NR 462 EXAM 3 QUESTIONS AND ANSWERS | NR 462 EXAM 3
STUDY GUIDE & PRACTICE TEST 2026/2027
Peripheral Arterial Disease Risk Factors - ANS ✔✔Smoking, Hypertension, Diabetes
Vital signs in PAD - ANS ✔✔decreased or absent pulses, cold, pallor increased, rubor decreased,
increased pain
Symptoms of PAD - ANS ✔✔Dry skin, dry/necrotic ulcers, numbness/tingling, pain "intermittent
claudication"
Do you want to elevate the legs of a person with PAD? - ANS ✔✔No. They are having a problem pushing
the blood away from the heart. Elevation will further complicate this problem.
Peripheral Venous Disease Risk Factors - ANS ✔✔Occupation (standing for long time), hypertension,
obesity, pregnancy
Vital signs in PVD - ANS ✔✔Pulses raise, warm, edema
Symptoms of PVD - ANS ✔✔moist ulcers located on the malleolar
Do you want to elevate the legs of someone with PVD? - ANS ✔✔Yes, this intervention will help return
blood to the heart. Also Ted Hose will help.
What are both PVD and PAD at risk for? - ANS ✔✔Because of numb/edema/ulcers they are both at risk
for impaired skin integrity... so you need to assess the feet and constantly wear shoes.
Venous Thromboembolism - ANS ✔✔Pulmonary Embolism, Deep Vein Thrombosis
DVT - ANS ✔✔Unilateral pulse change, redness/erythema, warmth
VTE Risk Factors - ANS ✔✔Decreased mobility, decreased circulation, Birth Control Pills
Prevention of DVTs - ANS ✔✔blood thinners, Ted hose/SCD's, mobile
If the prevention does not work and treatment of a DVT is required, what is contraindicated? - ANS
✔✔Do not massage, do not mobilize, do not wear Ted/SCD's
Petechiae - ANS ✔✔Small leaks in the capillaries, causing bleeding under the skin. Occur with PE over
hours or days.
PE Clinical Manifestations - ANS ✔✔Dyspnea, Chest pain & hemoptysis
Restlessness/Anxious
Air Hunger
, Change in LOC
Cough
Tachypnea
Tachycardia
Hypotension
Decreasing Pulse Ox
Crackles
Cyanosis
Petechiae
Murmur - S3&4
Causes of PE (other than a dislodged DVT) - ANS ✔✔Surgery
Bed rest- Immobility
Tobacco use
Heart failure/ Atrial Fibrillation
Lower extremity fracture
Contraception/ estrogen therapy: causes clotting
Pregnancy
Hypercoagulability
Normal INR clotting times
&
What do you want the INR clotting time to be for a PE? - ANS ✔✔1.5 - 2
2 - 3 * because we want them to take longer to clot
In the heart rhythm, what sound is the loudest? - ANS ✔✔The Lub is always louder than the Dub
Where are the heart sounds best heard? - ANS ✔✔Apex
When should you take an apical pulse over radial? - ANS ✔✔When the patient is on heart controlling
medications
Opioids antidote - ANS ✔✔Narcan
Blood thinners antidote - ANS ✔✔Vitamin K
A nurse on the medical-surgical unit just received report on her client care assignment. Which client
should she assess first?
A) The client with anorexia, weight loss, and night sweats.
B) The client with crackles and fever who is complaining of pleuritic pain.
C) The client who had difficulty sleeping, daytime fatigue, and morning headache.
D) The client with unilateral leg swelling who's complaining of anxiety and shortness of breath. - ANS
✔✔D
STUDY GUIDE & PRACTICE TEST 2026/2027
Peripheral Arterial Disease Risk Factors - ANS ✔✔Smoking, Hypertension, Diabetes
Vital signs in PAD - ANS ✔✔decreased or absent pulses, cold, pallor increased, rubor decreased,
increased pain
Symptoms of PAD - ANS ✔✔Dry skin, dry/necrotic ulcers, numbness/tingling, pain "intermittent
claudication"
Do you want to elevate the legs of a person with PAD? - ANS ✔✔No. They are having a problem pushing
the blood away from the heart. Elevation will further complicate this problem.
Peripheral Venous Disease Risk Factors - ANS ✔✔Occupation (standing for long time), hypertension,
obesity, pregnancy
Vital signs in PVD - ANS ✔✔Pulses raise, warm, edema
Symptoms of PVD - ANS ✔✔moist ulcers located on the malleolar
Do you want to elevate the legs of someone with PVD? - ANS ✔✔Yes, this intervention will help return
blood to the heart. Also Ted Hose will help.
What are both PVD and PAD at risk for? - ANS ✔✔Because of numb/edema/ulcers they are both at risk
for impaired skin integrity... so you need to assess the feet and constantly wear shoes.
Venous Thromboembolism - ANS ✔✔Pulmonary Embolism, Deep Vein Thrombosis
DVT - ANS ✔✔Unilateral pulse change, redness/erythema, warmth
VTE Risk Factors - ANS ✔✔Decreased mobility, decreased circulation, Birth Control Pills
Prevention of DVTs - ANS ✔✔blood thinners, Ted hose/SCD's, mobile
If the prevention does not work and treatment of a DVT is required, what is contraindicated? - ANS
✔✔Do not massage, do not mobilize, do not wear Ted/SCD's
Petechiae - ANS ✔✔Small leaks in the capillaries, causing bleeding under the skin. Occur with PE over
hours or days.
PE Clinical Manifestations - ANS ✔✔Dyspnea, Chest pain & hemoptysis
Restlessness/Anxious
Air Hunger
, Change in LOC
Cough
Tachypnea
Tachycardia
Hypotension
Decreasing Pulse Ox
Crackles
Cyanosis
Petechiae
Murmur - S3&4
Causes of PE (other than a dislodged DVT) - ANS ✔✔Surgery
Bed rest- Immobility
Tobacco use
Heart failure/ Atrial Fibrillation
Lower extremity fracture
Contraception/ estrogen therapy: causes clotting
Pregnancy
Hypercoagulability
Normal INR clotting times
&
What do you want the INR clotting time to be for a PE? - ANS ✔✔1.5 - 2
2 - 3 * because we want them to take longer to clot
In the heart rhythm, what sound is the loudest? - ANS ✔✔The Lub is always louder than the Dub
Where are the heart sounds best heard? - ANS ✔✔Apex
When should you take an apical pulse over radial? - ANS ✔✔When the patient is on heart controlling
medications
Opioids antidote - ANS ✔✔Narcan
Blood thinners antidote - ANS ✔✔Vitamin K
A nurse on the medical-surgical unit just received report on her client care assignment. Which client
should she assess first?
A) The client with anorexia, weight loss, and night sweats.
B) The client with crackles and fever who is complaining of pleuritic pain.
C) The client who had difficulty sleeping, daytime fatigue, and morning headache.
D) The client with unilateral leg swelling who's complaining of anxiety and shortness of breath. - ANS
✔✔D
