NR 304 Health Assessment Final
Exam 2025/ 2026 Correctly Answered
Questions Real Exam A+ Graded
Chamberlain
arteries
active blood flow
veins
passive blood flow - do not have a pulse, returns to the heart via movement through
the skeletal muscles
femoral pulse site
groin
popliteal pulse site
back of knee
radial pulse site
Located at the wrist on the thumb side
dorsalis pedis pulse site
top of foot
posterior tibial pulse site
on medial surface of ankle near ankle bone
ischemia
Lack of blood supply, causes pain
necrosis
axillary lymph nodes
located under the arms in the armpits
,cervical lymph nodes
located along the sides of the neck
Epitrochlear lymph nodes
Epitrochlear lymph nodes- drains from the hand and forearm
inguinal lymph nodes
located in the inguinal (groin) area of the lower abdomen
Children and Lymph Nodes
nodes can be enlarged with no pain/infection
Pregnancy and PV
dependent edema, varicose veins
peripheral artery disease
A form of peripheral vascular disease in which there is partial or total blockage of an
artery, usually one leading to a leg or arm. 50% of cases are African Americans. RF:
smoking, HTN, diabetes
intermittent claudication
when walking, muscle needs more O2 blood, and you have any kind of occlusion,
when walking pain is increased
Pulse Scale
0: absent
1+: weak
2+: normal
3+: increased, full, bounding
Allen test
determining the patency of the radial and ulnar arteries by compressing one artery
site and observing return of skin color as evidence of patency of the other artery,
determine if radial artery has been damaged, press radial artery then see if ulnar
artery perfuses to hand
venous ulcers
bleed, medial malleolus
,arterial (ischemic) ulcers
does not bleed, has a necrotic black crust, lateral malleolus
neuropathic ulcer
destroys nerve endings, burning pain/numbness
Edema Scale
• 1+ Mild pitting, slight indentation, no perceptible swelling of the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
Doppler ultrasound
determine location of pulse
Raynaud's disease
autoimmune, sporadic vasoconstriction then relaxation, happens in hands/toes
usually
Lymphadema
enlarged lymph nodes, hard edema
Varicose veins
abnormally swollen, twisted veins with defective valves; most often seen in the legs
DVT
inflammatory process, swelling, redness, heat, pain, happens from venastasis, pooling
of blood in calf
-tachycardia, low grade temp
-women on birth control who smoke are at a higher risk, and also those who are
dehydrated since blood is more viscous
-Do not perform homan's sign test (flexing foot back)
anneurysm
can be born with or develop, serious with abdominal aorta/coronary arteries/brain
Decreased Arterial Flow
doesn't work well around gravity, blue then pallor
, Decreased Venous Flow
brown, using muscles improves
What happens when valves of the veins do not work right
edema/varicose veins
arterial insufficiency
not getting enough arterial blood flow = ischemic pain, usually happens on one leg,
leg appears shiny, hairless, red/blue then pallor, limb gets cool, pain gets better when
resting since the limb doesn't need as much O2 blood flow (intermittent claudication),
gravity works for it when legs are down, causes impotence in males, can affect
nails/toes
venous insufficiency
constant, achy, fullness, pain. Pain gets better by moving. When you stand/sit pain
gets worse. Gravity works against when legs are down. Usually happens on both legs,
skin turns red/brown, starts below the knee to the ankle, skin is scaly, can get slits in
skin (weeping edema), there is no cure, no change in skin temp.
