Question 1

You are examining a patient for venous insufficiency.You are most likely to find which of the following? Select all that apply.

Accepted Answer

A)  Severe pain 
B)  Warm skin 
C)  Normal nails 
D)  Edema 
E)  Hair loss on extremity
F) Diminished or absent pulses 
A)  Severe pain 
B)  Warm skin 
C)  Normal nails 
D)  Edema 
E)  Hair loss on extremity
F) Diminished or absent pulses B,C,D

Question 2

How much lymph is transported through the lymphatic vessels each day?

Accepted Answer

A)  2 liters/day 
B)  3 litersl/day 
C)  4 liters/minute 
D)  5 liters/minute 
A)  2 liters/day 
B)  3 litersl/day 
C)  4 liters/minute 
D)  5 liters/minute B

Question 3

Possible causes of pulse paradox include which of the following? Select all that apply.

Accepted Answer

A)  Cardiac tamponade 
B)  Pericardial effusion 
C)  Constrictive pericarditis 
D)  Restrictive cardiomyopathy 
E)  Superior vena cava obstruction
F) Severe chronic obstructive lung disease 
A)  Cardiac tamponade 
B)  Pericardial effusion 
C)  Constrictive pericarditis 
D)  Restrictive cardiomyopathy 
E)  Superior vena cava obstruction
F) Severe chronic obstructive lung disease A,B,C,D,E,F

Question 4

Possible causes for a hyperkinetic/bounding pulse would include which of the following? Select all that apply.

Accepted Answer

A)  Fever 
B)  Exercise 
C)  Hypovolemia 
D)  Hyperthyroidism 
E)  Cardiogenic shock
F) Congestive heart failure 
A)  Fever 
B)  Exercise 
C)  Hypovolemia 
D)  Hyperthyroidism 
E)  Cardiogenic shock
F) Congestive heart failure

Question 5

Which of the following disorders can occur with arterial insufficiency?

Accepted Answer

A)  DVT 
B)  aneurisms 
C)  varicose veins 
D)  venus stasis ulcers 
A)  DVT 
B)  aneurisms 
C)  varicose veins 
D)  venus stasis ulcers

Question 6

According to the U.S.Preventive Services Task Force recommendations,one time screening for abdominal aortic aneurysm by ultrasonography is needed for which of the following patients?

Accepted Answer

A)  21-year-old female 
B)  39-year-old male 
C)  50-year-old female 
D)  70-year-old male 
A)  21-year-old female 
B)  39-year-old male 
C)  50-year-old female 
D)  70-year-old male

Question 7

A patient with a patent ductus arteriosis or aortic regurgitation would most likely have which of the following?

Accepted Answer

A)  pulsus aternans 
B)  pulsus bisferiens 
C)  pulsus paradoxus 
D)  water-hammer pulse 
A)  pulsus aternans 
B)  pulsus bisferiens 
C)  pulsus paradoxus 
D)  water-hammer pulse

Question 8

In the Allen test to examine the patency of the radial artery,which of the following indicates normal blood flow?

Accepted Answer

A)  return of normal color of the hand within 60 seconds 
B)  presence of a radial pulse 
C)  return of normal color of the hand within 6 seconds 
D)  return of normal color of the hand within 16 seconds 
A)  return of normal color of the hand within 60 seconds 
B)  presence of a radial pulse 
C)  return of normal color of the hand within 6 seconds 
D)  return of normal color of the hand within 16 seconds

Question 9

Lymphatics supplement which of the following systems?

Accepted Answer

A)  respiratory 
B)  digestive 
C)  endocrine 
D)  cardiovascular 
A)  respiratory 
B)  digestive 
C)  endocrine 
D)  cardiovascular

Question 10

When examining a patient,you realize that the patient's lymph nodes are swollen.You hypothesize that the patient has which of the following conditions?

Accepted Answer

A)  lymphoma 
B)  lymphadenitis 
C)  lymphadenopathy 
D)  lymphedema 
A)  lymphoma 
B)  lymphadenitis 
C)  lymphadenopathy 
D)  lymphedema

Question 11

When palpating for the epitrochlear node,you should place your finger pads

Accepted Answer

A)  in the suprasternal notch in the space between the sternocleidomastoid muscle and the trachea. 
B)  in the axillary area between the pectoral muscles and the latissimus dorsi. 
C)  along the path of the trochlear nerve. 
D)  in the groove between the biceps and the triceps muscles, superior to the medial condyle of the humerus. 
A)  in the suprasternal notch in the space between the sternocleidomastoid muscle and the trachea. 
B)  in the axillary area between the pectoral muscles and the latissimus dorsi. 
C)  along the path of the trochlear nerve. 
D)  in the groove between the biceps and the triceps muscles, superior to the medial condyle of the humerus.

Question 12

To test the competency of the saphenous vein's valves with manual compression,you would note if an impulse is felt when palpating the dilated vein with one hand while

Accepted Answer

A)  raising the patient's leg 90°. 
B)  compressing the femoral vein with the other hand. 
C)  compressing the same vein 20 cm higher in the leg with the other hand. 
D)  the patient is supine and then while the patient is standing. 
A)  raising the patient's leg 90°. 
B)  compressing the femoral vein with the other hand. 
C)  compressing the same vein 20 cm higher in the leg with the other hand. 
D)  the patient is supine and then while the patient is standing.

Question 13

Upon releasing the tourniquet from the patient's upper thigh while performing the retrograde filling test,you would observe which of the following in a patient whose valves are functioning normally?

