3/25/26, 3:58 PM
NR 304 Practice QUESTIONS WITH COMPLETE SOLUTIONS
2026/2027 LATEST UPDATE
1
A patient has unilateral leg swelling and cool skin of the left B is correct. The vascular system functions as an integrated network; arterial inflow and
leg. Which best describes the interdependence of vascular venous outflow (including venous valves and calf muscle pump) influence tissue
components that would be checked first? perfusion.
A) Arterial insufficiency solely explains cool skin;
venous valves do not affect arterial flow
B) Arterial inflow and venous outflow pressure gradients
together influence limb perfusion
C) Lymphatic drainage is unrelated to arterial or venous flow
D) Capillary refill time is independent of larger vessel patency
Health history for peripheral vascular system A patient reports A is correct. Intermittent claudication prompts evaluation for peripheral arterial disease
leg pain with walking that disappears with rest (intermittent
claudication). Which aspects of history are most relevant to
assess peripheral vascular risk?
A) Onset, duration, precipitating factors, smoking history, family
history of PAD
B) Only recent surgical history
C) Diet solely in terms of caffeine intake D) Sleep patterns
without activity data
1/22
,3/25/26, 3:58 PM
Examination techniques for peripheral vascular assessment B is correct. A proper sequence includes inspection, palpation (including pulses), edema,
Which sequence of examination is most appropriate for a capillary refill, skin/nail changes, and neurovascular symptoms.
complete peripheral vascular assessment?
A) History, inspection, palpation, auscultation, and percussion
B) History, inspection, palpation of pulses, edema assessment,
capillary refill, skin changes, and neurological symptoms
C) Inspection only, then imaging
D) Palpation of pulses only
Developmental, cultural, and nutritional considerations A A is correct. Growth, development, and nutrition affect vascular findings and
nurse is assessing a 6-month-old with suspected vascular interpretation in infants.
implications. Which consideration is most relevant?
A) Nutritional status and developmental milestones influence
vascular assessment via growth and activity patterns
B) Vascular assessment is identical across ages; culture is not
relevant
C) Only adults require vascular assessment
D) Development has no bearing on peripheral pulses
Documentation considerations for accuracy Which best B is correct. Standardized language, comprehensive details, and baseline comparisons
practice improves accuracy in vascular assessment improve accuracy and communication
documentation?
A) Document subjective feelings only
B) Use standardized terminology, include pulse amplitude,
symmetry, edema grade, and comparison to baseline
C) Record only abnormal findings
D) Delay documentation until follow-up visit
Specific examination techniques Which technique best B is correct. Capillary refill and pulse assessment, with ABI when available, are key
for assesses arterial insufficiency in the lower extremities? arterial insufficiency
A) Auscultation for bruits over the femoral artery
B) Capillary refill time, peripheral pulses, ankle-brachial
index (ABI) if available
C) Assess mucous membranes for color D) Percussion of the
tibia
2/22
, 3/25/26, 3:58 PM
Which finding most suggests lymphedema rather than venous B is correct. Nonpitting, hard edema with a positive stemmer sign indicates lymphedema
insufficiency?
A) Pitting edema that reduces with elevation
B) Nonpitting, hard, thickened edema with stemmer sign
positive
C) Edema that worsens at the end of the day but reduces with
rest
D) Dependent edema with normal skin texture
Nutritional considerations in vascular assessment Which A is correct. Adequate protein, hydration, and micronutrients support healing and vascular
dietary factor most influences wound healing and recovery health.
from vascular insufficiency?
A) Adequate protein, hydration, and micronutrients
B) High sugar intake only
C) Zero fat intake
D) Caffeine as primary fluid source
Examination techniques—capillary refill and color changes A B is correct. Delayed capillary refill suggests perfusion
issues patient has delayed capillary refill (>2 seconds). What is the
most appropriate initial interpretation?
A) Normal variant
B) Possible peripheral perfusion deficit or vasoconstriction;
correlate with other findings
C) Immediate diagnosis of arterial occlusion
D) Sign of venous insufficiency only
Cultural considerations in communication during vascular B is correct. Culturally sensitive interviewing improves accuracy and rapport
assessment When obtaining vascular history from a patient of a
different cultural background, what is crucial?
