Health (NR 304) Exam with Perfect Solutions Latest Update 2023, Exams of Nursing

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Health (NR

304) Exam

with Perfect

Solutions

Latest Update

1. Aneurysm - correct answer Bulging or dilation caused by a weakness in the wall of an artery. Can

sometimes be detected by a characteristic bruit over the artery.

2. Arterial Insufficiency - correct answer Inadequate circulation in the arterial system due to the buildup of fatty plaque or calcification of the arterial wall, resulting in diminished pulses.
3. Ausculatory Gap - correct answer Period of diminished or absent Korotkoff sounds during the manual measurement of blood pressure.

blood pressure by bouncing high- frequency sound waves off circulating red blood cells. Used to help diagnose blood clots, poor valve function in the legs, blocked artery, aneurysms, and carotid artery stenosis.

7. Edema - correct answer Collection of fluid in the body tissues. Can result from cardiac, vascular, or lymphatic problems.
8. Epitrochlear node - correct answer Located on the medial surface of the arm above the elbow. Drains the

ulnar surface of the forearm and the third, fourth, and fifth digits.

9. Pallor - correct answer Paleness in the skin
10. Superficial - correct answer The most top layer of the skin
11. Ulceration - correct answer Development of an ulcer
12. Varicosities - correct answer Frequently occur in the anterolateral aspect of the thigh and lower leg or

accompanied by a feeling of fullness in the legs. Skin around the ankles may be thickened and have a brown discoloration.

15. Venous stasis - correct answer Condition of slow blood flow in the veins, usually of the legs. It is a risk factor for forming blood clots in veins like DVT.
16. What special equipment is used to check the blood pressure in an infant? - correct answer Doppler flowmeter

17. At what age should the blood pressure of a child be assessed during well-child check-ups? - correct answer 18 months
18. What could an extreme difference between upper and lower extremity blood pressure in an infant indicate - correct answer Coarctation (narrowing) of the aorta
19. What could extremely enlarged lymph nodes in a child indicate? - correct answer Infection

return to the heart and lead to hypotension

23. Older adults are at risk for forming blood clots. What expected changes within this population contribute to this? - correct answer Enlargement of calf veins
24. What are some signs and symptoms of hypertension? - correct answer May be asymptomatic, have headaches, nose bleeds, shortness of breath, or chest pain.

25. Which race is at greatest risk for hypertension? - correct answer African American and Hispanics
26. Where are some areas the nurse can assess for color variations within different ethnic groups? - correct answer Capillary refill, color of palms of their hands and soles of feet, and the color of their oral mucosa.
27. Extreme coolness to the lower extremity. Normal or Abnormal? - correct answer Abnormal

blood pressure. Normal or Abnormal?

• correct answer Normal

32. A heart rate of 120 after exercising. Normal or Abnormal? - correct answer Normal
33. A swishing sound when auscultating the carotid artery. Normal or Abnormal? - correct answer Abnormal
34. Inability to palpate a strong ulnar pulse. Normal or Abnormal? - correct answer Normal

35. Discomfort in the calf when the foot is manually dorsiflexed. Normal or Abnormal? - correct answer Abnormal
36. Palpating behind and slightly inferior to the medial malleolus of the ankle. - correct answer Palpating posterior tibial pulse
37. Elevate the client's leg 12 inches above the heart while they are supine. - correct answer Assessing the arterial supply to the lower extremities.

41. Checking patency of the ulnar arteries - correct answer Allen's test
42. Infection of the right hand - correct answer Palpation check of the epitrochlear lymph node
43. Varicose vein valve competency test? - correct answer Manual compression test or Trendelenburg test
44. Assessing if client is in shock - correct answer Checking blood pressure and pulse amplitude

45. Lymphedema - correct answer Unilateral swelling. This can occur if we take blood pressures on the side of a mastectomy
46. Raynaud's disease - correct answer Intermittent skin pallor and rubor
47. Deep vein thrombosis - correct answer Swelling, warmth, and tender with dosiflexion
48. Varicose veins - correct answer Can be caused by standing for prolonged periods of time or

52. Arterial vs venous insufficiency for pulses? - correct answer Venous: Normal
53. Arterial: Diminished
54. Arterial vs venous insufficiency temperature? - correct answer Venous: Normal
55. Arterial: Cool
56. Arterial vs venous insufficiency skin appearance? - correct answer Venous: Thickened
57. Arterial: Shiny

58. Arterial vs venous insufficiency edema? - correct answer Venous: Edema
59. Arterial: No edema
60. Arterial vs venous insufficiency hair distribution? - correct answer Venous: Hair present on toes
61. Arterial: No hair present on toes
62. Arterial vs venous insufficiency color? - correct answer Venous: Brownish
63. Arterial: Pallor on elevation and red color when dependent