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NR 304 Exam 1 Questions with Complete Solutions 2026/2027 Latest Update – Medical-Surgical Nursing Exam Preparation Resource

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This document contains NR 304 Exam 1 questions with complete solutions updated for the 2026/2027 academic year. It covers essential adult health and medical-surgical nursing concepts including patient assessment, infection control, pharmacology fundamentals, oxygenation, fluid and electrolyte balance, pain management, safety measures, and nursing interventions frequently tested in Exam 1. The material is designed to assist nursing students in preparing for exams, quizzes, and NCLEX-style assessments through realistic practice questions and detailed solution explanations. It serves as a comprehensive study and revision guide for strengthening clinical judgment and foundational nursing knowledge.

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NR 304 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
2026/2027 LATEST UPDATE

How do walls of arteries differ from those of veins? Arterial walls are thicker and contain more elastic fibers to withstand high-pressure surges


What is the primary function of the peripheral pulses? They represent the pressure wave created by each heartbeat that is palpable at body
sites where an artery lies close to the skin and over a bone.




What condition is define as a deficiency of oxygenated arterial Ischemia
blood to a body part caused by an obstruction?


Why are veins referred to as 'capacitance vessels'? They have a large diameter and the ability to stretch, allowing them to hold a significant
volume of blood


Which 3 mechanisms facilitate venous return to the heart? - Contracting skeletal muscles
- Pressure gradient from breathing
- Intraluminal valves




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What are the 3 primary risk factors for venous stasis? - Prolonged standing or sitting
- Obesity
- Pregnancy


What is the primary role of the lymphatic system regarding It retrieves excess fluid and plasma proteins from the interstia; spaces and returns them to
fluid balance? the bloodstream


What are the small, oval clumps of lymphatic tissue that filter Lymph nodes
fluid and house lymphocytes?


Which lymphatic organ is responsible for destroying old red Spleen
blood cells and producing antibodies?


Arteriosclerosis The thickening and loss of elasticity of the arterial walls


Atherosclerosis The formation of fatty plaques within the inner later of the arteries


In the grading scale for the force of an arterial pulse, what Weak, thready
does a score of 1+ indicate?




In the grading scale for the force of an arterial pulse, what Full, bounding
does a score of 3+ indicate?


Which specific pulse site is located just lateral to and parallel Dorsalis pedis
with the extensor tendon of the big toe?


Where is the posterior tibial pulse palpated? In the groove between the medial malleolus and the achilles tendon


What best determines the patency of the radial and ulnar Allen's
test arteries?


The number of blocks or stairs climbed that produced leg pain Claudication distance
is called the?



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Which peripheral vascular condition is characterized by thin, Chronic arterial insufficiency
shiny skin and a loss of hair on the lower legs?


Peripheral vascular assessment: Inspect of extremities - Inspect skin color, size and symmetry of extremities, and hair growth and distribution of
arms and legs
- Extremities should be equal in size and symmetrical in shape
- Skin should be intact
- Hair should be present and distributed evenly
- Edema should not present


Peripheral vascular assessment: Palpation of pulses and lymph - Palpate pulses, lymph nodes, skin temperature, and check for edema
nodes - Pulses in both extremities should be present and equal bilaterally
- Check brachial and radial pulses in the arms
- Check femoral, popliteal, posterior tibial, and dorsalis pedis pulses in the legs
- The skin should be warm with no edema, wounds, or bruising


Patho of peripheral arterial disease (PAD) - Atherosclerosis closely linked to the development of PAD
- Plaque build-up decreases the size of the interior lumen of the artery
- A thrombus (clot) can lodge in the narrowed artery, blocking blood flow to distal cells
- Blocked arterial blood flow prevents oxygen and nutrients from reaching distal cells,
tissues, and organs, leading to lasting damage


Clinical Manifestations of peripheral arterial disease (PAD) - 50% of people with PAD do not have symptoms
- Intermittent claudication: Cramping in one or both lower legs during activity, not at rest
- Critical limb-threatening ischemia: Severe form of PAD with visible limb damage due to
low blood supply
- Weak pulses
- Legs may feel numb, weak, or heavy
- Pain in specific areas at certain times (at night)
- Changes in skin color or temperature
- Hair loss
- Wounds that do not heal
- Dead tissue (gangrene)




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