Chamberlain University
1 MAXE · 403RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR304- Health Assessment 2- Exam 1 Review
P E R I P H E RA L VA S CU L A R & GA ST R O I N T E ST I N A L A SS E SS M E N T
INSTITUTION Chamberlain University PROGRAM Bachelor of Science in Nursing —
NR304
COURSE CODE NR304 COURSE TITLE Health Assessment 2 — Exam 1
Review
ACADEMIC YEAR EXAM TITLE NR304- Health Assessment 2-
Exam 1 Review
TOTAL QUESTIONS 130 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Peripheral vascular assessment, gastrointestinal assessment, and reproductive health are all testable
content.
▸ Clinical reasoning and priority-setting are emphasized.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All clinical data reflects current evidence-based practice guidelines.
, SECTION I — HEALTH ASSESSMENT 2 — EXAM 1 REVIEW Questions 1 – 130
1. During a peripheral vascular assessment, what should the nurse inspect when examining
the extremities?
A. Skin color, size, and symmetry of extremities, and hair growth and distribution
B. Only skin color and temperature
C. Only pulse strength and capillary refill
D. Only edema and wounds
CORRECT ANSWER A — Skin color, size, and symmetry of extremities, and hair growth and
distribution
RATIONALE Peripheral vascular assessment includes inspecting skin color, size, symmetry,
and hair growth and distribution. Extremities should be equal in size and
symmetrical in shape, with intact skin and evenly distributed hair.
2. What should the nurse palpate during a peripheral vascular assessment?
A. Only the radial pulses
B. Pulses, lymph nodes, skin temperature, and check for edema
C. Only the pedal pulses
D. Only the lymph nodes
CORRECT ANSWER B — Pulses, lymph nodes, skin temperature, and check for edema
RATIONALE Peripheral vascular assessment includes palpating pulses (brachial, radial,
femoral, popliteal, posterior tibial, dorsalis pedis), lymph nodes, skin
temperature, and checking for edema. Pulses should be present and equal
bilaterally, and skin should be warm with no edema.
,3. What is the most frequent cause of Peripheral Arterial Disease (PAD)?
A. Venous insufficiency
B. Atherosclerosis
C. Deep vein thrombosis
D. Embolism
CORRECT ANSWER B — Atherosclerosis
RATIONALE Atherosclerosis is closely linked to the development of PAD. Plaque build-up
decreases the size of the interior lumen of the artery, and a thrombus can lodge in
the narrowed artery, blocking blood flow to distal cells.
4. Which of the following is a clinical manifestation of Peripheral Arterial Disease (PAD)?
A. Edema in the lower extremities
B. Intermittent claudication
C. Varicose veins
D. Skin discoloration with brownish pigmentation
CORRECT ANSWER B — Intermittent claudication
RATIONALE Intermittent claudication is a classic symptom of PAD, characterized by cramping
in one or both lower legs during activity that resolves with rest. Other
manifestations include weak pulses, numbness, changes in skin color or
temperature, and hair loss.
, 5. Which of the following is a significant risk factor for Peripheral Arterial Disease (PAD)?
A. Low cholesterol levels
B. Tobacco use
C. Regular exercise
D. Healthy diet
CORRECT ANSWER B — Tobacco use
RATIONALE Tobacco use is a significant risk factor for PAD. Other significant risk factors
include atherosclerosis, diabetes mellitus, uncontrolled hypertension,
hyperlipidemia, and elevated high-sensitivity C-reactive protein levels.
6. What is acute arterial ischemia?
A. A gradual narrowing of the arteries over time
B. A sudden interruption in the arterial blood supply to a tissue, organ, or extremity
C. A chronic condition affecting venous return
D. An inflammation of the small and medium arteries
CORRECT ANSWER B — A sudden interruption in the arterial blood supply to a tissue, organ, or
extremity
RATIONALE Acute arterial ischemia is a sudden interruption in the arterial blood supply to a
tissue, organ, or extremity, leading to tissue death if untreated. The most frequent
cause is embolization of a thrombus from the heart.
