1.
When performing an assessment on a client the nurse notes the presence of an enlarged epitrochlear lymph node. The nurse would anticipate finding which of the following on the assessment?
A. 
The forearm and hand for infection or inflammation
B. 
The lower legs for injury
C. 
The equality of radial pulse
D. 
Capillary refill and temperature of the extremities
2.
When performing an assessment on a client the nurse notes the presence of an enlarged superficial inguinal nodes. The nurse would anticipate finding which of the following on the assessment?
A. 
The forearm and hand for infection or inflammation
B. 
The lower legs for injury
C. 
The equality of radial pulse
D. 
Capillary refill and temperature of the extremities
3.
When performing an assessment on a client the nurse notes the determine circulation. The nurse would anticipate finding which of the following on the assessment?
A. 
The forearm and hand for infection or inflammation
B. 
The lower legs for injury
C. 
The equality of radial pulse
D. 
Capillary refill and temperature of the extremities
4.
When performing an assessment on a client the nurse notes the determine circulation to the extremities. The nurse would anticipate finding which of the following on the assessment?
A. 
The forearm and hand for infection or inflammation
B. 
The lower legs for injury
C. 
The equality of radial pulse
D. 
Capillary refill and temperature of the extremities
5.
When performing an assessment, the nurse notes the presence of ankle edema bilaterally. The nurse knows that:
A. 
It is caused by an infection.
B. 
It is caused by blood pooling in the legs.
C. 
It is caused by a blood clot in the lower leg.
D. 
It is caused by decreased arterial circulation.
6.
When performing an assessment, the nurse notes the presence of inflammation and edema over the affected area. The nurse knows that:
A. 
It is caused by an infection.
B. 
It is caused by blood pooling in the legs.
C. 
It is caused by a blood clot in the lower leg.
D. 
It is caused by decreased arterial circulation.
7.
When performing an assessment, the nurse notes the presence of edema in the affected extremity. The nurse knows that:
A. 
It is caused by an infection.
B. 
It is caused by blood pooling in the legs.
C. 
It is caused by a blood clot in the lower leg.
D. 
It is caused by decreased arterial circulation.
8.
When performing an assessment, the nurse notes the presence of decreased pulses. The nurse knows that:
A. 
It is caused by an infection.
B. 
It is caused by blood pooling in the legs.
C. 
It is caused by a blood clot in the lower leg.
D. 
It is caused by decreased arterial circulation.
9.
The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Which of the following should the nurse do?
A. 
Continue with the assessment as this is a normal neonatal blood pressure reading.
B. 
Perform a focused assessment and call the health care provider.
C. 
Assess the thigh blood pressure expecting that it will be lower than that of the arm.
D. 
Ask another nurse to validate the blood pressure because it is low.
10.
An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. What can the nurse tell the client about these veins?
A. 
"These are common and will go away after delivery."
B. 
"We need to talk to your health care provider about this."
C. 
"This is a normal finding and is caused by pressure from your uterus delaying blood return from your legs."
D. 
"This is related to decreased circulation."
11.
When assessing the carotid arteries, the nurse should:
A. 
Palpate both carotid arteries simultaneously to assess for the symmetry of the pulse.
B. 
Palpate firmly to occlude the artery.
C. 
Utilize the bell of the stethoscope to assess for bruits.
D. 
Massage the area noting any masses or hardness.
12.
The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Perform a focused assessment and call the health care provider.
13.
The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Assess the thigh blood pressure expecting that it will be lower than that of the arm.
14.
The neonatal(rookie) nurse obtains a newborn's blood pressure of 76/40 mm Hg. Ask another nurse to validate the blood pressure because it is low.
15.
An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "These are common and will go away after delivery."
16.
An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "We need to talk to your health care provider about this."
17.
An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "This is related to decreased circulation."
18.
An eight-month-pregnant client states that she has developed a few varicose veins during her pregnancy. the nurse tell the client about these veins, "This is related to decreased circulation."
19.
When assessing the carotid arteries, the nurse should utilize the bell of the stethoscope to assess for bruits.
20.
When assessing the carotid arteries, the nurse should palpate both carotid arteries simultaneously to assess for the symmetry of the pulse.
21.
When assessing the carotid arteries, the nurse should palpate firmly to occlude the artery.
22.
When assessing the carotid arteries, the nurse should massage the area noting any masses or hardness.
23.
When assessing the characteristics of the pulse, the nurse notes which of the following? Select all that apply.
A. 
B. 
C. 
D. 
E. 
24.
A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with:
A. 
B. 
C. 
D. 
25.
A client has a 1+/0-4+ dorsalis pedis pulse on the right. The lower leg is cool, pale, and painful. This description is most consistent with arterial insufficiency.