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Jarvis Chapter 21 Peripheral Vascular System and Lymphatic System Questions and Answers | 75 Nursing Practice Questions on Peripheral Arterial Disease, Pulses, Edema, Venous Disorders & Lymphatic Assessment | NURS 202 | Chamberlain University

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This comprehensive Jarvis Chapter 21 Peripheral Vascular System and Lymphatic System study guide contains approximately 75 detailed nursing practice questions with accurate answers focused on peripheral vascular assessment, arterial and venous circulation, lymphatic system disorders, pulse assessment, edema evaluation, and evidence-based cardiovascular nursing care. The document thoroughly reviews major concepts related to arterial blood flow, venous return, collateral circulation, pulse grading, capillary refill, ankle-brachial index (ABI), lymphatic drainage, lymph node assessment, peripheral arterial disease, venous insufficiency, and vascular aging changes. These NCLEX-style nursing questions are designed to strengthen clinical reasoning, improve assessment accuracy, and reinforce critical nursing concepts commonly tested in health assessment, adult health nursing, and medical-surgical nursing courses. The study guide provides extensive review of peripheral vascular disorders and diagnostic assessment findings associated with common cardiovascular and lymphatic conditions. Major topics include claudication, arterial insufficiency, venous stasis, Raynaud disease, lymphedema, deep-vein thrombosis (DVT), thrombophlebitis, aneurysms, arteriosclerosis, atherosclerosis, pulsus paradoxus, pulsus alternans, pulsus bigeminus, water-hammer pulse, bounding pulse assessment, and venous blood flow mechanisms. Students will also review proper techniques for palpating peripheral pulses including brachial, femoral, dorsalis pedis, popliteal, and ulnar arteries, as well as methods for assessing bruits, edema grading, profile sign for clubbing, Doppler ultrasonic assessment, modified Allen test interpretation, and capillary refill evaluation. Additionally, the document emphasizes comprehensive lymphatic system assessment including lymph node drainage patterns, epitrochlear node assessment, cervical and inguinal node evaluation, axillary node drainage, thymus gland function, and age-related lymphatic changes. The guide also explores evidence-based nursing interpretation of abnormal vascular findings such as cool pale extremities, delayed venous filling, ischemic ulcers, brown lower-leg discoloration, nonpitting edema, and varicose veins. Questions reinforce understanding of pathophysiology and patient safety considerations related to cardiovascular compromise, vascular obstruction, circulatory insufficiency, and postoperative vascular complications. This resource is highly beneficial for Bachelor of Science in Nursing (BSN), Associate Degree Nursing (ADN), Licensed Practical Nursing (LPN), Nurse Practitioner (NP), and pre-licensure nursing students preparing for Health Assessment examinations, ATI assessments, HESI exams, NCLEX-style testing, simulation labs, and cardiovascular clinical competency evaluations. It is especially useful for students enrolled in advanced health assessment, cardiovascular nursing, adult health nursing, pathophysiology, and medical-surgical nursing courses who require focused review material to improve examination performance and bedside vascular assessment confidence. The concepts presented in this document are supported by evidence-based nursing assessment standards and authoritative healthcare literature, including Jarvis’s Physical Examination and Health Assessment (9th Edition), Bates’ Guide to Physical Examination and History Taking, Lewis’s Medical-Surgical Nursing, Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, and clinical recommendations published by the American Heart Association (AHA), American Nurses Association (ANA), Society for Vascular Nursing (SVN), and National Council of State Boards of Nursing (NCSBN). Keywords jarvis chapter 21, peripheral vascular system, lymphatic system, peripheral vascular assessment, vascular nursing questions, NURS 202, peripheral arterial disease, arterial insufficiency, venous insufficiency, claudication, Raynaud disease, lymphedema, deep vein thrombosis, thrombophlebitis, pulse assessment, dorsalis pedis pulse, femoral pulse, brachial artery, ulnar pulse, popliteal pulse, ankle brachial index, ABI nursing, capillary refill assessment, pulse grading, pulsus paradoxus, pulsus alternans, pulsus bigeminus, water hammer pulse, bounding pulse, edema assessment, nonpitting edema, pitting edema, venous stasis, ischemic ulcers, varicose veins, arterial ulcers, Doppler assessment, modified Allen test, bruit assessment, collateral circulation, lymph node assessment, cervical lymph nodes, inguinal lymph nodes, axillary lymph nodes, thymus gland, lymphatic drainage, vascular pathophysiology, cardiovascular nursing, advanced health assessment, adult health nursing, ATI nursing review, HESI nursing exam, NCLEX cardiovascular questions, nursing study guide, clinical nursing skills, bedside vascular assessment, evidence based nursing, nursing exam questions

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Jarvis Chapter 21 Peripheral
Vascular System and
Lymphatic System

Which of these statements is true regarding the arterial system?

a.

Arteries are large-diameter vessels.

b.

The arterial system is a high-pressure system.

c.

The walls of arteries are thinner than those of the veins.

d.

Arteries can greatly expand to accommodate a large blood volume

increase. - ANSWER ✔✔B

,The nurse is reviewing the blood supply to the arm. The major artery

supplying the arm is the _____ artery.

a.

Ulnar

b.

Radial

c.

Brachial

d.


Deep palmar - ANSWER ✔✔C


The nurse is preparing to assess the dorsalis pedis artery. Where is the

correct location for palpation?

a.

Behind the knee

b.

Over the lateral malleolus

c.

In the groove behind the medial malleolus

,d.


Lateral to the extensor tendon of the great toe - ANSWER ✔✔D


A 65-year-old patient is experiencing pain in his left calf when he

exercises that disappears after resting for a few minutes. The nurse

recognizes that this description is most consistent with _________ the

left leg.

a.

Venous obstruction of

b.

Claudication due to venous abnormalities in

c.

Ischemia caused by a partial blockage of an artery supplying

d.

Ischemia caused by the complete blockage of an artery supplying -

ANSWER ✔✔C


The nurse is reviewing venous blood flow patterns. Which of these

statements best describes the mechanism(s) by which venous blood

returns to the heart?



COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3

, a.

Intraluminal valves ensure unidirectional flow toward the heart.

b.

Contracting skeletal muscles milk blood distally toward the veins.

c.

High-pressure system of the heart helps facilitate venous return.

d.

Increased thoracic pressure and decreased abdominal pressure

facilitate venous return to the heart. - ANSWER ✔✔A


Which of these veins are responsible for most of the venous return in the

arm?

a.

Deep

b.

Ulnar

c.

Subclavian

d.

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