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NUR209 TEST 1

Total questions: 32

Worksheet time: 16mins

Name
Class
Date
1.

What is included in discharge teaching for a client with thrombophlebitis? 

a)

Encourage prolonged standing when resting 

b)

Elevate legs, use compression socks, avoid leg crossing when resting 

c)

Avoid exercise and ambulation 

d)

Limit fluid intake 

2.

Which of the following are risk factors for hypertension? 

a)

Low sodium diet, physical activity, and young age

b)

Alcohol, smoking, diabetes, stress, obesity, and family history 

c)

Adequate hydration, low cholesterol, and healthy diet 

d)

Vegetarian diet, normal BMI, and low stress 

3.

What is the disruption of the graft anastomosis of the aorta? 

a)

Improved perfusion in the grafted area 

b)

Breakdown or leakage at the surgical connection between graft and native aorta 

c)

Hardening of arterial walls due to plaque 

d)

Narrowing of the lumen by clot formation

4.

What interventions could be used to enhance the elderly’s blood flow? 

a)

Strict bedrest, cold environment, low fluid intake 

b)

Compression stockings, hydration, ambulation, leg elevation, warm environment 

c)

Avoidance of exercise, high salt intake, smoking 

d)

Decreased nutrition, caffeine, reduced fluid intake 

5.

What is streptokinase? 

a)

Antihypertensive medication 

b)

Anticoagulant 

c)

Thrombolytic enzyme (clot-busting) 

d)

Vasoconstrictor 

6.

What is the difference between primary and secondary hypertension? 

a)

Both have identifiable causes 

b)

Primary: identifiable cause; Secondary: no identifiable cause

c)

Primary: no identifiable cause; Secondary: caused by another condition

d)

Primary: due to renal failure; Secondary: genetic 

7.

What are the 5 Ps of arterial disease? 

a)

Pain, pallor, pulselessness, paresthesia, paralysis

b)

Pain, pallor, pulses present, pitting edema, paralysis 

c)

Pallor, polyuria, pulse bounding, paralysis, pruritus 

d)

Paresthesia, pallor, polycythemia, pain, pressure 

8.

What are AAA symptoms? 

a)

Lower extremity edema and frequent urination 

b)

Severe back/abdominal pain, pulsating abdominal mass, feeling of pressure 

c)

Chest tightness, cough, wheezing 

d)

Numbness, tingling, and intermittent claudication 

9.

What patient teaching can reduce hypertension risks? 

a)

Avoid exercise, increase sodium intake, smoke in moderation 

b)

Weight management, diet, exercise, smoking cessation, stress reduction 

c)

Sleep less, avoid fluids, consume high cholesterol foods

d)

Increase alcohol use, reduce mobility, avoid hydration

10.

What are signs and symptoms of pulmonary embolism? 

a)

Productive cough with yellow sputum, fever, and chills

b)

Sudden dyspnea, tachypnea, sharp chest pain, hemoptysis, anxiety, restlessness 

c)

Dizziness, confusion, and bradycardia 

d)

Numbness, tingling, intermittent claudication

11.

What medication should you avoid taking with Coumadin? 

a)

Aspirin, NSAIDs, ginkgo, garlic

b)

Acetaminophen only 

c)

Antihypertensives

d)

Antibiotics only 

12.

What is the most common cause of peripheral vascular disease? 

a)

Varicose veins 

b)

Atherosclerosis 

c)

Venous insufficiency 

d)

Diabetes alone 

13.

What are precautions after a vein stripping? 

 

a)

No stockings, no ambulation, avoid hydration 

b)

Prolonged bed rest, avoid ambulation 

c)

Avoid fluids, low sodium diet, bedrest only 

d)

Elevate legs, use compression stockings, monitor for bleeding, encourage ambulation

14.

What are some age-related changes that affect peripheral circulation? 

 

a)

Increased mobility, improved clot dissolution 

b)

Increased elasticity, improved wound healing 

c)

Arterial stiffening, decreased elasticity, reduced cardiac output, slower wound healing 

d)

Enhanced cardiac output and improved perfusion 

15.

