Page 1 of 22
05 June 2026
NR304- Exam 1 Edapts Week 1-3 82
QUESTIONS AND CORRECT ANSWERS
2026/2027 LATEST TEST EXAM A+GRADE
ASSURED,
1. A client living with peripheral arterial disease (PAD) in the lower extremities asks the nurse what
causes their pain at rest. What is the best response provided by the nurse?
A. “Disease in the arteries causes decreased arterial blood flow to the nerves in your legs.”
B. “The cause is a vasospasm of small cutaneous arteries in the feet.”
C. “An increase in retrograde venous blood flow in the legs puts pressure on the arteries.”
D. “Your muscles do not get enough arterial blood when you exercise. When you rest, the blood flow
increases, causing the pain you feel.”
Correct Answer: A. “Disease in the arteries causes decreased arterial blood flow to the nerves in your
legs.”
Rationale: Rest pain in PAD occurs because severe arterial insufficiency decreases oxygenated blood
flow to tissues and nerves, causing ischemic pain even at rest.
2. The nurse caring for a client hospitalized with infective endocarditis is told by an unlicensed
assistive personnel (UAP) that the client is reporting sudden left leg pain with pallor, paresthesia,
and a loss of peripheral pulses. What action should the nurse take first?
A. Start anticoagulant therapy with IV heparin.
B. Elevate the leg to promote venous return.
C. Notify the client’s healthcare provider of the change in peripheral perfusion.
D. Complete a focused neurovascular assessment.
Correct Answer: D. Complete a focused neurovascular assessment.
Rationale: The nurse should assess first to validate findings and determine severity before notifying
the provider or implementing interventions.
3. Which observed assessment finding of the lower extremities may result from a peripheral
vascular disorder?
A. Skin pale and dry without lesions
B. The skin is red in color, with peeling skin and sores.
C. Symmetrical muscle tone bilaterally
D. Warm skin without edema
Correct Answer: B. The skin is red in color, with peeling skin and sores.
Rationale: Peripheral vascular disorders can cause skin discoloration, ulceration, and trophic skin
changes due to impaired circulation.
, Page 2 of 22
05 June 2026
4. The nurse is assessing an adult client who is 5'5" (165.1 cm), weighs 209 lb (95 kg), and has a
history of tobacco use, hypertension, high sodium intake, a sedentary lifestyle, and a family
history of cardiovascular disease (CVD). Which two risk factors should be prioritized for
modification? Select all that apply.
A. Sodium intake
B. Family history of CVD
C. Sedentary lifestyle
D. Weight
E. Tobacco use
Correct Answers: D. Weight; E. Tobacco use
Rationale: Obesity and smoking are major modifiable risk factors strongly associated with peripheral
artery disease progression.
5. Which clinical manifestations do clients with Buerger's disease and those with Raynaud's
phenomenon have in common? Select all that apply.
A. Intermittent fevers
B. Sensitivity to cold temperatures
C. Gangrenous ulcers on fingertips
D. Color changes of fingers and toes
E. Episodes of superficial vein thrombosis
Correct Answers: B. Sensitivity to cold temperatures; C. Gangrenous ulcers on fingertips; D. Color
changes of fingers and toes
Rationale: Both conditions involve vascular insufficiency causing cold sensitivity, color changes, and
possible ischemic ulcerations.
6. Which client is at the highest risk of developing deep vein thrombosis (DVT)?
A. A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids during labor
B. A 72-year-old man at home who walks hourly while recovering from prostate surgery
C. A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
D. A 62-year-old man with spider veins who is having arthroscopic knee surgery
Correct Answer: C. A 38-year-old woman who smokes, takes oral contraceptives, and is flying across
the Atlantic Ocean soon
Rationale: Smoking, oral contraceptives, and prolonged immobility during travel significantly
increase DVT risk.
7. The nurse auscultates a heart murmur that was not previously documented. What additional
questions should the nurse ask? Select all that apply.
, Page 3 of 22
05 June 2026
A. “When was your last chest x-ray?”
B. “How long has your foot been cool to the touch?”
C. “Have you ever been told you have a heart murmur?”
D. “Do you have a history of cardiac valve disease?”
E. “Have you ever had an electrocardiogram?”
Correct Answers: C. “Have you ever been told you have a heart murmur?”; D. “Do you have a history
of cardiac valve disease?”
Rationale: A new murmur may indicate valvular disease or a previously diagnosed cardiac
abnormality.
8. The oncoming caregiver is entering the room for the first time. What is the current priority
assessment?
A. Peripheral circulation
B. Pain
C. Vital signs
D. Heart rate
Correct Answer: B. Pain
Rationale: Pain assessment is a priority because uncontrolled pain may indicate worsening ischemia
or another urgent complication.
9. The examiner’s assessment confirms that a client’s right foot is cool to the touch with absent
posterior tibial and dorsalis pedis pulses. What additional objective data related to circulation
should be collected? Select all that apply.
A. Swelling of feet and ankles
B. Location and timing of pain
C. Absence of hair on toes
D. Presence of ulcers
E. Type of shoes worn
Correct Answers: A. Swelling of feet and ankles; B. Location and timing of pain; C. Absence of hair on
toes; D. Presence of ulcers
Rationale: These findings help evaluate the severity of arterial insufficiency and tissue perfusion.
10. Based on subjective and objective assessment data, the nurse hypothesizes that changes in the
right foot are due to which alteration in health?
