NR304 FINAL EXAM 2024 ACTUAL EXAM COMPLETE EXAM QUESTIONS AND CORRECT ANSWER S
arteries - correct answer active blood flow
veins - correct answer passive blood flow - do not have a pulse, returns to the heart via
movement through the skeletal muscles
femoral pulse site - correct answer groin
popliteal pulse site - correct answer back of knee
radial pulse site - correct answer Located at the wrist on the thumb side
dorsalis pedis pulse site - correct answer top of foot
posterior tibial pulse site - correct answer on medial surface of ankle near ankle bone
ischemia - correct answer Lack of blood supply, causes pain
necrosis - correct answer long term lack of blood supply, tissue death
axillary lymph nodes - correct answer located under the arms in the armpits
cervical lymph nodes - correct answer located along the sides of the neck
Epitrochlear lymph nodes - correct answer Epitrochlear lymph nodes- drains from the hand
and forearm
inguinal lymph nodes - correct answer located in the inguinal (groin) area of the lower
abdomen
Children and Lymph Nodes - correct answer nodes can be enlarged with no pain/infection
Pregnancy and PV - correct answer dependent edema, varicose veins
peripheral artery disease - correct answer A form of peripheral vascular disease in which there
is partial or total blockage of an artery, usually one leading to a leg or arm. 50% of cases are
African Americans. RF: smoking, HTN, diabetes
intermittent claudication - correct answer when walking, muscle needs more O2 blood, and
you have any kind of occlusion, when walking pain is increased
Pulse Scale - correct answer 0: absent
1+: weak
2+: normal
3+: increased, full, bounding
Allen test - correct answer determining the patency of the radial and ulnar arteries by
compressing one artery site and observing return of skin color as evidence of patency of the
,NR304 FINAL EXAM 2024 ACTUAL EXAM COMPLETE EXAM QUESTIONS AND CORRECT ANSWER S
other artery, determine if radial artery has been damaged, press radial artery then see if ulnar
artery perfuses to hand
venous ulcers - correct answer bleed, medial malleolus
arterial (ischemic) ulcers - correct answer does not bleed, has a necrotic black crust, lateral
malleolus
neuropathic ulcer - correct answer destroys nerve endings, burning pain/numbness
Edema Scale - correct answer • 1+ Mild pitting, slight indentation, no perceptible swelling of
the leg
• 2+ Moderate pitting, indentation, subsides rapidly
• 3+ Deep pitting, indentation remains for a short time, leg looks swollen
• 4+ Very deep pitting, indentation lasts a long time, leg is very swollen
Doppler ultrasound - correct answer determine location of pulse
Raynaud's disease - correct answer autoimmune, sporadic vasoconstriction then relaxation,
happens in hands/toes usually
Lymphadema - correct answer enlarged lymph nodes, hard edema
Varicose veins - correct answer abnormally swollen, twisted veins with defective valves; most
often seen in the legs
DVT - correct answer inflammatory process, swelling, redness, heat, pain, happens from
venastasis, pooling of blood in calf
-tachycardia, low grade temp
-women on birth control who smoke are at a higher risk, and also those who are dehydrated
since blood is more viscous
-Do not perform homan's sign test (flexing foot back)
anneurysm - correct answer can be born with or develop, serious with abdominal
aorta/coronary arteries/brain
Decreased Arterial Flow - correct answer doesn't work well around gravity, blue then pallor
Decreased Venous Flow - correct answer brown, using muscles improves
What happens when valves of the veins do not work right - correct answer edema/varicose
veins
,NR304 FINAL EXAM 2024 ACTUAL EXAM COMPLETE EXAM QUESTIONS AND CORRECT ANSWER S
arterial insufficiency - correct answer not getting enough arterial blood flow = ischemic pain,
usually happens on one leg, leg appears shiny, hairless, red/blue then pallor, limb gets cool,
pain gets better when resting since the limb doesn't need as much O2 blood flow (intermittent
claudication), gravity works for it when legs are down, causes impotence in males, can affect
nails/toes
venous insufficiency - correct answer constant, achy, fullness, pain. Pain gets better by moving.
When you stand/sit pain gets worse. Gravity works against when legs are down. Usually
happens on both legs, skin turns red/brown, starts below the knee to the ankle, skin is scaly,
can get slits in skin (weeping edema), there is no cure, no change in skin temp.
pulse - correct answer rhythm, rate, symmetry, amplitude/strength
arterial occlusion - correct answer -extreme coolness
-pain
-loss of sensation
-hair loss and skin changes
-pallor
-pulselessness
arterial insufficiency - correct answer -intermittent claudation (pain brought on by exercise and
relieved with rest)
-hair loss on toes and shiny skin
-impotence
-pain (gnawing, sharp or stabbing and increases with exercise, relieved with rest)
-decreased pulses
-rusty discoloration due to blood leaking out of vessel and difficulty being reabsorbed
-skin ulcers on pressure points, toes, and lateral malleoli
-necrosis
-bluish/red feet with dependence and pallor with elevation
-sensory and motor loss
-thickened, yellow toenails
-cool skin
, NR304 FINAL EXAM 2024 ACTUAL EXAM COMPLETE EXAM QUESTIONS AND CORRECT ANSWER S
venous insufficiency - correct answer -pitting edema due to fluid leaking into tissue due to
incompetent valves
-pain (aching or feeling of fullness and increases with standing/sitting and improves with
elevating legs or walking)
-varicosities may be present
-possible leg ulcers on medial malleoli
-normal temperature
-skin thickened with brown discoloration of ankles and flaky
deep vein thrombosis - correct answer -edema (only on one leg)
-pain - no pain or sharp, intense pain/tenderness
-red skin area
-warmth
-mass
-low grade fever
-tachycardia
Peripheral Neuropathy - correct answer -burning skin
-numbness
-loss/decreased sensation
GERD - correct answer (pyrosis) - failure of pyloric valve, dont eat before bed or in middle of
night, dont lie down after eating for at least 30 mins
What causes peptic ulcers? - correct answer H. pylori - loves acid
Small Bowel - correct answer -small in diameter, huge in length 20ft
-where most digestion/breakdown ocurrs
-where enzymes from pancreas go
-most of absorption of nutrients ocurrs
large bowel - correct answer -shorter but larger diameter
-condense stool into formed stool (pulls water out)
-where you metabolize fats to absorb vit. D