What is a hypertensive crisis? 

a)

BP 140/90 with mild headache 

b)

BP 180/120, immediate intervention required to prevent organ damage 

c)

BP 130/80, no symptoms 

d)

BP 100/60 with dizziness

16.

What is malignant hypertension? 

 

a)

Severe, rapidly progressing hypertension with diastolic ≥120, life-threatening 

b)

Mild elevation in BP 

c)

Controlled hypertension with medication 

d)

Hypertension in young athletes 

17.

What can help decrease vasoconstriction? 

a)

Smoking, stress, caffeine 

b)

Low fluid intake and bedrest 

c)

Avoidance of medications 

d)

Smoking cessation, stress reduction, relaxation, exercise, antihypertensives/vasodilators 

18.

What effects does hypertension have on the body? 

 

a)

Strengthens the heart and improves arteries 

b)

Damages arterial walls, makes heart work harder, increases risk of heart attack, stroke, vision loss 

c)

Improves circulation and perfusion 

d)

Prevents clotting 

19.

What precautions should patients take while on Coumadin? 

a)

Avoid hydration 

b)

Increase intake of vitamin K 

c)

Avoid high-injury risk activities, shaving with sharp razors, brushing teeth hard

d)

Exercise excessively

20.

Why should patients keep their legs flat before aortic surgery? 

a)

To prevent fluid overload 

b)

To improve oxygenation

c)

To increase arterial flow to brain 

d)

To prevent blood clots 

21.

How can you prevent peripheral vascular disease (PVD)? 

 

a)

No smoking, control diabetes, control high blood pressure, exercise 

b)

High fat diet, sedentary lifestyle, smoking 

c)

Avoid fluids, reduce mobility, increase sodium

d)

Decrease exercise, increase stress 

22.

Why should a patient with hypertension drink caffeine in moderation? 

a)

Caffeine has no effect on hypertension 

b)

Caffeine lowers blood pressure

c)

Caffeine causes constriction of arteries 

d)

Caffeine prevents clot formation

23.

What is intermittent claudication? 

a)

Sudden chest pain with exertion 

b)

Persistent numbness of extremities

c)

Pain in legs with activity due to poor circulation

d)

Irregular heart rhythm with dizziness 

24.

What is Raynaud’s disease? 

a)

Intermittent claudication with walking 

b)

Vasospasms of arteries in fingers and toes

c)

Hypertension with severe headache 

d)

Venous insufficiency with edema 

25.

What happens with baroreceptors in older adults? 

a)

Become more sensitive, causing hypertension 

b)

Cause fluid overload 

c)

Increase heart rate significantly

d)

Become less sensitive, leading to orthostatic hypotension and fall risk

26.

What precautions should be taken when giving diuretics? 

a)

Restrict fluids and potassium 

b)

Stay hydrated, monitor potassium levels 

c)

Increase sodium intake 

d)

Avoid mobility

27.

What is the most common and effective antiplatelet aggregation drug? 

 

a)

Aspirin 

b)

Heparin

c)

Warfarin 

d)

Clopidogrel only 

28.

What causes discoloration of the skin around the feet and ankles with PVD? 

a)

Melanin buildup

b)

Increased circulation 

c)

Hemosiderin deposits 

d)

Infection 

29.

How often should an Unna boot dressing be changed? 

a)

Daily 

b)

Once a month

c)

1-2 WEEKS

d)

Every 8 hours

30.

What is the INR range for someone taking Coumadin? 

a)

1.0–1.5

b)

2.0–3.0

c)

3.5–4.0

d)

5.0–6.0

31.

What is the difference between subjective and objective data? 

a)

Subjective = what the nurse observes; Objective = what the patient reports 

b)

Subjective = patient’s report; Objective = measurable/observable data 

c)

Subjective = lab values; Objective = pain scale rating 

d)

Subjective = imaging results; Objective = medical history 

32.

What are the signs and symptoms of PVD? 

a)

Intermittent claudication, numbness, tingling 

b)

Persistent cough, shortness of breath 

c)

Chest pain, dizziness, blurred vision 

d)

Fever, chills, muscle aches