Questions with Accurate Solutions
2026 Edition.
The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was
diagnosed with type 2 diabetes several years prior. Which of the following teaching points
regarding the prevention of peripheral artery disease (PAD) is most accurate?
a) "If you develop swelling in your ankles or feet, then you should seek emergency care."
b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of
PAD."
c) "Quitting smoking and keeping good control of your blood sugar levels are important."
d) "It's critical that you come to get screening tests twice annually." - Answer C
The nurse is planning care for a patient recovering from orthopedic surgery. Interventions
should be included to address which contributing factor to deep vein thrombosis development?
a) Immobility
b) Hypertension
c) Smoking
d) Obesity - Answer A
During the assessment, the nurse identifies warm thick skin that is reddish-blue. The nurse also
notes a painful ulcer at the ankle. The nurse suspects the client may have what?
a) Hypertrophic changes
b) Venous insufficiency
c) Intermittent claudication
d) Arterial insufficiency - Answer B
A client at risk for peripheral arterial disease should be screened by which of the following
tests?
a) Ankle-brachial index
b) Bilateral vascular claudication assessment
c) Doppler testing of femoral arteries
,d) Angiogram of femoral and popliteal arteries - Answer A
A client asks the nurse about the function that the lymph system plays in the body. Which of the
following would be most appropriate for the nurse to include when responding to the client?
a) It manufactures T lymphocytes.
b) It drains capillary blood from the circulation.
c) It filters harmful substances from the body.
d) It produces protective antibodies. - Answer C
The nurse is providing care for a 61-year-old female smoker who is 30 kg overweight and was
diagnosed with type 2 diabetes several years prior. Which of the following teaching points
regarding the prevention of peripheral artery disease (PAD) is most accurate?
a) "If you develop swelling in your ankles or feet, then you should seek emergency care."
b) "I'll show you how to check your pulses at your groin, knees and feet to monitor your risk of
PAD."
c) "Quitting smoking and keeping good control of your blood sugar levels are important."
d) "It's critical that you come to get screening tests twice annually." - Answer C
Assessment of a client's lower extremities reveals unilateral edema of the right foot and ankle.
Which of the following would be most appropriate for the nurse to do next?
a) Perform the Allen test.
b) Compare measurements of both extremities.
c) Palpate the femoral pulses.
d) Check for bilateral varicosities. - Answer C
A client presents with lymphedema in one arm, with nonpitting edema. Which of the following
should the nurse assess for, based on this finding?
a) History of Raynaud's disorder
b) History of breast surgery
c) Presence of deep vein thrombosis
d) Presence of peripheral artery disease - Answer B
Choice Multiple question - Select all answer choices that apply.
, A nurse is interviewing a client who complains of dyspnea. Which of the following findings
would tend to indicate an underlying cardiovascular problem in the client? Select all that apply.
a) Snoring and gasping while sleeping
b) Coughing occurring at night
c) Coughing that produces white sputum
d) Orthopnea
e) Edema
f) Angina - Answer DEF
A client has sustained a brain stem injury and is being treated in the intensive care unit. Which
of the following would the nurse need to consider when assessing this client's respiratory
status?
a) The client will respond negatively to increased stimuli.
b) The client will exhibit Cheyne-Stokes respirations.
c) The client will have greatly increased respiratory effort.
d) The client will have a loss of involuntary respiratory control. - Answer D
A client who just underwent hip replacement surgery reports pain at a 10 on a scale of 0 to 10
and receives 4 mg of morphine. A nurse on the orthopedic unit enters the client's room and
finds that the client has a respiratory rate of 7 breaths/min. The client is groggy and hard to
arouse. What could be contributing to the client's findings?
a) Opiates, which may cause hyperventilation
b) Anesthesia, from surgery that morning
c) Opiates, which may cause hypoventilation
d) Nothing, this is normal following surgery - Answer C
The nurse is preparing to percuss a patient's anterior chest area. Which approach will the nurse
use for this assessment?
a) Begin above the left clavicle and percuss all areas on the left chest, then reverse the process
and assess the right chest moving upward from the liver.
b) Begin at the sternal notch and percuss all areas on the right chest then all areas on the left
chest.
c) Begin above the right clavicle and percuss each section comparing the right chest with the
left chest.