NURS347 - Final Exam ACTUAL
UPDATED Exam Questions and CORRECT
Answers
While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as being the
priority in the client's care? - CORRECT ANSWER - impaired tissue perfusion
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "1+." The nurse recognizes that this reading
indicates what type of pulse? - CORRECT ANSWER - weak
A patient complains of leg pain that wakes him at night. He states that he "has been having
problems" with his legs. He has pain in his legs when they are elevated that disappears when he
dangles them. He recently noticed "a sore" on the inner aspect of the right ankle. On the basis of
this health history information, the nurse interprets that the patient is most likely experiencing: -
CORRECT ANSWER - problems related to arterial insufficiency
A patient has been diagnosed with venous stasis. Which of these findings would the nurse most
likely observe? - CORRECT ANSWER - Brownish discoloration to the skin of the lower
leg
During an assessment, a patient tells the nurse that her fingers often change color when she goes
out in cold weather. She describes these episodes as her fingers first turning white, then blue,
then red with a burning, throbbing pain. The nurse suspects that she is experiencing: -
CORRECT ANSWER - Raynaud's phenomenon
S.E. is a 30 year old Caucasian male with no significant past medical history and family history
is unremarkable. He had a recent basketball injury resulting in a torn Achilles tendon 3 weeks
ago and a non-weight bearing cast was placed. He is complaining of right calf pain. Which of the
following is indicative of deep vein thrombosis? - CORRECT ANSWER - Right calf
slightly red & swollen a few cm larger than the left calf with all pulses equal bilaterally
, When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the
ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse
should: - CORRECT ANSWER - Consider this finding as normal, & proceed with the
peripheral vascular evaluation
When performing an assessment of a patient, the nurse notices the presence of an enlarged right
epitrochlear lymph node. What should the nurse do next? - CORRECT ANSWER -
Examine the patient's lower arm & hand, & check for the presence of infection or lesions
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? - CORRECT
ANSWER - Person who has even on bed rest for 4 days
The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios.
Which one of these patients would be at increased risk? - CORRECT ANSWER - 29-
year-old woman whose waist measures 33 inches and hips measure 36 inches
The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.
Which sound should the nurse expect to hear? - CORRECT ANSWER - Dullness
The nurse is assessing the forms of support an older patient has before she is discharged. Which
of these examples is an informal source of support? - CORRECT ANSWER - Patient's
neighbor, who visits with her daily
A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had
adequate intake of calories and appears well nourished. After further assessment, what would the
nurse expect to find? - CORRECT ANSWER - Decreased serum albumin
During reporting, the student nurse hears that a patient has hepatomegaly and recognizes that this
term refers to: - CORRECT ANSWER - enlarged liver
UPDATED Exam Questions and CORRECT
Answers
While performing an admission assessment for a client, the nurse notes that the client has
varicose veins with ulcerations and lower extremity edema with a report of a feeling of
heaviness. Which of the following nursing diagnoses should the nurse identify as being the
priority in the client's care? - CORRECT ANSWER - impaired tissue perfusion
The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the
documentation states that the radial pulses are "1+." The nurse recognizes that this reading
indicates what type of pulse? - CORRECT ANSWER - weak
A patient complains of leg pain that wakes him at night. He states that he "has been having
problems" with his legs. He has pain in his legs when they are elevated that disappears when he
dangles them. He recently noticed "a sore" on the inner aspect of the right ankle. On the basis of
this health history information, the nurse interprets that the patient is most likely experiencing: -
CORRECT ANSWER - problems related to arterial insufficiency
A patient has been diagnosed with venous stasis. Which of these findings would the nurse most
likely observe? - CORRECT ANSWER - Brownish discoloration to the skin of the lower
leg
During an assessment, a patient tells the nurse that her fingers often change color when she goes
out in cold weather. She describes these episodes as her fingers first turning white, then blue,
then red with a burning, throbbing pain. The nurse suspects that she is experiencing: -
CORRECT ANSWER - Raynaud's phenomenon
S.E. is a 30 year old Caucasian male with no significant past medical history and family history
is unremarkable. He had a recent basketball injury resulting in a torn Achilles tendon 3 weeks
ago and a non-weight bearing cast was placed. He is complaining of right calf pain. Which of the
following is indicative of deep vein thrombosis? - CORRECT ANSWER - Right calf
slightly red & swollen a few cm larger than the left calf with all pulses equal bilaterally
, When performing a peripheral vascular assessment on a patient, the nurse is unable to palpate the
ulnar pulses. The patient's skin is warm and capillary refill time is normal. Next, the nurse
should: - CORRECT ANSWER - Consider this finding as normal, & proceed with the
peripheral vascular evaluation
When performing an assessment of a patient, the nurse notices the presence of an enlarged right
epitrochlear lymph node. What should the nurse do next? - CORRECT ANSWER -
Examine the patient's lower arm & hand, & check for the presence of infection or lesions
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? - CORRECT
ANSWER - Person who has even on bed rest for 4 days
The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios.
Which one of these patients would be at increased risk? - CORRECT ANSWER - 29-
year-old woman whose waist measures 33 inches and hips measure 36 inches
The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.
Which sound should the nurse expect to hear? - CORRECT ANSWER - Dullness
The nurse is assessing the forms of support an older patient has before she is discharged. Which
of these examples is an informal source of support? - CORRECT ANSWER - Patient's
neighbor, who visits with her daily
A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had
adequate intake of calories and appears well nourished. After further assessment, what would the
nurse expect to find? - CORRECT ANSWER - Decreased serum albumin
During reporting, the student nurse hears that a patient has hepatomegaly and recognizes that this
term refers to: - CORRECT ANSWER - enlarged liver
