NR 304 Exam 1 Study Material Questions with 100% Correct Answers

What is PVD? Correct Answer -It's a blood circulation disorder that causes the blood vessels in the peripheral areas of the body (outside of the heart and brain specifically) to narrow, block, or spasm. -It can occur in both arteries and veins. (Ch. 20 pp, slide 2) What is PAD? Correct Answer Peripheral Artery Disease -Occurs only in the arteries (Ch 20 pp, slide 2) Which statement is true regarding the arterial system? A. Arteries are large-diameter vessels. B. The arterial system is a high-pressure system. C. The walls of arteries are thinner than those of the veins. D. Arteries can greatly expand to accommodate a large blood volume increase. Correct Answer B (Text, pg 509) The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the _____ artery. A: Ulnar B: Radial C: Brachial D: Deep palmar Correct Answer C. (Text, pg 509) The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for palpation? A:Behind the knee B: Over the lateral malleolus C: In the groove behind the medial malleolus D: Lateral to the extensor tendon of the great toe Correct Answer D. (Text, pg 522) A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The nurse recognizes that this description is most consistent with _______ the left leg. A: Venous obstruction of your mom B: Claudication due to venous abnormalities C:Ischemia caused by a partial blockage of an artery supplying blood. D:Ischemia caused by the complete blockage of an artery supplying Correct Answer C (I'm not able to find rationale for this question. I don't know that it's accurate. In my opinion, the RN should assess for musculoskeletal related issues related to the pain before jumping the gun and assuming the man has a partially blocked artery). Define atherosclerosis (Remember: Ather is a fatty!) Correct Answer Atherosclerosis is "clogging" of arteries by fatty plaques that are deposited on the walls of arteries. Define arteriosclerosis (Remember: Art is hard!) Correct Answer Arteriosclerosis is a hardening of the arteries, The nurse is reviewing venous blood flow patterns. Which of these statements best describes the mechanism(s) by which venous blood returns to the heart? A: Intraluminal valves ensure unidirectional flow toward the heart. B: Contracting skeletal muscles milk blood distally toward the veins. C: High-pressure system of the heart helps facilitate venous return. D: Increased thoracic pressure and decreased abdominal pressure facilitate venous return to the heart. Correct Answer A (Text, pg 511) Which vein(s) is (are) responsible for most of the venous return in the arm? A: Deep B: Ulnar C: Subclavian D: Superficial Correct Answer D (Text, pg 209) A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, "What happens to my circulation when this vein is removed?" The nurse should reply: A: "Venous insufficiency is a common problem after this type of surgery." B: "Oh, you have lots of veins—you won't even notice that it has been removed." C: "You will probably experience decreased circulation after the vein is removed." D: "This vein can be removed without harming your circulation because the deeper veins in your leg are in good condition." Correct Answer D (Text pg 509) The nurse is reviewing the risk factors for venous disease. Which of these situations best describes a person at highest risk for the development of venous disease? Woman in her second month of pregnancy Person who has been on bed rest for 4 days Person with a 30-year, 1 pack per day smoking habit Older adult taking anticoagulant medication Correct Answer B (The book says smoking is the greatest risk which is not in alignment with the answer B being listed as correct. See text pg 513 under culture and genetics)