pulse
rhythm, rate, symmetry, amplitude/strength
arterial occlusion
-extreme coolness
-pain
-loss of sensation
-hair loss and skin changes
-pallor
-pulselessness
arterial insufficiency
-intermittent claudation (pain brought on by exercise and relieved with rest)
-hair loss on toes and shiny skin
-impotence
-pain (gnawing, sharp or stabbing and increases with exercise, relieved with rest)
-decreased pulses
-rusty discoloration due to blood leaking out of vessel and difficulty being reabsorbed
-skin ulcers on pressure points, toes, and lateral malleoli
-necrosis
-bluish/red feet with dependence and pallor with elevation
-sensory and motor loss
-thickened, yellow toenails
-cool skin
Exam 2025/ 2026 Correctly Answered
Questions Real Exam A+ Graded
Chamberlain
arteries
active blood flow
veins
passive blood flow - do not have a pulse, returns to the heart via movement through
the skeletal muscles
femoral pulse site
groin
popliteal pulse site
back of knee
radial pulse site
Located at the wrist on the thumb side
dorsalis pedis pulse site
top of foot
posterior tibial pulse site
on medial surface of ankle near ankle bone
ischemia
Lack of blood supply, causes pain
necrosis
axillary lymph nodes
located under the arms in the armpits
,cervical lymph nodes
located along the sides of the neck
Epitrochlear lymph nodes
Epitrochlear lymph nodes- drains from the hand and forearm
inguinal lymph nodes
located in the inguinal (groin) area of the lower abdomen
Children and Lymph Nodes
nodes can be enlarged with no pain/infection
Pregnancy and PV
dependent edema, varicose veins
peripheral artery disease
A form of peripheral vascular disease in which there is partial or total blockage of an
artery, usually one leading to a leg or arm. 50% of cases are African Americans. RF:
smoking, HTN, diabetes
intermittent claudication
when walking, muscle needs more O2 blood, and you have any kind of occlusion,
when walking pain is increased
Pulse Scale
0: absent
1+: weak
2+: normal
3+: increased, full, bounding
Allen test
determining the patency of the radial and ulnar arteries by compressing one artery
site and observing return of skin color as evidence of patency of the other artery,
determine if radial artery has been damaged, press radial artery then see if ulnar
artery perfuses to hand
venous ulcers
bleed, medial malleolus
,arterial (ischemic) ulcers
does not bleed, has a necrotic black crust, lateral malleolus
neuropathic ulcer
destroys nerve endings, burning pain/numbness
Edema Scale
• 1+ Mild pitting, slight indentation, no perceptible swelling of the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
Doppler ultrasound
determine location of pulse
Raynaud's disease
autoimmune, sporadic vasoconstriction then relaxation, happens in hands/toes
usually
Lymphadema
enlarged lymph nodes, hard edema
Varicose veins
abnormally swollen, twisted veins with defective valves; most often seen in the legs
DVT
inflammatory process, swelling, redness, heat, pain, happens from venastasis, pooling
of blood in calf
-tachycardia, low grade temp
-women on birth control who smoke are at a higher risk, and also those who are
dehydrated since blood is more viscous
-Do not perform homan's sign test (flexing foot back)
anneurysm
can be born with or develop, serious with abdominal aorta/coronary arteries/brain
Decreased Arterial Flow
doesn't work well around gravity, blue then pallor
, Decreased Venous Flow
brown, using muscles improves
What happens when valves of the veins do not work right
edema/varicose veins
arterial insufficiency
not getting enough arterial blood flow = ischemic pain, usually happens on one leg,
leg appears shiny, hairless, red/blue then pallor, limb gets cool, pain gets better when
resting since the limb doesn't need as much O2 blood flow (intermittent claudication),
gravity works for it when legs are down, causes impotence in males, can affect
nails/toes
venous insufficiency
constant, achy, fullness, pain. Pain gets better by moving. When you stand/sit pain
gets worse. Gravity works against when legs are down. Usually happens on both legs,
skin turns red/brown, starts below the knee to the ankle, skin is scaly, can get slits in
skin (weeping edema), there is no cure, no change in skin temp.
pulse
rhythm, rate, symmetry, amplitude/strength
arterial occlusion
-extreme coolness
-pain
-loss of sensation
-hair loss and skin changes
-pallor
-pulselessness
arterial insufficiency
-intermittent claudation (pain brought on by exercise and relieved with rest)
-hair loss on toes and shiny skin
-impotence
-pain (gnawing, sharp or stabbing and increases with exercise, relieved with rest)
-decreased pulses
-rusty discoloration due to blood leaking out of vessel and difficulty being reabsorbed
-skin ulcers on pressure points, toes, and lateral malleoli
-necrosis
-bluish/red feet with dependence and pallor with elevation
-sensory and motor loss
-thickened, yellow toenails
-cool skin
