Critical care exam 2 with verified
answers
A home health nurse is seeing an elderly male client for the first time. During the physical
assessment of the skin on the lower legs, the nurse notes edema, brown pigmentation in the
gater area, pedal pulses, and a few irregularly shaped ulcers around the ankles. From these
findings, the nurse knows that the client has a problem with peripheral circulation. Which of the
following does the nurse suspect?
A ) Venous insufficiency
B) Neither venous nor arterial insufficiency
C) Arterial insufficiency
D) Trauma - correct answer ✔✔ANS: A
The nurse is assessing a patient two days postoperatively who is suspected of having deep vein
obstruction. The patient is complaining of pain in the left lower extremity and there is a 2-cm
difference in the right and left leg circumference. What intervention can the nurse provide to
promote arterial flow to the lower extremities?
A) Administer a diuretic to decrease the edema in the left lower extremity.
B) Apply cool compresses to the left lower extremity.
C) Assist with active range-of-motion (ROM) exercises to the left lower extremity.
D) Apply a heating pad to the patient's abdomen. - correct answer ✔✔ANS: D
A nurse and physician are preparing to visit a hospitalized client with perepheral arterial
disease. As you approach the client's room, the physician asks if the client has reported any
intermittent claudication. The client has reported this symptom. The nurse explains to the
physician which of the following details?
A) The client experiences shortness of breath after walking about 50 feet.
B) The client's legs awaken him during the night with itching.
,C) The client can walk about 50 feet before getting pain in the right lower leg.
D) The client's fingers tingle when left in one position for too long. - correct answer ✔✔ANS: C
A client is hospitalized for repair of an abdominal aortic aneurysm. The nurse must be alert for
signs and symptoms of aneurysm rupture and thus looks for which of the following?
A) Slow heart rate and high blood pressure
B) Constant, intense headache and falling blood pressure
C) Constant, intense back pain and falling blood pressure
D)Higher than normal blood pressure and falling hematocrit - correct answer ✔✔ANS: C
A client in the ED has a 5-cm thoracic aortic aneurysm that was discovered during a routine
chest x-ray. When obtaining the client's history, which symptoms will it be most important for
the nurse to ask about?
A) Abdominal swelling and tenderness
B) Back or lumbar pain
C) Changes in bowel and bladder habits
D) Hoarse voice and difficulty swallowing - correct answer ✔✔ANS: D
A patient has just been diagnosed with atherosclerosis. Which of the following statements
made by the patient would indicate understanding of this diagnosis?
A) "I got this disease because I did not follow my diet while on an MAOI"
B) " This happens when there is hardening of the arteries"
C) " This occurs when there is a build up of plaque in the arteries"
D) " My hypotension but me at risk for this disease" - correct answer ✔✔ANS: B
A patient with with atherosclerosis is complaining of pain in her leg when on her morning walks.
Though it is relieved when she sits down. The nurse would identify this complaint as which of
the following?
, A) nueropathic pain
B) Intermittent claudication
C) collateral circulation
D) Nocinceptive pain - correct answer ✔✔ANS: B
A nurse is describing an inflow surgery to treat a patients arteriosclerosis. Which of the
following would describe this procedure ?
A) It is used to improve the blood flow bellow the femoral arteries
B) It is used a surgery used to improve blood supply from aorta and femoral arteries
C) This procedure involves cutting agent in the artery to cut away the plaque
D) with this procedure you take a balloon and putting it in the vessel and using it to push the fat
to the sides of the vessel - correct answer ✔✔ANS: B
Feedback:
A) This describes an outflow surgery
C) this describes atherectomy
D) This describes angioplasty
A nurse educating a patient with arteriosclerosis about improving peripheral artery circulation.
Which of he following would the nurse include in the education? (select all that apply)
A) keep legs bellow level of the heart
B) Elevate legs
C) Used heat pads on your feet
D) exercise until you have pain and then rest - correct answer ✔✔ANS: A,D
A nurse is assessing a patient and notices that the patients lower extremities are showing a
change in color and the patient is complaining of feeling pins and needle in her legs.
