In the assessment for peripheral vascular disorders, the clinician should begin with which of
the following after the general history and physical examination?
1. Auscultation of the carotid arteries bilaterally.
2. Palpation of the carotid arteries bilaterally.
3. Inspection of the carotid arteries bilaterally.
4. Order diagnostic testing. 1
First you should auscultate carotids then palpate then inspect fingers/nail beds
3. In the initial screening for a diagnosis of AAA, which of the following is the best screening
test?
1. CT scan
2. Complete blood count (CBC)
3. Ultrasound in the abdominal area
4. Angiography 3
CT and angiography are for when surgical intervention is necessary
US is best initial screening
9. Patient education is very important for individuals who have AAA. The patient and their
family should be taught the importance of follow-up and the management of which of the
following? Select all that apply.
1. Hypertension
,2. Hypercholesterolemia
3. Smoking
4. Chondromalacia
5. Pain 1, 2, 3, 5
AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection, and
inflammation. Which of the following is a true statement regarding the tendency to develop
AAA? Select all that apply.
1. There is no dominant ethnic group that develops AAA.
2. Caucasians have a higher risk of developing AAA.
3. Women have a higher risk of developing AAA.
4. There is a familial history associated with AAA development.
5. AAA is the 13th leading cause of death in the United States. 1, 4, 5
11. In treating AAA, arterial monitoring is recommended. Which of the following IV
antihypertensive agents should be used to rapidly and consistently maintain blood pressure in
the
mean arterial pressure ranges? Select all that apply.
1. Nicardipine
2. Sertraline
3. Esmolol
4. Nitroglycerin
,5. Carbidopa 1, 3, 4
13. Devon visits the urgent care facility for sudden symptoms of pain to his lower extremity.
The
initial diagnosis is acute arterial ischemia. Aside from pain, which other symptoms may arise
from this diagnosis? Select all that apply.
1. Pulselessness
2. Paresthesia
3. Pallor
4. Purulence
5. Paralysis 1, 2, 3, 5
14. Treatment to slow the progression of PAD should include which of the following? Select all
that apply.
1. Immobilization
2. Pharmacological
3. Surgical
4. Conservative
5. Heat 2, 3, 4
15. Sharon is a 70-year-old patient with venous ulcers to her right lower extremity. She has a
, history of multiple pregnancies and surgeries, and has a sedentary lifestyle. Which of the
following may be possible contributing factors to her diagnosis given her history? Select all that
apply.
1. Obesity
2. Reduced mobility
3. History of breast cancer
4. Degenerative disease
5. Parkinsonism 1, 2
Grey Turner's sign bruising in flank area (lower back area)
Ransohoff sign yellow pigmentation in umbilical region (ruptured common bile duct)
Cullen's sign superficial edema and bruising in the subcutaneous fatty tissue around the
umbilicus (indicates bleeding in peritoneum, common most with pancreatitis)
4. Mr. Person comes to the health-care clinic with a presenting symptom of not urinating as
much as usual. The nurse practitioner assesses Mr. Person by asking which of the following?
1. How much do you drink per day?
2. Is your urine a clear yellow color?
3. Do you experience urgency and frequency of urination?
4. What medications have you taken recently or are you currently taking? 4