1. Which data, if assessed on a client, would 1, 4, & 5
be the most indicative of peripheral arterial
disease? Select all that apply.
1. absence of hair on the big toe bilaterally
2. bilateral brown pigmentation around the
ankles
3. pain that decreased with elevation of lower
extremities
4. weak dorsalis pedal pulses bilaterally
5. lower extremities cool bilaterally
2. Which, data is assessed on a client, would 2 & 3
be the most indicative of peripheral venous
disease? Select all that apply.
1. absence of hair on the big toe bilaterally
2. bilateral brown pigmentation around the
ankles
3. pain that decreased with elevation of lower
extremities
4. weak dorsalis pedal pulses bilaterally
5. lower extremities cool bilaterally
3. Which anatomical position would be most 4
accurate for the nurse to use when assess-
ing the dorsalis pedis pulse?
1. behind the knee
2. over the lateral malleolus
3. in the groove behind the medial malleolus
4. lateral to the extensor tendon of the great
toe
4. A client reports the new onset of pain in 1
the left calf after climbing approximately 10
stairs that is relieved after sitting for 2 min-
utes. What is the best term for the RN to
document his finding as?
1. intermittent claudication
2. DVT
, NUR 215 Exam 2
3. Raynaud's pnenomenon
4. Lymphedema
5. Which principle(s) are most important to in- 1, 2, & 5
corporate when completing a peripheral vas-
cular assessment of the upper and lower
extremities? Select all that apply.
1. look for symmetry bilaterally
2. palpate and grade pulses
3. omit palpation of the lymph nodes
4. utilize Homan's sign to rule out DVT
5. Assess for sensory and motor function
6. Where are bronchial sounds heard when neck
auscultating the lungs?
7. The nurse is assessing a 69-year-old client's health risks of second hand
risks for lung disease. The client states, "It smoke
shouldn't be a problem for me. My spouse
smokes quite heavily but I've been a lifelong
nonsmoker." the nurse should recognize the
need to teach the client about what topic?
8. The nurse is preparing to perform a fo- right lung has 3 lobes
cused respiratory assessment on a client. left lung has 2 lobes
The nurse should be cognizant of what
anatomical characteristic of the lungs?
9. Which action by a nurse demonstrates the listen at each site for at least
proper sequence for auscultation of the one complete respiratory cy-
lungs? cle
10. What characteristic nail color should the cyanotic
nurse recognize as an indication of hypoxia?
11. What are the signs of hypoxia? Select all that 1, 2, 3, & 4
apply.
1. Respiratory rate > 30
2. Cyanosis
3. Retractions
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