NURS 163 MIDTERM QUESTIONS &
ANSWERS (RATED A+)
A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood pressure, high
sodium intake, and sedentary lifestyle. When developing an individualized care plan for her, the
nurse determines that the most important risk factors for peripheral artery disease (PAD) that must
be modified are
a. weight and diet.
b. activity level and salt intake.
c. tobacco use and high blood pressure.
d. sedentary lifestyle and exercise training. - ANSWERc. tobacco use and high blood pressure.
Rest pain is a manifestation of PAD that occurs due to a chronic
a. vasospasm of small cutaneous arteries in the feet.
b. increase in retrograde venous blood flow in the legs.
c. decrease in arterial blood flow to the nerves of the feet.
d. constriction in arterial blood flow to the leg muscles during exercise. - ANSWERc. decrease in
arterial blood flow to the nerves of the feet.
After teaching about ways to decrease risk factors for CAD, the nurse recognizes that additional
instruction is needed when the patient says
a. "I would like to add weight lifting to my exercise program."
b. "I can only keep my blood pressure normal with medication."
c. "I can change my diet to decrease my intake of saturated fats."
d. "I will change my lifestyle to reduce activities that increase my stress." - ANSWERa. "I would like to
add weight lifting to my exercise program."
, A patient with infective endocarditis develops sudden left leg pain with pallor, paresthesia, and a loss
of peripheral pulses. The nurse's initial action should be to
a. elevate the leg to promote venous return.
b. start anticoagulant therapy with IV heparin.
c. notify the HCP of the change in peripheral perfusion.
d. place the bed in reverse Trendelenburg to promote perfusion - ANSWERc. notify the HCP of the
change in peripheral perfusion.
Which clinical manifestations are seen in patients with either Buerger's disease or Raynaud's
phenomenon (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 - ANSWERb. Sensitivity to cold temperatures
c. Gangrenous ulcers on fingertips
d. Color changes of fingers and toes
In planning care and patient teaching for the patient with venous leg ulcers, the nurse recognizes
that the most important intervention in healing and control of this condition is
a. discussing activity guidelines.
b. using moist environment dressings.
c. taking horse chestnut seed extract daily.
d. applying graduated compression stockings - ANSWERd. applying graduated compression stockings
The patient at highest risk for venous thromboembolism (VTE) is a.
a 62-year-old man with spider veins who is having arthroscopic knee surgery.
b. a 32-year-old woman who smokes, takes oral contraceptives, and is planning a trip to Europe.
c. a 26-year-old woman who is 3 days postpartum and received maintenance IV fluids for 12 hours
during her labor.
d. an active 72-year-old man at home recovering from transurethral resection of the prostate for
benign prostatic hyperplasia. - ANSWERb. a 32-year-old woman who smokes, takes oral
contraceptives, and is planning a trip to Europe.
ANSWERS (RATED A+)
A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood pressure, high
sodium intake, and sedentary lifestyle. When developing an individualized care plan for her, the
nurse determines that the most important risk factors for peripheral artery disease (PAD) that must
be modified are
a. weight and diet.
b. activity level and salt intake.
c. tobacco use and high blood pressure.
d. sedentary lifestyle and exercise training. - ANSWERc. tobacco use and high blood pressure.
Rest pain is a manifestation of PAD that occurs due to a chronic
a. vasospasm of small cutaneous arteries in the feet.
b. increase in retrograde venous blood flow in the legs.
c. decrease in arterial blood flow to the nerves of the feet.
d. constriction in arterial blood flow to the leg muscles during exercise. - ANSWERc. decrease in
arterial blood flow to the nerves of the feet.
After teaching about ways to decrease risk factors for CAD, the nurse recognizes that additional
instruction is needed when the patient says
a. "I would like to add weight lifting to my exercise program."
b. "I can only keep my blood pressure normal with medication."
c. "I can change my diet to decrease my intake of saturated fats."
d. "I will change my lifestyle to reduce activities that increase my stress." - ANSWERa. "I would like to
add weight lifting to my exercise program."
, A patient with infective endocarditis develops sudden left leg pain with pallor, paresthesia, and a loss
of peripheral pulses. The nurse's initial action should be to
a. elevate the leg to promote venous return.
b. start anticoagulant therapy with IV heparin.
c. notify the HCP of the change in peripheral perfusion.
d. place the bed in reverse Trendelenburg to promote perfusion - ANSWERc. notify the HCP of the
change in peripheral perfusion.
Which clinical manifestations are seen in patients with either Buerger's disease or Raynaud's
phenomenon (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 - ANSWERb. Sensitivity to cold temperatures
c. Gangrenous ulcers on fingertips
d. Color changes of fingers and toes
In planning care and patient teaching for the patient with venous leg ulcers, the nurse recognizes
that the most important intervention in healing and control of this condition is
a. discussing activity guidelines.
b. using moist environment dressings.
c. taking horse chestnut seed extract daily.
d. applying graduated compression stockings - ANSWERd. applying graduated compression stockings
The patient at highest risk for venous thromboembolism (VTE) is a.
a 62-year-old man with spider veins who is having arthroscopic knee surgery.
b. a 32-year-old woman who smokes, takes oral contraceptives, and is planning a trip to Europe.
c. a 26-year-old woman who is 3 days postpartum and received maintenance IV fluids for 12 hours
during her labor.
d. an active 72-year-old man at home recovering from transurethral resection of the prostate for
benign prostatic hyperplasia. - ANSWERb. a 32-year-old woman who smokes, takes oral
contraceptives, and is planning a trip to Europe.
