growth
o decreased pulses
-yellow toenails
-dependent rubor (ruddy red/blue)
-elevated pallor
venous insufficiency - ☑️
☑️
☑️- normal temperature
-normal pulse
Answers all correct
palpation of radial pulse - ☑️☑️ ☑P ️alpate both pulses noting the rate,
rhythm, elasticity of vessel wall and equal force
grading pulse - ☑️
☑️☑3
️ + full bounding
2+ normal
1+ weak
0 absent
brachial pulse - ☑️
☑️
☑️palpate this pulse if you suspect arterial
insufficiency
modified Allen's test - ☑️ ☑️ ☑️ 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 - ☑️
☑️☑p
️ alpated in front of the ear
carotid artery - ☑️
☑️ ☑p️alpated in the groove b/t the sternomastoid
muscle and the trachea
brachial artery - ☑️
☑️
☑️major artery supplying the arm
radial artery - ☑️
☑️
☑️lies medial to the radius and wrist supplies blood to
the hand
,NR 304- Health Assessment II Final Exam Questions and
Answers all correct
ulnar artery - ☑️ ☑️ ☑l️ ies lateral to the ulna. Deeper and often difficult to
feel. Supplies blood to the hand
femoral artery - ☑️
☑️
☑️major artery in the leg. Palpated in the inguinal
area
popliteal artery - ☑️ ☑️ ☑️ artery in the knee. Located posterior to the
patella. Divides into the anterior and posterial tibial artery
anterior tibial - ☑️
☑️ ☑t️ ravels 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 - ☑️
☑️ ☑t️ ravels 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 - ☑️
☑️ ☑️a blood vessel of the lower limb that carries
oxygenated blood to the dorsal surface of the foot
claudication distance - ☑️
☑️
☑️the number of blocks walked or stairs
climbed to produce pain
,NR 304- Health Assessment II Final Exam Questions and
Answers all correct
arterial claudication - ☑️
☑️☑p ️ain in the calf, thigh or hip or muscle
fatigue that occurs when walking a certain distance related to peripheral
arterial disease (PAD)
peripheral perfusion - ☑️ ☑️ ☑c️ hecking for capillary refill by blanching the
nail beds and noting the time for color return
normal is less than 1-2 seconds
doppler - ☑️☑️ ☑️ 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 - ☑️
☑️☑fl
️ uid build up in the interstitial space
PVD - ☑️ ☑️ ☑️ 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 - ☑️ ☑️☑️ 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 - ☑️ ☑️ ☑️ a condition in which cramping pain in
the leg is induced by exercise, typically caused by obstruction of the arteries
, NR 304- Health Assessment II Final Exam Questions and
Answers all correct
5 P's - ☑️ ☑️☑P ️ain
Pulselessness
Pallor
Parasthesia (can't feel)
Paralysis (can't move)
Grading Edema - ☑️ ☑️ ☑+️ 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 - ☑️
☑️ ☑-️ 5 P's
-Mottling
o Bluish/cyanosis
o decrease capillary refill
o cold temperature
arterial insufficiency - ☑️
☑️
☑️- skin is cool
-skin is thin and shiny
o no edema
-no hair growth
o decreased pulses
-yellow toenails
-dependent rubor (ruddy red/blue)
-elevated pallor
venous insufficiency - ☑️
☑️
☑️- normal temperature
-normal pulse
