NR 304 Health Assessment 2 Exam 1 Questions With
Complete Solutions
***A nurse measures an ankle-brachial index (ABI) of 0.5 in a
patient. What does this indicate?
A. Normal arterial blood flow
B. Mild arterial insufficiency
C. Moderate arterial disease
D. Severe arterial insufficiency
D
A nurse documents "venous stasis ulcer" in a patient's chart.
What characteristic is most consistent with this type of ulcer?
A. Located on pressure points such as the heels
B. Deep, dry ulcer with a punched-out appearance
C. Moist, irregular ulcer over the medial malleolus
D. Pale, painless ulcer on the tips of the toes
C
A patient is unable to walk heel-to-toe in a straight line. This
finding suggests dysfunction of the:
A. Cerebellum
B. Basal ganglia
C. Spinal cord
D. Thalamus
A
A patient reports persistent numbness and tingling in their hands
and feet. The nurse suspects damage to:
,A. The cerebellum
B. The basal ganglia
C. The peripheral nerves
D. The corticospinal tract
C
A patient with a history of prostate issues asks how to reduce the
risk of prostate cancer. The nurse provides education on:
A. Increasing dairy intake
B. Reducing red meat consumption
C. Avoiding physical activity
D. Drinking more sugary beverages
B
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.
B
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
, C
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.
B
When assessing the peripheral pulses, the nurse uses which
grading scale to document a "normal" pulse?
A. 0
B. 1+
C. 2+
D. 3+
C
***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
C.
Complete Solutions
***A nurse measures an ankle-brachial index (ABI) of 0.5 in a
patient. What does this indicate?
A. Normal arterial blood flow
B. Mild arterial insufficiency
C. Moderate arterial disease
D. Severe arterial insufficiency
D
A nurse documents "venous stasis ulcer" in a patient's chart.
What characteristic is most consistent with this type of ulcer?
A. Located on pressure points such as the heels
B. Deep, dry ulcer with a punched-out appearance
C. Moist, irregular ulcer over the medial malleolus
D. Pale, painless ulcer on the tips of the toes
C
A patient is unable to walk heel-to-toe in a straight line. This
finding suggests dysfunction of the:
A. Cerebellum
B. Basal ganglia
C. Spinal cord
D. Thalamus
A
A patient reports persistent numbness and tingling in their hands
and feet. The nurse suspects damage to:
,A. The cerebellum
B. The basal ganglia
C. The peripheral nerves
D. The corticospinal tract
C
A patient with a history of prostate issues asks how to reduce the
risk of prostate cancer. The nurse provides education on:
A. Increasing dairy intake
B. Reducing red meat consumption
C. Avoiding physical activity
D. Drinking more sugary beverages
B
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.
B
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
, C
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.
B
When assessing the peripheral pulses, the nurse uses which
grading scale to document a "normal" pulse?
A. 0
B. 1+
C. 2+
D. 3+
C
***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
C.
