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Exam (elaborations)

Nr 304 Exam 1 -Health Assessment Ii |Actual Questions And Verified Answers|Brand New Update|Graded A+

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Nr 304 Exam 1 -Health Assessment Ii |Actual Questions And Verified Answers|Brand New Update|Graded A+

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NR 304 EXAM 1 -HEALTH ASSESSMENT II |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+


Question 1

A nurse is palpating the dorsalis pedis pulse of a patient and finds it difficult to locate.
What is the next best action?



A. Document "absent dorsalis pedis pulse."

B. Use a Doppler ultrasound device.

C. Ask the patient to walk and reassess.

D. Notify the healthcare provider immediately.

CORRECT ANSWER

B




Question 2

When assessing the peripheral pulses, the nurse uses which grading scale to document a
"normal" pulse?

A. 0

B. 1+

C. 2+

D. 3+

CORRECT ANSWER

C




Question 3

1

,***A patient presents with pain in the left calf that occurs during exercise and is relieved
by rest. What condition does this most likely suggest?

A. Chronic venous insufficiency

B. Arterial occlusion

C. Intermittent claudication

D. Deep vein thrombosis

CORRECT ANSWER

C.




Question 4

***What is the most reliable method to assess for pitting edema?

A. Use a tape measure to determine circumference.

B. Apply firm pressure over a bony prominence for 5 seconds and release.

C. Inspect the skin for swelling and discoloration.

D. Ask the patient if they feel tightness in their legs.

CORRECT ANSWER

B




Question 5

A nurse observes the following signs in a patient: cold, pale extremities with no palpable
pulse. What is the priority intervention?

A. Apply a warm compress.

B. Notify the healthcare provider immediately.

C. Assess the capillary refill time.

D. Elevate the extremities above the heart.

CORRECT ANSWER


2

, B




Question 6

A nurse auscultates a bruit over the femoral artery. This finding suggests:

A. An arterial occlusion

B. A venous thrombosis

C. Turbulent blood flow

D. Normal blood flow

CORRECT ANSWER

C




Question 7

Which patient is at the highest risk for peripheral arterial disease (PAD)?

A. A 45-year-old who smokes and has a history of hypertension

B. A 60-year-old with a sedentary lifestyle and low HDL levels

C. A 70-year-old with a history of recurrent deep vein thrombosis

D. A 35-year-old with diabetes and chronic venous insufficiency

CORRECT ANSWER

A




Question 8

****When palpating lymph nodes, a nurse documents "normal findings" if the nodes are:

A. Nonpalpable and mobile

B. Hard, fixed, and tender


3

, C. Soft, mobile, and nontender

D. Enlarged, firm, and warm

CORRECT ANSWER

C




Question 9

***A patient presents with a red, warm, and swollen left lower leg. The nurse suspects
deep vein thrombosis (DVT). What is the priority assessment?

A. Measure calf circumference.

B. Perform a Homan's sign test.

C. Assess for peripheral pulses.

D. Auscultate for bruits.

CORRECT ANSWER

A




Question 10

The nurse is teaching a patient about prevention of venous stasis. Which activity is most
appropriate?

A. Elevate the legs while sitting.

B. Stand for prolonged periods to strengthen veins.

C. Limit water intake to reduce edema.

D. Wear tight compression stockings.

CORRECT ANSWER

A




4

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