GUARANTEED
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
PASS.
NR 304 Exam 1
Complete Practice Bank
Health Assessment II — Peripheral Vascular, Abdominal & Lymphatic
COMPREHENSIVE EXAM 1 REVIEW:
PAD · PVD · Aneurysm · Raynaud's · Buerger's · Abdominal Assessment
ARTERIAL VENOUS & ANEURYSM RAYNAUD'S & BUERGER'S ABDOMINAL ASSESSMENT
PAD, occlusion, ischemia PVD, AAA, TAA Vasospastic & inflammatory Special tests & signs
P r e p a r e · P r a c t i c e · Pa s s
, NR 304 EXAM 1 — CHAMBERLAIN UNIVERSITY QUESTIONS 1–25: PAD, ACUTE ISCHEMIA & ARTERIAL DISORDERS
Section 1: Peripheral Arterial Disease, Acute Ischemia & Arterial Disorders — Questions 1–25
1 The peripheral vascular system includes all arteries and veins outside the heart and is responsible for:
A Delivering oxygen and nutrients to cells and transporting cellular waste products to organs responsible for neutralization or removal
B Pumping blood through the coronary arteries only
C Filtering lymphatic fluid exclusively
D Producing red blood cells for oxygen transport
Why A is correct: The peripheral vascular system delivers oxygen/nutrients to tissues and removes waste products. It includes all vessels outside the heart and is
distinct from the cardiac and lymphatic systems.
2 A client with PAD in the lower extremities asks what causes their pain at rest. What is the best nurse response?
A "Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
B "The cause is a vasospasm of small cutaneous arteries in the feet."
C "An increase in retrograde venous blood flow puts pressure on the arteries."
D "Your muscles don't get enough blood when you exercise; when you rest, blood flow increases causing pain."
Why A is correct: Rest pain in PAD = critical limb ischemia — decreased arterial flow affects nerves (neuro-ischemic pain). This is not vasospasm (Raynaud's), venous
reflux (CVI), or exercise-related (claudication).
3 A client with infective endocarditis reports sudden left leg pain with pallor, paresthesia, and loss of peripheral pulses. What should the
nurse do first?
A Complete a focused neurovascular assessment
B Notify the healthcare provider of the change in peripheral perfusion
C Elevate the leg to promote venous return
D Start anticoagulant therapy with IV heparin
Why A is correct: Assess first — complete a focused neurovascular assessment to document the "6 Ps" (Pain, Pallor, Pulselessness, Paresthesia, Poikilothermia,
Paralysis). Then notify provider with complete data.
4 Atherosclerosis is closely linked to PAD development through:
A Plaque build-up creating significant decrease in the size of the interior lumen of the artery
B Inflammation of the venous valves causing reflux
C Dilation of the vessel wall causing outpouching
D Vasospasm of small cutaneous arteries
Why A is correct: Atherosclerosis narrows arterial lumens through plaque formation, reducing blood flow. This is the primary pathophysiological process in PAD. It is
not valvular (venous), aneurysmal (dilation), or vasospastic (Raynaud's).
5 PAD symptoms include: (Select all that apply.)
A Weak pulse
B Intermittent claudication
C Changes in skin color or temperature
D Hair loss on legs
E Wounds that do not heal
Why all are correct: PAD signs/symptoms: weak/absent pulses, intermittent claudication, skin color/temp changes, hair loss, nonhealing wounds,
numbness/weakness/heaviness, and dead tissue (gangrene) in severe cases.
6 Risk factors for PAD include: (Select all that apply.)
A Atherosclerosis
B Tobacco use
C Diabetes
D Hypertension
E Hyperlipidemia
F Obesity and sedentary lifestyle
Why all are correct: Also: elevated hs-CRP, family history, older age, and stress. Tobacco use and diabetes are two of the strongest modifiable risk factors.
7 A client is 5'5", 209 lb, uses tobacco, has HTN, high sodium intake, sedentary lifestyle, and family history of CVD. Which two risk factors
should be prioritized for PAD modification?
A Weight and tobacco use
B Sedentary lifestyle and sodium intake
C Family history of CVD and hypertension
D Sodium intake and family history
Why A is correct: Weight (obesity) and tobacco use are modifiable and have the greatest impact on PAD progression. Smoking cessation is the single most important
intervention. Weight management addresses multiple risk factors simultaneously.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
PASS.