Furthermore, the nurses notes that there were small ulcerations on the clients calf and is
answers
A home health nurse is seeing an elderly male client for the first time. During the physical
assessment of the skin on the lower legs, the nurse notes edema, brown pigmentation in the
gater area, pedal pulses, and a few irregularly shaped ulcers around the ankles. From these
findings, the nurse knows that the client has a problem with peripheral circulation. Which of the
following does the nurse suspect?
A ) Venous insufficiency
B) Neither venous nor arterial insufficiency
C) Arterial insufficiency
D) Trauma - correct answer ✔✔ANS: A
The nurse is assessing a patient two days postoperatively who is suspected of having deep vein
obstruction. The patient is complaining of pain in the left lower extremity and there is a 2-cm
difference in the right and left leg circumference. What intervention can the nurse provide to
promote arterial flow to the lower extremities?
A) Administer a diuretic to decrease the edema in the left lower extremity.
B) Apply cool compresses to the left lower extremity.
C) Assist with active range-of-motion (ROM) exercises to the left lower extremity.
D) Apply a heating pad to the patient's abdomen. - correct answer ✔✔ANS: D
A nurse and physician are preparing to visit a hospitalized client with perepheral arterial
disease. As you approach the client's room, the physician asks if the client has reported any
intermittent claudication. The client has reported this symptom. The nurse explains to the
physician which of the following details?
A) The client experiences shortness of breath after walking about 50 feet.
B) The client's legs awaken him during the night with itching.
,C) The client can walk about 50 feet before getting pain in the right lower leg.
D) The client's fingers tingle when left in one position for too long. - correct answer ✔✔ANS: C
A client is hospitalized for repair of an abdominal aortic aneurysm. The nurse must be alert for
signs and symptoms of aneurysm rupture and thus looks for which of the following?
A) Slow heart rate and high blood pressure
B) Constant, intense headache and falling blood pressure
C) Constant, intense back pain and falling blood pressure
D)Higher than normal blood pressure and falling hematocrit - correct answer ✔✔ANS: C
A client in the ED has a 5-cm thoracic aortic aneurysm that was discovered during a routine
chest x-ray. When obtaining the client's history, which symptoms will it be most important for
the nurse to ask about?
A) Abdominal swelling and tenderness
B) Back or lumbar pain
C) Changes in bowel and bladder habits
D) Hoarse voice and difficulty swallowing - correct answer ✔✔ANS: D
A patient has just been diagnosed with atherosclerosis. Which of the following statements
made by the patient would indicate understanding of this diagnosis?
A) "I got this disease because I did not follow my diet while on an MAOI"
B) " This happens when there is hardening of the arteries"
C) " This occurs when there is a build up of plaque in the arteries"
D) " My hypotension but me at risk for this disease" - correct answer ✔✔ANS: B
A patient with with atherosclerosis is complaining of pain in her leg when on her morning walks.
Though it is relieved when she sits down. The nurse would identify this complaint as which of
the following?
, A) nueropathic pain
B) Intermittent claudication
C) collateral circulation
D) Nocinceptive pain - correct answer ✔✔ANS: B
A nurse is describing an inflow surgery to treat a patients arteriosclerosis. Which of the
following would describe this procedure ?
A) It is used to improve the blood flow bellow the femoral arteries
B) It is used a surgery used to improve blood supply from aorta and femoral arteries
C) This procedure involves cutting agent in the artery to cut away the plaque
D) with this procedure you take a balloon and putting it in the vessel and using it to push the fat
to the sides of the vessel - correct answer ✔✔ANS: B
Feedback:
A) This describes an outflow surgery
C) this describes atherectomy
D) This describes angioplasty
A nurse educating a patient with arteriosclerosis about improving peripheral artery circulation.
Which of he following would the nurse include in the education? (select all that apply)
A) keep legs bellow level of the heart
B) Elevate legs
C) Used heat pads on your feet
D) exercise until you have pain and then rest - correct answer ✔✔ANS: A,D
A nurse is assessing a patient and notices that the patients lower extremities are showing a
change in color and the patient is complaining of feeling pins and needle in her legs.
Furthermore, the nurses notes that there were small ulcerations on the clients calf and is