1 MAXE · 403RN
★ ★
C College of Nursing & Public Health
EST. 1889
E X C E L L E N C E · I N N O V AT I O N · I N T E G R I T Y · W O R L D C L A S S S E R V I C E
NR304- Health Assessment 2- Exam 1 Review
P E R I P H E RA L VA S CU L A R & GA ST R O I N T E ST I N A L A SS E SS M E N T
INSTITUTION Chamberlain University PROGRAM Bachelor of Science in Nursing —
NR304
COURSE CODE NR304 COURSE TITLE Health Assessment 2 — Exam 1
Review
ACADEMIC YEAR EXAM TITLE NR304- Health Assessment 2-
Exam 1 Review
TOTAL QUESTIONS 130 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise instructed.
▸ Peripheral vascular assessment, gastrointestinal assessment, and reproductive health are all testable
content.
▸ Clinical reasoning and priority-setting are emphasized.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All clinical data reflects current evidence-based practice guidelines.
, SECTION I — HEALTH ASSESSMENT 2 — EXAM 1 REVIEW Questions 1 – 130
1. During a peripheral vascular assessment, what should the nurse inspect when examining
the extremities?
A. Skin color, size, and symmetry of extremities, and hair growth and distribution
B. Only skin color and temperature
C. Only pulse strength and capillary refill
D. Only edema and wounds
CORRECT ANSWER A — Skin color, size, and symmetry of extremities, and hair growth and
distribution
RATIONALE Peripheral vascular assessment includes inspecting skin color, size, symmetry,
and hair growth and distribution. Extremities should be equal in size and
symmetrical in shape, with intact skin and evenly distributed hair.
2. What should the nurse palpate during a peripheral vascular assessment?
A. Only the radial pulses
B. Pulses, lymph nodes, skin temperature, and check for edema
C. Only the pedal pulses
D. Only the lymph nodes
CORRECT ANSWER B — Pulses, lymph nodes, skin temperature, and check for edema
RATIONALE Peripheral vascular assessment includes palpating pulses (brachial, radial,
femoral, popliteal, posterior tibial, dorsalis pedis), lymph nodes, skin
temperature, and checking for edema. Pulses should be present and equal
bilaterally, and skin should be warm with no edema.
,3. What is the most frequent cause of Peripheral Arterial Disease (PAD)?
A. Venous insufficiency
B. Atherosclerosis
C. Deep vein thrombosis
D. Embolism
CORRECT ANSWER B — Atherosclerosis
RATIONALE Atherosclerosis is closely linked to the development of PAD. Plaque build-up
decreases the size of the interior lumen of the artery, and a thrombus can lodge in
the narrowed artery, blocking blood flow to distal cells.
4. Which of the following is a clinical manifestation of Peripheral Arterial Disease (PAD)?
A. Edema in the lower extremities
B. Intermittent claudication
C. Varicose veins
D. Skin discoloration with brownish pigmentation
CORRECT ANSWER B — Intermittent claudication
RATIONALE Intermittent claudication is a classic symptom of PAD, characterized by cramping
in one or both lower legs during activity that resolves with rest. Other
manifestations include weak pulses, numbness, changes in skin color or
temperature, and hair loss.
, 5. Which of the following is a significant risk factor for Peripheral Arterial Disease (PAD)?
A. Low cholesterol levels
B. Tobacco use
C. Regular exercise
D. Healthy diet
CORRECT ANSWER B — Tobacco use
RATIONALE Tobacco use is a significant risk factor for PAD. Other significant risk factors
include atherosclerosis, diabetes mellitus, uncontrolled hypertension,
hyperlipidemia, and elevated high-sensitivity C-reactive protein levels.
6. What is acute arterial ischemia?
A. A gradual narrowing of the arteries over time
B. A sudden interruption in the arterial blood supply to a tissue, organ, or extremity
C. A chronic condition affecting venous return
D. An inflammation of the small and medium arteries
CORRECT ANSWER B — A sudden interruption in the arterial blood supply to a tissue, organ, or
extremity
RATIONALE Acute arterial ischemia is a sudden interruption in the arterial blood supply to a
tissue, organ, or extremity, leading to tissue death if untreated. The most frequent
cause is embolization of a thrombus from the heart.
