2025 ACTUAL EXAM COMPLETE 230 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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palpation of radial pulse - CORRECT ANSWER >>>Palpate both pulses noting the rate,
rhythm, elasticity of vessel wall and equal force
grading pulse - CORRECT ANSWER >>>3+ full bounding
2+ normal
1+ weak
0 absent
brachial pulse - CORRECT ANSWER >>>palpate this pulse if you suspect arterial
insufficiency
modified Allen's test - CORRECT ANSWER >>>tests for ulnar arterial insufficiency by
occluding both the radial and ulnar artery
normal results: normal color of hand should reappear approximately 2-5 seconds
abnormal results: pallor persists or a sluggish return to color suggest occlusion of the collateral
arterial flow
temporal artery - CORRECT ANSWER >>>palpated in front of the ear
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,carotid artery - CORRECT ANSWER >>>palpated in the groove b/t the sternomastoid
muscle and the trachea
brachial artery - CORRECT ANSWER >>>major artery supplying the arm
radial artery - CORRECT ANSWER >>>lies medial to the radius and wrist supplies blood to
the hand
ulnar artery - CORRECT ANSWER >>>lies lateral to the ulna. Deeper and often difficult to
feel. Supplies blood to the hand
femoral artery - CORRECT ANSWER >>>major artery in the leg. Palpated in the inguinal
area
popliteal artery - CORRECT ANSWER >>>artery in the knee. Located posterior to the
patella. Divides into the anterior and posterial tibial artery
anterior tibial - CORRECT ANSWER >>>travels down the front of the leg on to the dorsal
of the foot becomes the dorsalis pedis.
carries blood to the anterior compartment of the leg and dorsal surface of the foot
posterior tibial - CORRECT ANSWER >>>travels down behind the medial malleolus and
forms the plantar arteries in the foot.
carries blood to the posterior compartment of the leg and plantar surface of the foot
dorsalis pedis - CORRECT ANSWER >>>a blood vessel of the lower limb that carries
oxygenated blood to the dorsal surface of the foot
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,claudication distance - CORRECT ANSWER >>>the number of blocks walked or stairs
climbed to produce pain
arterial claudication - CORRECT ANSWER >>>pain in the calf, thigh or hip or muscle
fatigue that occurs when walking a certain distance related to peripheral arterial disease (PAD)
peripheral perfusion - CORRECT ANSWER >>>checking for capillary refill by blanching the
nail beds and noting the time for color return
normal is less than 1-2 seconds
doppler - CORRECT ANSWER >>>used if pulses are too weak to detect by palpation,
monitor blood pressure in infants or children, measure low blood pressure or blood pressure in
the lower extremities
A noninvasive test using sound waves to detect blood flow through blood vessels
ex. competent valves (varicosities)
edema - CORRECT ANSWER >>>fluid build up in the interstitial space
PVD - CORRECT ANSWER >>>circulation disorder in which narrowed blood vessels reduce
blood flow to the limbs. Caused by arteriosclerosis (hardening of arteries caused by plaque build
up)
Inspect skin for ulcers, temperature and color
lymphedema - CORRECT ANSWER >>>swelling in the arms or legs caused by a blockage
of the lymphatic system , causes a build up of lymph fluid in tissues
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, intermittent claudication - CORRECT ANSWER >>>a condition in which cramping pain in
the leg is induced by exercise, typically caused by obstruction of the arteries
5 P's - CORRECT ANSWER >>>Pain
Pulselessness
Pallor
Parasthesia (can't feel)
Paralysis (can't move)
Grading Edema - CORRECT ANSWER >>>+1 mild pitting, no swelling
+2 moderate pulling, indentation goes away quickly
+3 deep pitting, swollen
+4 very deep pitting, indentation stays, very swollen
Arterial Occlusion - CORRECT ANSWER >>>-5 P's
-Mottling
- Bluish/cyanosis
- decrease capillary refill
- cold temperature
arterial insufficiency - CORRECT ANSWER >>>- skin is cool
-skin is thin and shiny
- no edema
-no hair growth
- decreased pulses
-yellow toenails
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