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NUR 390
NUR 390 Exam 2 Guide | Nursing Care of
Adult I | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
1. An older patient with chronic atrial fibrillation develops sudden
severe pain, pulselessness, pallor, and coolness in the right leg. After
the nurse notifies the health care provider, what would the nurse do
next?
a. Apply a compression stocking to the leg.
b. Elevate the leg above the level of the heart.
c. Assist the patient in gently exercising the leg.
d. Keep the patient in bed in the supine position.: Keep the patient in
bed in the supine position.
The patient's history and clinical manifestations are consistent with acute
arterial occlusion. Resting the leg will decrease the O2 demand of the
tissues and minimize ischemic damage until circulation can be restored.
NUR 390
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NUR 390
Elevating the leg or applying an elastic wrap will further compromise
blood flow to the leg. Exercise will increase oxygen demand for the tissues
of the leg.
A patient at the clinic says, "I always walk after dinner, but lately my
leg cramps and hurts after just a few minutes. The pain goes away
after I stop walking, though." Which focused assessment would the
nurse make?
a. Look for the presence of tortuous veins bilaterally on the legs.
b. Ask about any skin color changes that occur in response to cold.
c. Assess for unilateral swelling, redness, and tenderness of either
leg.
d. Palpate for the presence of dorsalis pedis and posterior tibial
pulses.: Palpate for the presence of dorsalis pedis and posterior tibial
pulses.
The nurse should assess for other clinical manifestations of peripheral
arterial disease in a patient who describes intermittent claudication.
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Changes in skin color that occur in response to cold are consistent with
Raynaud's phenomenon. Tortuous veins on the legs suggest venous
insufficiency. Unilateral leg swelling, redness, and tenderness indicate
venous thromboembolism.
A patient has chronic peripheral artery disease (PAD) of the legs
and an ulcer on the right second toe. Which assessment finding
would the nurse expect?
a. Dilated superficial veins
b. Swollen, dry, scaly ankles
c. Prolonged capillary refill in all the toes
d. Serosanguineous drainage from the ulcer: Prolonged capillary refill
in all the toes
Capillary refill is prolonged in PAD because of the slower and decreased
blood flow to the periphery. The other listed manifestations are
consistent with chronic venous disease.
NUR 390
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NUR 390
The nurse is evaluating the discharge teaching outcomes for a
patient with chronic peripheral artery disease (PAD). Which patient
statement indicates a need for further instruction?
a. "I will buy loose clothes that do not bind across my legs or waist."
b. "I will use a heating pad on my feet at night to increase the
circulation."
c. "I will walk to the point of pain, rest, and walk again for at least 30
minutes
3 times a week."
d. "I will change my position every hour and avoid long periods of
sitting with my legs crossed.": "I will use a heating pad on my feet at night
to increase the circulation."
Because the patient has impaired circulation and sensation to the feet,
the use of a heating pad could lead to burns. The other patient statements
are correct and indicate that teaching has been successful.
NUR 390
NUR 390
NUR 390 Exam 2 Guide | Nursing Care of
Adult I | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
1. An older patient with chronic atrial fibrillation develops sudden
severe pain, pulselessness, pallor, and coolness in the right leg. After
the nurse notifies the health care provider, what would the nurse do
next?
a. Apply a compression stocking to the leg.
b. Elevate the leg above the level of the heart.
c. Assist the patient in gently exercising the leg.
d. Keep the patient in bed in the supine position.: Keep the patient in
bed in the supine position.
The patient's history and clinical manifestations are consistent with acute
arterial occlusion. Resting the leg will decrease the O2 demand of the
tissues and minimize ischemic damage until circulation can be restored.
NUR 390
, 2
NUR 390
Elevating the leg or applying an elastic wrap will further compromise
blood flow to the leg. Exercise will increase oxygen demand for the tissues
of the leg.
A patient at the clinic says, "I always walk after dinner, but lately my
leg cramps and hurts after just a few minutes. The pain goes away
after I stop walking, though." Which focused assessment would the
nurse make?
a. Look for the presence of tortuous veins bilaterally on the legs.
b. Ask about any skin color changes that occur in response to cold.
c. Assess for unilateral swelling, redness, and tenderness of either
leg.
d. Palpate for the presence of dorsalis pedis and posterior tibial
pulses.: Palpate for the presence of dorsalis pedis and posterior tibial
pulses.
The nurse should assess for other clinical manifestations of peripheral
arterial disease in a patient who describes intermittent claudication.
NUR 390
, 3
NUR 390
Changes in skin color that occur in response to cold are consistent with
Raynaud's phenomenon. Tortuous veins on the legs suggest venous
insufficiency. Unilateral leg swelling, redness, and tenderness indicate
venous thromboembolism.
A patient has chronic peripheral artery disease (PAD) of the legs
and an ulcer on the right second toe. Which assessment finding
would the nurse expect?
a. Dilated superficial veins
b. Swollen, dry, scaly ankles
c. Prolonged capillary refill in all the toes
d. Serosanguineous drainage from the ulcer: Prolonged capillary refill
in all the toes
Capillary refill is prolonged in PAD because of the slower and decreased
blood flow to the periphery. The other listed manifestations are
consistent with chronic venous disease.
NUR 390
, 4
NUR 390
The nurse is evaluating the discharge teaching outcomes for a
patient with chronic peripheral artery disease (PAD). Which patient
statement indicates a need for further instruction?
a. "I will buy loose clothes that do not bind across my legs or waist."
b. "I will use a heating pad on my feet at night to increase the
circulation."
c. "I will walk to the point of pain, rest, and walk again for at least 30
minutes
3 times a week."
d. "I will change my position every hour and avoid long periods of
sitting with my legs crossed.": "I will use a heating pad on my feet at night
to increase the circulation."
Because the patient has impaired circulation and sensation to the feet,
the use of a heating pad could lead to burns. The other patient statements
are correct and indicate that teaching has been successful.
NUR 390
