NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
A client living with peripheral arterial disease (PAD) in the lower extremities asks the nurse what
causes their pain at rest. What is the best response provided by the nurse?
"Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
"The cause is a vasospasm of small cutaneous arteries in the feet."
"An increase in retrograde venous blood flow in the legs puts pressure on the arteries."
"Your muscles do not get enough arterial blood when you exercise. When you rest, the blood
flow increases, causing the pain you feel."
"Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
The nurse caring for a client hospitalized with infective endocarditis is told by an unlicensed
assistive personnel (UAP) that the client is reporting sudden left leg pain with pallor, paresthesia,
and a loss of peripheral pulses. What action should the nurse take first?
Start anticoagulant therapy with IV heparin.
Elevate the leg to promote venous return.
Notify the client’s healthcare provider of the change in peripheral perfusion.
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
Complete a focused neurovascular assessment.
Complete a focused neurovascular assessment.
Which observed assessment finding of the lower extremities may result from a peripheral
vascular disorder?
The skin is red in color, with peeling skin and sores.
The nurse is assessing an adult client who is 5' 5" (165.1 cm), weighs 209 lb (95 kg), and has a
history of tobacco use, hypertension, high sodium intake, a sedentary lifestyle, and a family
history of cardiovascular disease (CVD). When planning care, the nurse determines that the
client should prioritize modifying which two risk factors for peripheral artery disease?
Sodium intake
Family history of CVD
Sedentary lifestyle
Weight
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
Tobacco use
Weight
Tobacco use
Which clinical manifestations do clients with Buerger's disease and those with Raynaud's
phenomenon have in common? Select all that apply.
Intermittent fevers
Sensitivity to cold temperatures
Gangrenous ulcers on fingertips
Color changes of fingers and toes
Episodes of superficial vein thrombosis
Sensitivity to cold temperatures
Gangrenous ulcers on fingertips
Color changes of fingers and toes
Which client is at the highest risk of developing deep vein thrombosis (DVT)?
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids during 12
hours of labor
A 72-year-old man at home who walks hourly while recovering from prostate surgery
A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
A 62-year-old man with spider veins who is having arthroscopic knee surgery
A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
he nurse ascultates a heart murmur that was not previously documented. What additional
questions will the nurse ask the client related to the murmur? Select all that apply.
"When was your last chest x-ray?"
"How long has your foot been cool to the touch?"
"Have you ever been told you have a heart murmur?"
"Do you have a history of cardiac valve disease?"
"Have you ever had an electrocardiogram?"
"Have you ever been told you have a heart murmur?"
"Do you have a history of cardiac valve disease?"
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
A client living with peripheral arterial disease (PAD) in the lower extremities asks the nurse what
causes their pain at rest. What is the best response provided by the nurse?
"Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
"The cause is a vasospasm of small cutaneous arteries in the feet."
"An increase in retrograde venous blood flow in the legs puts pressure on the arteries."
"Your muscles do not get enough arterial blood when you exercise. When you rest, the blood
flow increases, causing the pain you feel."
"Disease in the arteries causes decreased arterial blood flow to the nerves in your legs."
The nurse caring for a client hospitalized with infective endocarditis is told by an unlicensed
assistive personnel (UAP) that the client is reporting sudden left leg pain with pallor, paresthesia,
and a loss of peripheral pulses. What action should the nurse take first?
Start anticoagulant therapy with IV heparin.
Elevate the leg to promote venous return.
Notify the client’s healthcare provider of the change in peripheral perfusion.
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
Complete a focused neurovascular assessment.
Complete a focused neurovascular assessment.
Which observed assessment finding of the lower extremities may result from a peripheral
vascular disorder?
The skin is red in color, with peeling skin and sores.
The nurse is assessing an adult client who is 5' 5" (165.1 cm), weighs 209 lb (95 kg), and has a
history of tobacco use, hypertension, high sodium intake, a sedentary lifestyle, and a family
history of cardiovascular disease (CVD). When planning care, the nurse determines that the
client should prioritize modifying which two risk factors for peripheral artery disease?
Sodium intake
Family history of CVD
Sedentary lifestyle
Weight
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
Tobacco use
Weight
Tobacco use
Which clinical manifestations do clients with Buerger's disease and those with Raynaud's
phenomenon have in common? Select all that apply.
Intermittent fevers
Sensitivity to cold temperatures
Gangrenous ulcers on fingertips
Color changes of fingers and toes
Episodes of superficial vein thrombosis
Sensitivity to cold temperatures
Gangrenous ulcers on fingertips
Color changes of fingers and toes
Which client is at the highest risk of developing deep vein thrombosis (DVT)?
, NR304 / NR 304 Exam 1 Edapts Week 1-3
(New Update) Health
Assessment I | Questions and Answers | 100
out of 100 | Grade A - Chamberlain
A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids during 12
hours of labor
A 72-year-old man at home who walks hourly while recovering from prostate surgery
A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
A 62-year-old man with spider veins who is having arthroscopic knee surgery
A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
he nurse ascultates a heart murmur that was not previously documented. What additional
questions will the nurse ask the client related to the murmur? Select all that apply.
"When was your last chest x-ray?"
"How long has your foot been cool to the touch?"
"Have you ever been told you have a heart murmur?"
"Do you have a history of cardiac valve disease?"
"Have you ever had an electrocardiogram?"
"Have you ever been told you have a heart murmur?"
"Do you have a history of cardiac valve disease?"
