Question 1

Before taking a patient's blood pressure (BP), which action by the nurse estimates the patient's systolic pressure?

Accepted Answer

A)  Weighing the patient 
B)  Inflating the BP cuff 20 mm above the point the radial pulse is occluded 
C)  Asking the patient about the last BP reading 
D)  Asking the patient's age 
A)  Weighing the patient 
B)  Inflating the BP cuff 20 mm above the point the radial pulse is occluded 
C)  Asking the patient about the last BP reading 
D)  Asking the patient's age

Question 2

What is the function of lymph nodes?

Accepted Answer

A)  To drain lymph back to right lymphatic duct and thoracic duct 
B)  To filter microorganisms and foreign substances from lymph 
C)  To collect fluid from interstitial space and surrounding tissue 
D)  To secrete thymocytes that help with T-cell differentiation 
A)  To drain lymph back to right lymphatic duct and thoracic duct 
B)  To filter microorganisms and foreign substances from lymph 
C)  To collect fluid from interstitial space and surrounding tissue 
D)  To secrete thymocytes that help with T-cell differentiation

Question 3

When auscultating the patient's blood pressure (BP), what should the nurse do to avoid the auscultatory gap?

Accepted Answer

A)  Take a palpable BP. 
B)  Inflate the cuff to 30 mm Hg greater than the point where the palpable pulse is obliterated. 
C)  Inflate the cuff to the point where the palpable pulse is obliterated. 
D)  Always inflate the cuff above 200 mm Hg pressure. 
A)  Take a palpable BP. 
B)  Inflate the cuff to 30 mm Hg greater than the point where the palpable pulse is obliterated. 
C)  Inflate the cuff to the point where the palpable pulse is obliterated. 
D)  Always inflate the cuff above 200 mm Hg pressure.

Question 4

Which is lymphatic tissue that filters blood and produces lymphocytes and monocytes?

Accepted Answer

A)  Peyer patches 
B)  Spleen 
C)  Thymus 
D)  Tonsils 
A)  Peyer patches 
B)  Spleen 
C)  Thymus 
D)  Tonsils

Question 5

While auscultating a patient's neck, the nurse hears a soft, low-pitch, rushing sound. Which conclusion by the nurse is most accurate?

Accepted Answer

A)  Narrowing of the internal or external jugular vein 
B)  Dilation of the internal or external jugular vein 
C)  Narrowing of the carotid or temporal artery 
D)  Dilation of the carotid or temporal artery 
A)  Narrowing of the internal or external jugular vein 
B)  Dilation of the internal or external jugular vein 
C)  Narrowing of the carotid or temporal artery 
D)  Dilation of the carotid or temporal artery

Question 6

Which location will the nurse use to assess the posterior tibialis pulse?

Accepted Answer

A)  The dorsum of the foot 
B)  The back of the knee 
C)  The apex of the heart 
D)  The ventral portion of the neck 
A)  The dorsum of the foot 
B)  The back of the knee 
C)  The apex of the heart 
D)  The ventral portion of the neck

Question 7

Which lymph nodes are located deep in the axilla?

Accepted Answer

A)  Pectoral nodes 
B)  Horizontal nodes 
C)  Subclavian nodes 
D)  Central nodes 
A)  Pectoral nodes 
B)  Horizontal nodes 
C)  Subclavian nodes 
D)  Central nodes

Question 8

Which is considered an orthostatic drop in BP?

Accepted Answer

A)  More than 20 mm Hg 
B)  More than 30 mm Hg 
C)  More than 40 mm Hg 
D)  More than 50 mm Hg 
A)  More than 20 mm Hg 
B)  More than 30 mm Hg 
C)  More than 40 mm Hg 
D)  More than 50 mm Hg

Question 9

Intermittent claudication is indicative of which disease process?

Accepted Answer

A)  Arterial insufficiency 
B)  Raynaud disease 
C)  Congestive heart failure 
D)  Venous insufficiency 
A)  Arterial insufficiency 
B)  Raynaud disease 
C)  Congestive heart failure 
D)  Venous insufficiency

Question 10

Which lymph node is located in the posterior axillary fold?

Accepted Answer

A)  Horizontal node 
B)  Subclavian node 
C)  Suprascapular node 
D)  Central node 
A)  Horizontal node 
B)  Subclavian node 
C)  Suprascapular node 
D)  Central node

Question 11

Which is the best location for palpation of pulses?

Accepted Answer

A)  Over a bone 
B)  On soft tissue 
C)  Under a lymph node 
D)  On top of a lymph node 
A)  Over a bone 
B)  On soft tissue 
C)  Under a lymph node 
D)  On top of a lymph node

Question 12

What technique is appropriate when auscultating the central and peripheral arteries for bruits?

