NUR 4271 Med-Surg EAQ 2 Exam Questions And Answers
Which finding would the nurse expect when assessing a client with peripheral arterial
disease (PAD)? Select all that apply.
Pallor of feet
Warm extremities
Ulcers on the toes
Delayed Cap refill
Thick, Hardened skin
Hair loss to lower extremities
Muscle Atrophy
Intermittent claudication - ANSWER Pallor of feet
Ulcers on the toes
Delayed Cap refill
Hair loss to lower extremities
Muscle atrophy
Intermittent claudication
Which clinical manifestations will the nurse expect when caring for a client with a
diagnosis of pulmonary edema? Select all that apply.
Crackles
Coughing
Orthopnea
Yellow sputum
Anxiety
Dependent edema
Restlessness
,Lethargy - ANSWER Coughing
Orthopnea
Anxiety
Restlessness
Lethargy
When a client develops internal bleeding after abdominal surgery, which clinical
manifestation would the nurse expect the client to exhibit? Select all that apply.
Pallor
Polyuria
Correct
Decreased mean arterial pressure (MAP)
Bradypnea
Correct
Tachycardia
Hypertension
Increased pulse pressure
Warm skin temperature - ANSWER Pallor
Decreased mean arterial pressure (MAP)
Tachycardia
When assessing a client with varicose veins, which clinical manifestation would the
nurse expect to find? Select all that apply.
Presence of ankle edema
Increased leg fatigue
Diminished peripheral pulses
Report of leg fullness and pruritus
Leg pain with activity that resolves with rest
,No hair on lower extremities
Thickened toenails
Pallor to bilateral lower extremities - ANSWER Presence of ankle edema
Increased leg fatigue
Report of leg fullness and pruritus
When a client with heart failure is seen in the clinic with new onset ankle edema, the
nurse would question the client about which lifestyle factor that may have contributed to
the ankle swelling? Select all that apply.
Intake of salty foods
Increased fluid consumption
Dietary fat intake
Medication compliance
Family stresses
Recent travel
Alcohol intake
Increased physical activity - ANSWER Intake of salty foods
Increased fluid consumption
Medication compliance
Recent travel
Alcohol intake
A client is taught how to recognize signs of a hypoglycemic reaction. Which symptom
identified by the client indicates to the nurse that the teaching was effective? Select all
that apply.
Fatigue
Nausea
Weakness
Nervousness
, Heart pounding
Increased thirst
Increased perspiration
Hunger
Confusion - ANSWER Fatigue
Weakness
Nervousness
Heart pounding
Increased perspiration
Hunger
Confusion
The nurse reviews the electronic health record of a client. The nurse suspects
hypofunctioning of the adrenal gland based on which finding? Select all that apply.
Increased calcium
Decreased cortisol
Weight loss
Decreased sodium
Vitiligo
Decreased potassium
Increased glucose
Hyperpigmentation - ANSWER Increased calcium
Decreased cortisol
Weight loss
Decreased sodium
Vitiligo
Hyperpigmentation
Which finding would the nurse expect when assessing a client with peripheral arterial
disease (PAD)? Select all that apply.
Pallor of feet
Warm extremities
Ulcers on the toes
Delayed Cap refill
Thick, Hardened skin
Hair loss to lower extremities
Muscle Atrophy
Intermittent claudication - ANSWER Pallor of feet
Ulcers on the toes
Delayed Cap refill
Hair loss to lower extremities
Muscle atrophy
Intermittent claudication
Which clinical manifestations will the nurse expect when caring for a client with a
diagnosis of pulmonary edema? Select all that apply.
Crackles
Coughing
Orthopnea
Yellow sputum
Anxiety
Dependent edema
Restlessness
,Lethargy - ANSWER Coughing
Orthopnea
Anxiety
Restlessness
Lethargy
When a client develops internal bleeding after abdominal surgery, which clinical
manifestation would the nurse expect the client to exhibit? Select all that apply.
Pallor
Polyuria
Correct
Decreased mean arterial pressure (MAP)
Bradypnea
Correct
Tachycardia
Hypertension
Increased pulse pressure
Warm skin temperature - ANSWER Pallor
Decreased mean arterial pressure (MAP)
Tachycardia
When assessing a client with varicose veins, which clinical manifestation would the
nurse expect to find? Select all that apply.
Presence of ankle edema
Increased leg fatigue
Diminished peripheral pulses
Report of leg fullness and pruritus
Leg pain with activity that resolves with rest
,No hair on lower extremities
Thickened toenails
Pallor to bilateral lower extremities - ANSWER Presence of ankle edema
Increased leg fatigue
Report of leg fullness and pruritus
When a client with heart failure is seen in the clinic with new onset ankle edema, the
nurse would question the client about which lifestyle factor that may have contributed to
the ankle swelling? Select all that apply.
Intake of salty foods
Increased fluid consumption
Dietary fat intake
Medication compliance
Family stresses
Recent travel
Alcohol intake
Increased physical activity - ANSWER Intake of salty foods
Increased fluid consumption
Medication compliance
Recent travel
Alcohol intake
A client is taught how to recognize signs of a hypoglycemic reaction. Which symptom
identified by the client indicates to the nurse that the teaching was effective? Select all
that apply.
Fatigue
Nausea
Weakness
Nervousness
, Heart pounding
Increased thirst
Increased perspiration
Hunger
Confusion - ANSWER Fatigue
Weakness
Nervousness
Heart pounding
Increased perspiration
Hunger
Confusion
The nurse reviews the electronic health record of a client. The nurse suspects
hypofunctioning of the adrenal gland based on which finding? Select all that apply.
Increased calcium
Decreased cortisol
Weight loss
Decreased sodium
Vitiligo
Decreased potassium
Increased glucose
Hyperpigmentation - ANSWER Increased calcium
Decreased cortisol
Weight loss
Decreased sodium
Vitiligo
Hyperpigmentation