A. Peripheral venous disease B.
Diabetic neuropathy
C. Peripheral arterial disease
D. Normal variation for age
Correct Answer: C. Peripheral arterial disease
05 June 2026
NR304- Exam 1 Edapts Week 1-3 82
QUESTIONS AND CORRECT ANSWERS
2026/2027 LATEST TEST EXAM A+GRADE
ASSURED,
1. A client living with peripheral arterial disease (PAD) in the lower extremities asks the nurse what
causes their pain at rest. What is the best response provided by the nurse?
A. “Disease in the arteries causes decreased arterial blood flow to the nerves in your legs.”
B. “The cause is a vasospasm of small cutaneous arteries in the feet.”
C. “An increase in retrograde venous blood flow in the legs puts pressure on the arteries.”
D. “Your muscles do not get enough arterial blood when you exercise. When you rest, the blood flow
increases, causing the pain you feel.”
Correct Answer: A. “Disease in the arteries causes decreased arterial blood flow to the nerves in your
legs.”
Rationale: Rest pain in PAD occurs because severe arterial insufficiency decreases oxygenated blood
flow to tissues and nerves, causing ischemic pain even at rest.
2. The nurse caring for a client hospitalized with infective endocarditis is told by an unlicensed
assistive personnel (UAP) that the client is reporting sudden left leg pain with pallor, paresthesia,
and a loss of peripheral pulses. What action should the nurse take first?
A. Start anticoagulant therapy with IV heparin.
B. Elevate the leg to promote venous return.
C. Notify the client’s healthcare provider of the change in peripheral perfusion.
D. Complete a focused neurovascular assessment.
Correct Answer: D. Complete a focused neurovascular assessment.
Rationale: The nurse should assess first to validate findings and determine severity before notifying
the provider or implementing interventions.
3. Which observed assessment finding of the lower extremities may result from a peripheral
vascular disorder?
A. Skin pale and dry without lesions
B. The skin is red in color, with peeling skin and sores.
C. Symmetrical muscle tone bilaterally
D. Warm skin without edema
Correct Answer: B. The skin is red in color, with peeling skin and sores.
Rationale: Peripheral vascular disorders can cause skin discoloration, ulceration, and trophic skin
changes due to impaired circulation.
, Page 2 of 22
05 June 2026
4. The nurse is assessing an adult client who is 5'5" (165.1 cm), weighs 209 lb (95 kg), and has a
history of tobacco use, hypertension, high sodium intake, a sedentary lifestyle, and a family
history of cardiovascular disease (CVD). Which two risk factors should be prioritized for
modification? Select all that apply.
A. Sodium intake
B. Family history of CVD
C. Sedentary lifestyle
D. Weight
E. Tobacco use
Correct Answers: D. Weight; E. Tobacco use
Rationale: Obesity and smoking are major modifiable risk factors strongly associated with peripheral
artery disease progression.
5. Which clinical manifestations do clients with Buerger's disease and those with Raynaud's
phenomenon have in common? Select all that apply.
A. Intermittent fevers
B. Sensitivity to cold temperatures
C. Gangrenous ulcers on fingertips
D. Color changes of fingers and toes
E. Episodes of superficial vein thrombosis
Correct Answers: B. Sensitivity to cold temperatures; C. Gangrenous ulcers on fingertips; D. Color
changes of fingers and toes
Rationale: Both conditions involve vascular insufficiency causing cold sensitivity, color changes, and
possible ischemic ulcerations.
6. Which client is at the highest risk of developing deep vein thrombosis (DVT)?
A. A 26-year-old woman who is 3 days postpartum and received maintenance IV fluids during labor
B. A 72-year-old man at home who walks hourly while recovering from prostate surgery
C. A 38-year-old woman who smokes, takes oral contraceptives, and is flying across the Atlantic
Ocean soon
D. A 62-year-old man with spider veins who is having arthroscopic knee surgery
Correct Answer: C. A 38-year-old woman who smokes, takes oral contraceptives, and is flying across
the Atlantic Ocean soon
Rationale: Smoking, oral contraceptives, and prolonged immobility during travel significantly
increase DVT risk.
7. The nurse auscultates a heart murmur that was not previously documented. What additional
questions should the nurse ask? Select all that apply.
, Page 3 of 22
05 June 2026
A. “When was your last chest x-ray?”
B. “How long has your foot been cool to the touch?”
C. “Have you ever been told you have a heart murmur?”
D. “Do you have a history of cardiac valve disease?”
E. “Have you ever had an electrocardiogram?”
Correct Answers: C. “Have you ever been told you have a heart murmur?”; D. “Do you have a history
of cardiac valve disease?”
Rationale: A new murmur may indicate valvular disease or a previously diagnosed cardiac
abnormality.
8. The oncoming caregiver is entering the room for the first time. What is the current priority
assessment?
A. Peripheral circulation
B. Pain
C. Vital signs
D. Heart rate
Correct Answer: B. Pain
Rationale: Pain assessment is a priority because uncontrolled pain may indicate worsening ischemia
or another urgent complication.
9. The examiner’s assessment confirms that a client’s right foot is cool to the touch with absent
posterior tibial and dorsalis pedis pulses. What additional objective data related to circulation
should be collected? Select all that apply.
A. Swelling of feet and ankles
B. Location and timing of pain
C. Absence of hair on toes
D. Presence of ulcers
E. Type of shoes worn
Correct Answers: A. Swelling of feet and ankles; B. Location and timing of pain; C. Absence of hair on
toes; D. Presence of ulcers
Rationale: These findings help evaluate the severity of arterial insufficiency and tissue perfusion.
10. Based on subjective and objective assessment data, the nurse hypothesizes that changes in the
right foot are due to which alteration in health?
A. Peripheral venous disease B.
Diabetic neuropathy
C. Peripheral arterial disease
D. Normal variation for age
Correct Answer: C. Peripheral arterial disease