NR 304 Exam 1
Complete Practice Bank
Health Assessment II — Peripheral Vascular, Abdominal & Lymphatic
COMPREHENSIVE EXAM 1 REVIEW:
PAD · PVD · Aneurysm · Raynaud's · Buerger's · Abdominal Assessment
ARTERIAL VENOUS & ANEURYSM RAYNAUD'S & BUERGER'S ABDOMINAL ASSESSMENT
PAD, occlusion, ischemia PVD, AAA, TAA Vasospastic & inflammatory Special tests & signs
P r e p a r e · P r a c t i c e · Pa s s
, NR 304 EXAM 1 — CHAMBERLAIN UNIVERSITY QUESTIONS 1–25: PAD, ACUTE ISCHEMIA & ARTERIAL DISORDERS
Section 1: Peripheral Arterial Disease, Acute Ischemia & Arterial Disorders — Questions 1–25
1 The peripheral vascular system includes all arteries and veins outside the heart and is responsible for:
A Delivering oxygen and nutrients to cells and transporting cellular waste products to organs responsible for neutralization or removal
B Pumping blood through the coronary arteries only
C Filtering lymphatic fluid exclusively
D Producing red blood cells for oxygen transport
Why A is correct: The peripheral vascular system delivers oxygen/nutrients to tissues and removes waste products. It includes all vessels outside the heart and is
distinct from the cardiac and lymphatic systems.
2 A client with PAD in the lower extremities asks what causes their pain at rest. What is the best nurse response?
A "Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
B "The cause is a vasospasm of small cutaneous arteries in the feet."
C "An increase in retrograde venous blood flow puts pressure on the arteries."
D "Your muscles don't get enough blood when you exercise; when you rest, blood flow increases causing pain."
Why A is correct: Rest pain in PAD = critical limb ischemia — decreased arterial flow affects nerves (neuro-ischemic pain). This is not vasospasm (Raynaud's), venous
reflux (CVI), or exercise-related (claudication).
3 A client with infective endocarditis reports sudden left leg pain with pallor, paresthesia, and loss of peripheral pulses. What should the
nurse do first?
A Complete a focused neurovascular assessment
B Notify the healthcare provider of the change in peripheral perfusion
C Elevate the leg to promote venous return
D Start anticoagulant therapy with IV heparin
Why A is correct: Assess first — complete a focused neurovascular assessment to document the "6 Ps" (Pain, Pallor, Pulselessness, Paresthesia, Poikilothermia,
Paralysis). Then notify provider with complete data.
4 Atherosclerosis is closely linked to PAD development through:
A Plaque build-up creating significant decrease in the size of the interior lumen of the artery
B Inflammation of the venous valves causing reflux
C Dilation of the vessel wall causing outpouching
D Vasospasm of small cutaneous arteries
Why A is correct: Atherosclerosis narrows arterial lumens through plaque formation, reducing blood flow. This is the primary pathophysiological process in PAD. It is
not valvular (venous), aneurysmal (dilation), or vasospastic (Raynaud's).
5 PAD symptoms include: (Select all that apply.)
A Weak pulse
B Intermittent claudication
C Changes in skin color or temperature
D Hair loss on legs
E Wounds that do not heal
Why all are correct: PAD signs/symptoms: weak/absent pulses, intermittent claudication, skin color/temp changes, hair loss, nonhealing wounds,
numbness/weakness/heaviness, and dead tissue (gangrene) in severe cases.
6 Risk factors for PAD include: (Select all that apply.)
A Atherosclerosis
B Tobacco use
C Diabetes
D Hypertension
E Hyperlipidemia
F Obesity and sedentary lifestyle
Why all are correct: Also: elevated hs-CRP, family history, older age, and stress. Tobacco use and diabetes are two of the strongest modifiable risk factors.
7 A client is 5'5", 209 lb, uses tobacco, has HTN, high sodium intake, sedentary lifestyle, and family history of CVD. Which two risk factors
should be prioritized for PAD modification?
A Weight and tobacco use
B Sedentary lifestyle and sodium intake
C Family history of CVD and hypertension
D Sodium intake and family history
Why A is correct: Weight (obesity) and tobacco use are modifiable and have the greatest impact on PAD progression. Smoking cessation is the single most important
intervention. Weight management addresses multiple risk factors simultaneously.