Accepted Answer

A)  blood filling the veins from below the compression 
B)  blood continuing to pool in the leg veins for more than 35 seconds 
C)  blood filling the veins from the thigh downward 
D)  blood pooling around the incompetent valves 
A)  blood filling the veins from below the compression 
B)  blood continuing to pool in the leg veins for more than 35 seconds 
C)  blood filling the veins from the thigh downward 
D)  blood pooling around the incompetent valves

Question 14

Which jugular vein pulsation results from the slow buildup of blood in the right atrium during ventricular contractions?

Accepted Answer

A)  a wave 
B)  c wave 
C)  g wave 
D)  v wave 
A)  a wave 
B)  c wave 
C)  g wave 
D)  v wave

Question 15

The visceral layer,a serous layer that lies against the heart,is also called the ____________________.

Accepted Answer

epicardium
Explanation:The heart and the

Question 16

General guidelines for palpating peripheral pulses include

Accepted Answer

A)  positioning the patient in a supine position with the head of the bed elevated 90°. 
B)  counting the pulse for 30 seconds and multiplying by 2. 
C)  palpating the pulses on both sides of the patient's body simultaneously, with the exception of the carotid pulse. 
D)  palpating with the finger pads of all five fingers. 
A)  positioning the patient in a supine position with the head of the bed elevated 90°. 
B)  counting the pulse for 30 seconds and multiplying by 2. 
C)  palpating the pulses on both sides of the patient's body simultaneously, with the exception of the carotid pulse. 
D)  palpating with the finger pads of all five fingers.

Question 17

When examining a patient's popliteal lymph nodes,the nurse determines that the nodes are enlarged.The nurse should then ask the patient to assume which of the following positions?

Accepted Answer

A)  side-lying 
B)  lithotomy 
C)  Trendelenburg 
D)  reverse Trendelenburg 
A)  side-lying 
B)  lithotomy 
C)  Trendelenburg 
D)  reverse Trendelenburg

Question 18

Pallor occurring in an extremity within 20 seconds after that extremity is lifted most likely indicates

Accepted Answer

A)  normal arterial circulation. 
B)  venous insufficiency. 
C)  arterial insufficiency. 
D)  thrombophlebitis. 
A)  normal arterial circulation. 
B)  venous insufficiency. 
C)  arterial insufficiency. 
D)  thrombophlebitis.

Question 19

Water-hammer pulse is characterized by which of the following?

Accepted Answer

A)  A normal rhythm is normal; however, it alternates between increased amplitude and decreased amplitude. 
B)  A high stroke volume that results in an increased rate of ejection of blood flow from the left ventricle followed by a rapid fall in ejection 
C)  Rhythm that is irregular (pulse with increased amplitude is followed by a pulse with decreased amplitude). 
D)  Marked decrease (10 mm Hg or more) in pulse amplitude during inspiration and increased amplitude during expiration. 
A)  A normal rhythm is normal; however, it alternates between increased amplitude and decreased amplitude. 
B)  A high stroke volume that results in an increased rate of ejection of blood flow from the left ventricle followed by a rapid fall in ejection 
C)  Rhythm that is irregular (pulse with increased amplitude is followed by a pulse with decreased amplitude). 
D)  Marked decrease (10 mm Hg or more) in pulse amplitude during inspiration and increased amplitude during expiration.

Question 20

Pulsus paradoxus is examined by taking the patient's blood pressure and determining the difference between the point at which the first systolic sound is heard and the point at which

Accepted Answer

A)  the sounds become muted. 
B)  the diastolic sounds are heard. 
C)  all sounds disappear. 
D)  all systolic sounds are heard regardless of respirations. 
A)  the sounds become muted. 
B)  the diastolic sounds are heard. 
C)  all sounds disappear. 
D)  all systolic sounds are heard regardless of respirations.

Exam 17: Peripheral Vasculature And Lymphatic System

You are examining a patient for venous insufficiency.You are most likely to find which of the following? Select all that apply.

How much lymph is transported through the lymphatic vessels each day?

Possible causes of pulse paradox include which of the following? Select all that apply.

Possible causes for a hyperkinetic/bounding pulse would include which of the following? Select all that apply.

Which of the following disorders can occur with arterial insufficiency?

According to the U.S.Preventive Services Task Force recommendations,one time screening for abdominal aortic aneurysm by ultrasonography is needed for which of the following patients?

A patient with a patent ductus arteriosis or aortic regurgitation would most likely have which of the following?

In the Allen test to examine the patency of the radial artery,which of the following indicates normal blood flow?

Lymphatics supplement which of the following systems?

When examining a patient,you realize that the patient's lymph nodes are swollen.You hypothesize that the patient has which of the following conditions?

When palpating for the epitrochlear node,you should place your finger pads

To test the competency of the saphenous vein's valves with manual compression,you would note if an impulse is felt when palpating the dilated vein with one hand while

Upon releasing the tourniquet from the patient's upper thigh while performing the retrograde filling test,you would observe which of the following in a patient whose valves are functioning normally?

Which jugular vein pulsation results from the slow buildup of blood in the right atrium during ventricular contractions?

The visceral layer,a serous layer that lies against the heart,is also called the ____________________.

General guidelines for palpating peripheral pulses include

When examining a patient's popliteal lymph nodes,the nurse determines that the nodes are enlarged.The nurse should then ask the patient to assume which of the following positions?

Pallor occurring in an extremity within 20 seconds after that extremity is lifted most likely indicates

Water-hammer pulse is characterized by which of the following?

Pulsus paradoxus is examined by taking the patient's blood pressure and determining the difference between the point at which the first systolic sound is heard and the point at which

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