NR 304 CERTIFICATION EVALUATION
COMPLETE QUESTIONS AND SOLUTIONS
GRADED APLUS
●● veins
Answer: passive blood flow - do not have a pulse, returns to the heart via
movement through the skeletal muscles
●● femoral pulse site
Answer: groin
●● popliteal pulse site
Answer: back of knee
●● radial pulse site
Answer: Located at the wrist on the thumb side
●● dorsalis pedis pulse site
Answer: top of foot
●● posterior tibial pulse site
Answer: on medial surface of ankle near ankle bone
,●● ischemia
Answer: Lack of blood supply, causes pain
●● necrosis
Answer: long term lack of blood supply, tissue death
●● axillary lymph nodes
Answer: located under the arms in the armpits
●● cervical lymph nodes
Answer: located along the sides of the neck
●● Epitrochlear lymph nodes
Answer: Epitrochlear lymph nodes- drains from the hand and forearm
●● inguinal lymph nodes
Answer: located in the inguinal (groin) area of the lower abdomen
●● Children and Lymph Nodes
Answer: nodes can be enlarged with no pain/infection
,●● Pregnancy and PV
Answer: dependent edema, varicose veins
●● peripheral artery disease
Answer: A form of peripheral vascular disease in which there is partial
or total blockage of an artery, usually one leading to a leg or arm. 50%
of cases are African Americans. RF: smoking, HTN, diabetes
●● intermittent claudication
Answer: when walking, muscle needs more O2 blood, and you have any
kind of occlusion, when walking pain is increased
●● Pulse Scale
Answer: 0: absent
1+: weak
2+: normal
3+: increased, full, bounding
●● Allen test
Answer: determining the patency of the radial and ulnar arteries by
compressing one artery site and observing return of skin color as
evidence of patency of the other artery, determine if radial artery has
been damaged, press radial artery then see if ulnar artery perfuses to
hand
, ●● venous ulcers
Answer: bleed, medial malleolus
●● arterial (ischemic) ulcers
Answer: does not bleed, has a necrotic black crust, lateral malleolus
●● neuropathic ulcer
Answer: destroys nerve endings, burning pain/numbness
●● Edema Scale
Answer: • 1+ Mild pitting, slight indentation, no perceptible swelling of
the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
●● Doppler ultrasound
Answer: determine location of pulse
●● Raynaud's disease
Answer: autoimmune, sporadic vasoconstriction then relaxation,
happens in hands/toes usually
COMPLETE QUESTIONS AND SOLUTIONS
GRADED APLUS
●● veins
Answer: passive blood flow - do not have a pulse, returns to the heart via
movement through the skeletal muscles
●● femoral pulse site
Answer: groin
●● popliteal pulse site
Answer: back of knee
●● radial pulse site
Answer: Located at the wrist on the thumb side
●● dorsalis pedis pulse site
Answer: top of foot
●● posterior tibial pulse site
Answer: on medial surface of ankle near ankle bone
,●● ischemia
Answer: Lack of blood supply, causes pain
●● necrosis
Answer: long term lack of blood supply, tissue death
●● axillary lymph nodes
Answer: located under the arms in the armpits
●● cervical lymph nodes
Answer: located along the sides of the neck
●● Epitrochlear lymph nodes
Answer: Epitrochlear lymph nodes- drains from the hand and forearm
●● inguinal lymph nodes
Answer: located in the inguinal (groin) area of the lower abdomen
●● Children and Lymph Nodes
Answer: nodes can be enlarged with no pain/infection
,●● Pregnancy and PV
Answer: dependent edema, varicose veins
●● peripheral artery disease
Answer: A form of peripheral vascular disease in which there is partial
or total blockage of an artery, usually one leading to a leg or arm. 50%
of cases are African Americans. RF: smoking, HTN, diabetes
●● intermittent claudication
Answer: when walking, muscle needs more O2 blood, and you have any
kind of occlusion, when walking pain is increased
●● Pulse Scale
Answer: 0: absent
1+: weak
2+: normal
3+: increased, full, bounding
●● Allen test
Answer: determining the patency of the radial and ulnar arteries by
compressing one artery site and observing return of skin color as
evidence of patency of the other artery, determine if radial artery has
been damaged, press radial artery then see if ulnar artery perfuses to
hand
, ●● venous ulcers
Answer: bleed, medial malleolus
●● arterial (ischemic) ulcers
Answer: does not bleed, has a necrotic black crust, lateral malleolus
●● neuropathic ulcer
Answer: destroys nerve endings, burning pain/numbness
●● Edema Scale
Answer: • 1+ Mild pitting, slight indentation, no perceptible swelling of
the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
●● Doppler ultrasound
Answer: determine location of pulse
●● Raynaud's disease
Answer: autoimmune, sporadic vasoconstriction then relaxation,
happens in hands/toes usually