Accepted Answer

A)  Use the bell of the stethoscope. 
B)  Use the diaphragm of the stethoscope. 
C)  Auscultate while the patient inhales deeply. 
D)  Palpate the radial pulse during auscultation. 
A)  Use the bell of the stethoscope. 
B)  Use the diaphragm of the stethoscope. 
C)  Auscultate while the patient inhales deeply. 
D)  Palpate the radial pulse during auscultation.

Question 13

Which factors contribute to increased blood pressure (BP) in older patients from increased PV resistance?

Accepted Answer

A)  Decreased lymph 
B)  Weakened medial wall 
C)  Increased wall elasticity 
D)  Fibrosis of intimal wall 
A)  Decreased lymph 
B)  Weakened medial wall 
C)  Increased wall elasticity 
D)  Fibrosis of intimal wall

Question 14

What is the role of the lymphatic system?

Accepted Answer

A)  To move excess tissue fluid in a closed circuit with the cardiovascular system 
B)  To develop and maintain the immune system 
C)  To reabsorb fat and fat-soluble substances from the small intestine 
D)  All of the above 
A)  To move excess tissue fluid in a closed circuit with the cardiovascular system 
B)  To develop and maintain the immune system 
C)  To reabsorb fat and fat-soluble substances from the small intestine 
D)  All of the above

Question 15

Which assessment findings are expected for a patient diagnosed with Raynaud disease?

Accepted Answer

A)  Streaky redness, tenderness, and warmth along the course of a vein 
B)  Intermittent pain in calves upon ambulation 
C)  Gangrene of hands and fingers 
D)  Intermittent pallor and cyanosis of hands and fingers 
A)  Streaky redness, tenderness, and warmth along the course of a vein 
B)  Intermittent pain in calves upon ambulation 
C)  Gangrene of hands and fingers 
D)  Intermittent pallor and cyanosis of hands and fingers

Question 16

The patient had a right mastectomy 2 years ago and now reports pain and swelling of the right arm. Based on this data, which does the nurse suspect?

Accepted Answer

A)  Buerger disease 
B)  Arterial insufficiency 
C)  Obstruction of lymph flow 
D)  Myasthenia gravis 
A)  Buerger disease 
B)  Arterial insufficiency 
C)  Obstruction of lymph flow 
D)  Myasthenia gravis

Question 17

Which is a role of the peripheral-vascular (PV) system?

Accepted Answer

A)  Transporting oxygen to all body organs 
B)  Transporting lymph to all body organs 
C)  Regulating the endocrine system 
D)  All of the above 
A)  Transporting oxygen to all body organs 
B)  Transporting lymph to all body organs 
C)  Regulating the endocrine system 
D)  All of the above

Exam 7: Assessing the Peripheral-Vascular and Lymphatic System

Before taking a patient's blood pressure (BP), which action by the nurse estimates the patient's systolic pressure?

What is the function of lymph nodes?

When auscultating the patient's blood pressure (BP), what should the nurse do to avoid the auscultatory gap?

Which is lymphatic tissue that filters blood and produces lymphocytes and monocytes?

While auscultating a patient's neck, the nurse hears a soft, low-pitch, rushing sound. Which conclusion by the nurse is most accurate?

Which location will the nurse use to assess the posterior tibialis pulse?

Which lymph nodes are located deep in the axilla?

Which is considered an orthostatic drop in BP?

Intermittent claudication is indicative of which disease process?

Which lymph node is located in the posterior axillary fold?

Which is the best location for palpation of pulses?

What technique is appropriate when auscultating the central and peripheral arteries for bruits?

Which factors contribute to increased blood pressure (BP) in older patients from increased PV resistance?

What is the role of the lymphatic system?

Which assessment findings are expected for a patient diagnosed with Raynaud disease?

The patient had a right mastectomy 2 years ago and now reports pain and swelling of the right arm. Based on this data, which does the nurse suspect?

Which is a role of the peripheral-vascular (PV) system?

The Complete Health Assessment

Assessing the Integumentary System

Assessing the Head, Face, and Neck

Assessing the Eye and the Ear

Assessing the Respiratory System

Assessing the Cardiovascular System

Assessing the Breasts

Assessing the Abdomen

Assessing the Female Genitourinary System

Assessing the Male Genitourinary System

Assessing the Motor-Musculoskeletal System

Assessing the Sensory-Neurologic System

Assessing the Mother-To-Be

Assessing the Newborn and Infant

Assessing the Toddler and Preschooler

Assessing the School-Age Child and Adolescent

Assessing the Older Adult

Assessing the Homeless Person

Assessing Pain

Approach to the Mental Health Assessment

Assessing Nutrition

Assessing Spirituality

Assessing Culture

Assessing the Patients Environment

Assessing Abuse

Assessing the Dying Patient

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