NURS 434 Final Exam Questions and
Answers Graded A+ 2026
The nurse is caring for a client with peripheral artery disease. What is the
leading cause of peripheral artery disease?
COPD
Atherosclerosis The leading cause of PAD is atherosclerosis, a gradual
thickening of the intima (innermost layer of the arterial wall) and media
(middle layer of the arterial wall).
Diabetes
Tobacco Use
The nurse is assessing a patient with peripheral artery disease. Which items
are characteristics of peripheral artery disease? (Select All That Apply)
Taut and shiny skin
Loss of hair on legs
Capillary refill >3 seconds
Lower leg edema
Brittle nails
Loss of hair on legs, brittle nails, capillary refill >3 seconds, and taught
and shiny skin are part of PAD. Leg edema is characteristics of PVD.
There are many more.
A nurse is assessing the peripheral pulses of a client with peripheral artery
disease and is having a difficult time. What would be the best way to
determine if they have peripheral pulses?
Doppler ultrasound When palpation of a peripheral pulse is difficulty
because of severe PAD, the Doppler ultrasound can determine the degree
of blood flow. A palpable pulse and a Doppler pulse are not equivalent, and
the terms are not interchangeable.
Duplex Imaging
Angiography
Magnetic resonance angiography
What type of aneurysm still has one vessel layer intact?
NUR 160
, NUR 160
False aneurysm
True aneurysm A true aneurysm is one in which the wall of the artery
forms the aneurysm, with at least one vessel layer still intact. A false or
pseudoaneurysm is a disruption of all arterial wall layers with bleeding that
is contained by surrounding anatomic structures. A dissecting aneurysm is
a disruption in the layers of the aortic wall.
Pseudoaneurysm
Dissecting aneurysm
The nurse is sending a client for a diagnostic test to determine the most
accurate length and diameter of an aneurysm. Which test would the nurse be
anticipating for this client?
Abdominal x-ray
Chest x-ray
MRI
CT scan A CT scan is the most accurate test to determine the length and
cross-sectional diameter and the presence of thrombus in the aneurysm.
The nurse is caring for a client who has an abdominal aortic aneurysm. The
nurse recognizes which complication of an aneurysm is the most life
threatening?
Surgical site infection
Rupture Rupture of an aneurysm is the most serious
complication.Aneurysm rupture is a life-threatening emergency, often
resulting in massive hemorrhage, shock, and death.
Thrombus formation can occur, but is not as life threatening as rupture.
Thrombus formation
Compartment Syndrome
The nurse is assessing a client who has been diagnosed with an abdominal
aortic aneurysm. Which of the following would the nurse expect to find in the
assessment? (Select all that apply)
Hypertension
Pulsating periumbilical mass
Low back pain
NUR 160