NURS 434 Final Exam Questions And Answers With
Complete Solutions
The nurse is caring for a client with peripheral artery disease.
What is the leading cause of peripheral artery disease?
COPD
Atherosclerosis The leading cause of PAD is atherosclerosis,
a gradual thickening of the intima (innermost layer of the
arterial wall) and media (middle layer of the arterial wall).
Diabetes
Tobacco Use
The nurse is assessing a patient with peripheral artery disease.
Which items are characteristics of peripheral artery disease?
(Select All That Apply)
Taut and shiny skin
Loss of hair on legs
Capillary refill >3 seconds
Lower leg edema
Brittle nails
Loss of hair on legs, brittle nails, capillary refill >3 seconds,
and taught and shiny skin are part of PAD. Leg edema is
characteristics of PVD. There are many more.
A nurse is assessing the peripheral pulses of a client with
peripheral artery disease and is having a difficult time. What
,would be the best way to determine if they have peripheral
pulses?
Doppler ultrasound When palpation of a peripheral pulse is
difficulty because of severe PAD, the Doppler ultrasound can
determine the degree of blood flow. A palpable pulse and a
Doppler pulse are not equivalent, and the terms are not
interchangeable.
Duplex Imaging
Angiography
Magnetic resonance angiography
What type of aneurysm still has one vessel layer intact?
False aneurysm
True aneurysm A true aneurysm is one in which the wall of
the artery forms the aneurysm, with at least one vessel layer
still intact. A false or pseudoaneurysm is a disruption of all
arterial wall layers with bleeding that is contained by
surrounding anatomic structures. A dissecting aneurysm is a
disruption in the layers of the aortic wall.
Pseudoaneurysm
Dissecting aneurysm
The nurse is sending a client for a diagnostic test to determine
the most accurate length and diameter of an aneurysm. Which
test would the nurse be anticipating for this client?
Abdominal x-ray
, Chest x-ray
MRI
CT scan A CT scan is the most accurate test to determine the
length and cross-sectional diameter and the presence of
thrombus in the aneurysm.
The nurse is caring for a client who has an abdominal aortic
aneurysm. The nurse recognizes which complication of an
aneurysm is the most life threatening?
Surgical site infection
Rupture Rupture of an aneurysm is the most serious
complication.Aneurysm rupture is a life-threatening
emergency, often resulting in massive hemorrhage, shock, and
death.
Thrombus formation can occur, but is not as life threatening
as rupture.
Thrombus formation
Compartment Syndrome
The nurse is assessing a client who has been diagnosed with an
abdominal aortic aneurysm. Which of the following would the
nurse expect to find in the assessment? (Select all that apply)
Hypertension
Pulsating periumbilical mass
Low back pain
Jugular vein distention
Complete Solutions
The nurse is caring for a client with peripheral artery disease.
What is the leading cause of peripheral artery disease?
COPD
Atherosclerosis The leading cause of PAD is atherosclerosis,
a gradual thickening of the intima (innermost layer of the
arterial wall) and media (middle layer of the arterial wall).
Diabetes
Tobacco Use
The nurse is assessing a patient with peripheral artery disease.
Which items are characteristics of peripheral artery disease?
(Select All That Apply)
Taut and shiny skin
Loss of hair on legs
Capillary refill >3 seconds
Lower leg edema
Brittle nails
Loss of hair on legs, brittle nails, capillary refill >3 seconds,
and taught and shiny skin are part of PAD. Leg edema is
characteristics of PVD. There are many more.
A nurse is assessing the peripheral pulses of a client with
peripheral artery disease and is having a difficult time. What
,would be the best way to determine if they have peripheral
pulses?
Doppler ultrasound When palpation of a peripheral pulse is
difficulty because of severe PAD, the Doppler ultrasound can
determine the degree of blood flow. A palpable pulse and a
Doppler pulse are not equivalent, and the terms are not
interchangeable.
Duplex Imaging
Angiography
Magnetic resonance angiography
What type of aneurysm still has one vessel layer intact?
False aneurysm
True aneurysm A true aneurysm is one in which the wall of
the artery forms the aneurysm, with at least one vessel layer
still intact. A false or pseudoaneurysm is a disruption of all
arterial wall layers with bleeding that is contained by
surrounding anatomic structures. A dissecting aneurysm is a
disruption in the layers of the aortic wall.
Pseudoaneurysm
Dissecting aneurysm
The nurse is sending a client for a diagnostic test to determine
the most accurate length and diameter of an aneurysm. Which
test would the nurse be anticipating for this client?
Abdominal x-ray
, Chest x-ray
MRI
CT scan A CT scan is the most accurate test to determine the
length and cross-sectional diameter and the presence of
thrombus in the aneurysm.
The nurse is caring for a client who has an abdominal aortic
aneurysm. The nurse recognizes which complication of an
aneurysm is the most life threatening?
Surgical site infection
Rupture Rupture of an aneurysm is the most serious
complication.Aneurysm rupture is a life-threatening
emergency, often resulting in massive hemorrhage, shock, and
death.
Thrombus formation can occur, but is not as life threatening
as rupture.
Thrombus formation
Compartment Syndrome
The nurse is assessing a client who has been diagnosed with an
abdominal aortic aneurysm. Which of the following would the
nurse expect to find in the assessment? (Select all that apply)
Hypertension
Pulsating periumbilical mass
Low back pain
Jugular vein distention
