ADVANCED CONCEPTS OF MEDICAL
SURGICAL NURSING GUIDE 2026 ACTUAL
SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ pitting edema scale. Answer: 1+ A barely perceptible pit, 2mm
2+ A deeper pit, rebounds in a few seconds, 4mm
3+ A deep pit, rebounds in 10-20 seconds, 6mm
4+ A deeper pit, rebounds in >30 seconds, 8mm
◉ dependent edema. Answer: legs down = edema, legs up = no more
edema; dependent on gravity
◉ non-dependent edema. Answer: continued edema
◉ unilateral edema possible causes. Answer: lymphedema or clot
◉ three p's of occlusion. Answer: pain, pallor, pulselessness
◉ arterial wound. Answer: usually round, over bony prominences,
more pale skin
,◉ venous wound. Answer: irregular, random locations, brown
discoloration of skin
◉ venous v. arterial: skin temp. Answer: v: normal
a: decreased
◉ venous v. arterial: edema. Answer: v: edema is increased
a: edema is normal
◉ venous v. arterial: skin changes. Answer: v: skin is dry and flaky
with brownish discoloration
a: tissue thin and shiny
◉ venous v. arterial: hair distribution. Answer: v: hair present
a: hair loss
◉ venous v. arterial: leg elevation - increases/decreases pain.
Answer: v: leg elevation lessens pain
a: leg elevation increases pain, dangling decreases pain
◉ venous v. arterial: why wounds occur. Answer: v: secondary to
inadequate function of venous system
, a: ischemia from lack of oxygenated blood
◉ venous v. arterial: wound tissue and shape. Answer: v: initially
superficial, irregular in shape
a: lack granulation tissue, smooth edges that are well defined
◉ venous v. arterial: location of wounds. Answer: v: proximal to
medial malleolus
a: ulcers on lateral malleolus, lower third of leg, toes, web spaces
◉ venous v. arterial: pedal pulses. Answer: v: normal
a: diminished
◉ venous v. arterial: nails. Answer: v: normal
a: yellow, thickened
◉ venous v. arterial: pain level. Answer: v: mild to moderate
a: severe
◉ venous v. arterial: what makes pain better/worse. Answer: v:
increases at end of day as edema increases
a: worse with walking, relieved with rest
SURGICAL NURSING GUIDE 2026 ACTUAL
SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ pitting edema scale. Answer: 1+ A barely perceptible pit, 2mm
2+ A deeper pit, rebounds in a few seconds, 4mm
3+ A deep pit, rebounds in 10-20 seconds, 6mm
4+ A deeper pit, rebounds in >30 seconds, 8mm
◉ dependent edema. Answer: legs down = edema, legs up = no more
edema; dependent on gravity
◉ non-dependent edema. Answer: continued edema
◉ unilateral edema possible causes. Answer: lymphedema or clot
◉ three p's of occlusion. Answer: pain, pallor, pulselessness
◉ arterial wound. Answer: usually round, over bony prominences,
more pale skin
,◉ venous wound. Answer: irregular, random locations, brown
discoloration of skin
◉ venous v. arterial: skin temp. Answer: v: normal
a: decreased
◉ venous v. arterial: edema. Answer: v: edema is increased
a: edema is normal
◉ venous v. arterial: skin changes. Answer: v: skin is dry and flaky
with brownish discoloration
a: tissue thin and shiny
◉ venous v. arterial: hair distribution. Answer: v: hair present
a: hair loss
◉ venous v. arterial: leg elevation - increases/decreases pain.
Answer: v: leg elevation lessens pain
a: leg elevation increases pain, dangling decreases pain
◉ venous v. arterial: why wounds occur. Answer: v: secondary to
inadequate function of venous system
, a: ischemia from lack of oxygenated blood
◉ venous v. arterial: wound tissue and shape. Answer: v: initially
superficial, irregular in shape
a: lack granulation tissue, smooth edges that are well defined
◉ venous v. arterial: location of wounds. Answer: v: proximal to
medial malleolus
a: ulcers on lateral malleolus, lower third of leg, toes, web spaces
◉ venous v. arterial: pedal pulses. Answer: v: normal
a: diminished
◉ venous v. arterial: nails. Answer: v: normal
a: yellow, thickened
◉ venous v. arterial: pain level. Answer: v: mild to moderate
a: severe
◉ venous v. arterial: what makes pain better/worse. Answer: v:
increases at end of day as edema increases
a: worse with walking, relieved with rest