A) Use the same questions without modification
B) Employ culturally sensitive interviewing, allow time,
and consider alternative explanations for symptoms C)
Avoid discussing cultural factors
D) Assume language barriers are present and not proceed
3/22
NR 304 Practice QUESTIONS WITH COMPLETE SOLUTIONS
2026/2027 LATEST UPDATE
1
A patient has unilateral leg swelling and cool skin of the left B is correct. The vascular system functions as an integrated network; arterial inflow and
leg. Which best describes the interdependence of vascular venous outflow (including venous valves and calf muscle pump) influence tissue
components that would be checked first? perfusion.
A) Arterial insufficiency solely explains cool skin;
venous valves do not affect arterial flow
B) Arterial inflow and venous outflow pressure gradients
together influence limb perfusion
C) Lymphatic drainage is unrelated to arterial or venous flow
D) Capillary refill time is independent of larger vessel patency
Health history for peripheral vascular system A patient reports A is correct. Intermittent claudication prompts evaluation for peripheral arterial disease
leg pain with walking that disappears with rest (intermittent
claudication). Which aspects of history are most relevant to
assess peripheral vascular risk?
A) Onset, duration, precipitating factors, smoking history, family
history of PAD
B) Only recent surgical history
C) Diet solely in terms of caffeine intake D) Sleep patterns
without activity data
1/22
,3/25/26, 3:58 PM
Examination techniques for peripheral vascular assessment B is correct. A proper sequence includes inspection, palpation (including pulses), edema,
Which sequence of examination is most appropriate for a capillary refill, skin/nail changes, and neurovascular symptoms.
complete peripheral vascular assessment?
A) History, inspection, palpation, auscultation, and percussion
B) History, inspection, palpation of pulses, edema assessment,
capillary refill, skin changes, and neurological symptoms
C) Inspection only, then imaging
D) Palpation of pulses only
Developmental, cultural, and nutritional considerations A A is correct. Growth, development, and nutrition affect vascular findings and
nurse is assessing a 6-month-old with suspected vascular interpretation in infants.
implications. Which consideration is most relevant?
A) Nutritional status and developmental milestones influence
vascular assessment via growth and activity patterns
B) Vascular assessment is identical across ages; culture is not
relevant
C) Only adults require vascular assessment
D) Development has no bearing on peripheral pulses
Documentation considerations for accuracy Which best B is correct. Standardized language, comprehensive details, and baseline comparisons
practice improves accuracy in vascular assessment improve accuracy and communication
documentation?
A) Document subjective feelings only
B) Use standardized terminology, include pulse amplitude,
symmetry, edema grade, and comparison to baseline
C) Record only abnormal findings
D) Delay documentation until follow-up visit
Specific examination techniques Which technique best B is correct. Capillary refill and pulse assessment, with ABI when available, are key
for assesses arterial insufficiency in the lower extremities? arterial insufficiency
A) Auscultation for bruits over the femoral artery
B) Capillary refill time, peripheral pulses, ankle-brachial
index (ABI) if available
C) Assess mucous membranes for color D) Percussion of the
tibia
2/22
, 3/25/26, 3:58 PM
Which finding most suggests lymphedema rather than venous B is correct. Nonpitting, hard edema with a positive stemmer sign indicates lymphedema
insufficiency?
A) Pitting edema that reduces with elevation
B) Nonpitting, hard, thickened edema with stemmer sign
positive
C) Edema that worsens at the end of the day but reduces with
rest
D) Dependent edema with normal skin texture
Nutritional considerations in vascular assessment Which A is correct. Adequate protein, hydration, and micronutrients support healing and vascular
dietary factor most influences wound healing and recovery health.
from vascular insufficiency?
A) Adequate protein, hydration, and micronutrients
B) High sugar intake only
C) Zero fat intake
D) Caffeine as primary fluid source
Examination techniques—capillary refill and color changes A B is correct. Delayed capillary refill suggests perfusion
issues patient has delayed capillary refill (>2 seconds). What is the
most appropriate initial interpretation?
A) Normal variant
B) Possible peripheral perfusion deficit or vasoconstriction;
correlate with other findings
C) Immediate diagnosis of arterial occlusion
D) Sign of venous insufficiency only
Cultural considerations in communication during vascular B is correct. Culturally sensitive interviewing improves accuracy and rapport
assessment When obtaining vascular history from a patient of a
different cultural background, what is crucial?
A) Use the same questions without modification
B) Employ culturally sensitive interviewing, allow time,
and consider alternative explanations for symptoms C)
Avoid discussing cultural factors
D) Assume language barriers are present and not proceed
3/22
