226 test #2 EAQs Questions and Answers 1
The accumulation of lymph in the breasts and upper Axillary
arms is a result of an obstruction of which lymph (Obstruction of the axillary nodes results in the accumulation of lymph in the
nodes? breasts and the upper arms.)
A client presents with bilateral leg pain and cramping 'Does walking for long periods of time increase your pain?'
in the lower extremities. The client has a history of
cardiovascular disease, diabetes, and varicose veins. (Rationale:
To guide the assessment of the pain and cramping, Clients with a medical history of heart disease, hypertension, phlebitis,
the nurse would include which question when diabetes, or varicose veins often experience vascular-related complications.
completing the initial assessment? The nurse would recognize that the relationship of symptoms to exercise will
- 'Does walking for long periods of time increase your clarify whether the presenting problem is vascular or musculoskeletal. Pain
pain?' caused by a vascular condition tends to increase with activity.
- 'Does standing without moving decrease your pain?' Musculoskeletal pain is not usually relieved when exercise ends.)
- 'Have you had your potassium level checked
recently?'
- 'Have you had any broken bones in your lower
extremities?'
2026
,226 test #2 EAQs Questions and Answers 2
A client with a suspected kidney disorder reports - Asking the client to assume a sitting position
flank pain. Which nursing interventions would be - Placing one hand flat on the costovertebral angle (CVA)
conducted while performing flank assessment? Select
all that apply. One, some, or all responses may be
correct.
- Percussing the tender flank first
- Forming both hands into a clenched fist
- Asking the client to assume a sitting position
- Placing one hand flat on the costovertebral angle
(CVA)
- Delivering a firm hand thump over the lower
abdomen
2026
, 226 test #2 EAQs Questions and Answers 3
During an assessment, the client complains of C. To assess for any history of ulcer formation around the calf muscle
tenderness when the nurse palpates the calf muscle.
Which technique would be the nurse's next
assessment?
A. To assess for any reduced hair growth
B. To assess for swelling, warmth, and muscle firmness
C. To assess for any history of ulcer formation around
the calf muscle
D. To assess for venous distension in the
posterolateral part of ankle
During auscultation of the heart, where would the The base of the heart
nurse expect S2 to be the loudest? (Rationale:
S2 is produced by closure of the aortic and pulmonic valves. The aortic
auscultatory area is located in the 2nd intercostal space along the right
sternal border.)
2026
The accumulation of lymph in the breasts and upper Axillary
arms is a result of an obstruction of which lymph (Obstruction of the axillary nodes results in the accumulation of lymph in the
nodes? breasts and the upper arms.)
A client presents with bilateral leg pain and cramping 'Does walking for long periods of time increase your pain?'
in the lower extremities. The client has a history of
cardiovascular disease, diabetes, and varicose veins. (Rationale:
To guide the assessment of the pain and cramping, Clients with a medical history of heart disease, hypertension, phlebitis,
the nurse would include which question when diabetes, or varicose veins often experience vascular-related complications.
completing the initial assessment? The nurse would recognize that the relationship of symptoms to exercise will
- 'Does walking for long periods of time increase your clarify whether the presenting problem is vascular or musculoskeletal. Pain
pain?' caused by a vascular condition tends to increase with activity.
- 'Does standing without moving decrease your pain?' Musculoskeletal pain is not usually relieved when exercise ends.)
- 'Have you had your potassium level checked
recently?'
- 'Have you had any broken bones in your lower
extremities?'
2026
,226 test #2 EAQs Questions and Answers 2
A client with a suspected kidney disorder reports - Asking the client to assume a sitting position
flank pain. Which nursing interventions would be - Placing one hand flat on the costovertebral angle (CVA)
conducted while performing flank assessment? Select
all that apply. One, some, or all responses may be
correct.
- Percussing the tender flank first
- Forming both hands into a clenched fist
- Asking the client to assume a sitting position
- Placing one hand flat on the costovertebral angle
(CVA)
- Delivering a firm hand thump over the lower
abdomen
2026
, 226 test #2 EAQs Questions and Answers 3
During an assessment, the client complains of C. To assess for any history of ulcer formation around the calf muscle
tenderness when the nurse palpates the calf muscle.
Which technique would be the nurse's next
assessment?
A. To assess for any reduced hair growth
B. To assess for swelling, warmth, and muscle firmness
C. To assess for any history of ulcer formation around
the calf muscle
D. To assess for venous distension in the
posterolateral part of ankle
During auscultation of the heart, where would the The base of the heart
nurse expect S2 to be the loudest? (Rationale:
S2 is produced by closure of the aortic and pulmonic valves. The aortic
auscultatory area is located in the 2nd intercostal space along the right
sternal border.)
2026
