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Chapter 20: Peripheral Vascular System and
Lymphatic System
Chapter 20: Peripheral Vascular System and Lymphatic System
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which statement 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.
,ANS: B
The pumping heart makes the arterial system a high-pressure system.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 509
MSC: Client Needs: General
2. 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
ANS: C
The major artery supplying the arm is the brachial artery. The brachial artery
bifurcates into the ulnar and radial arteries immediately below the elbow. In the
hand, the ulnar and radial arteries form two arches known as the superficial and
deep palmar arches.
,DIF: Cognitive Level: Remembering (Knowledge) REF: p. 509
MSC: Client Needs: General
3. 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
ANS: D
The dorsalis pedis artery is located on the dorsum of the foot. The nurse should
palpate just lateral to and parallel with the extensor tendon of the big toe. The
popliteal artery is palpated behind the knee. The posterior tibial pulse is
palpated in the groove between the malleolus and the Achilles tendon. No pulse
is palpated at the lateral malleolus.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 509
MSC: Client Needs: General
, 4. 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
ANS: C
Ischemia is a deficient supply of oxygenated arterial blood to a tissue. A partial
blockage creates an insufficient supply, and the ischemia may be apparent only
during exercise when oxygen needs increase.
DIF: Cognitive Level: Analyzing (Analysis) REF: pp. 509-510
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. 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?
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Chapter 20: Peripheral Vascular System and
Lymphatic System
Chapter 20: Peripheral Vascular System and Lymphatic System
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which statement 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.
,ANS: B
The pumping heart makes the arterial system a high-pressure system.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 509
MSC: Client Needs: General
2. 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
ANS: C
The major artery supplying the arm is the brachial artery. The brachial artery
bifurcates into the ulnar and radial arteries immediately below the elbow. In the
hand, the ulnar and radial arteries form two arches known as the superficial and
deep palmar arches.
,DIF: Cognitive Level: Remembering (Knowledge) REF: p. 509
MSC: Client Needs: General
3. 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
ANS: D
The dorsalis pedis artery is located on the dorsum of the foot. The nurse should
palpate just lateral to and parallel with the extensor tendon of the big toe. The
popliteal artery is palpated behind the knee. The posterior tibial pulse is
palpated in the groove between the malleolus and the Achilles tendon. No pulse
is palpated at the lateral malleolus.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 509
MSC: Client Needs: General
, 4. 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
ANS: C
Ischemia is a deficient supply of oxygenated arterial blood to a tissue. A partial
blockage creates an insufficient supply, and the ischemia may be apparent only
during exercise when oxygen needs increase.
DIF: Cognitive Level: Analyzing (Analysis) REF: pp. 509-510
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. 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?
