What is the primary purpose of performing an Ankle Brachial Index test?

To determine the presence and severity of peripheral artery disease

To assess the risk of developing deep vein thrombosis

To monitor blood glucose levels in diabetic patients

To evaluate the severity of a patient’s varicose veins

Answer and Explanation

The Correct Answer is A

Choice A reason: The Ankle Brachial Index (ABI) test compares ankle and arm blood pressure to assess arterial occlusion in peripheral artery disease. A low ABI indicates reduced blood flow, confirming diagnosis and severity, making this the correct purpose, as it directly evaluates arterial insufficiency in the lower extremities.

Choice B reason: ABI tests arterial, not venous, circulation. Deep vein thrombosis involves venous clotting, assessed by ultrasound or D-dimer, not ABI. This is incorrect, as ABI does not evaluate venous thrombosis risk, focusing instead on arterial flow and peripheral artery disease severity.

Choice C reason: Monitoring blood glucose is unrelated to the ABI test, which measures arterial blood flow. Glucose levels are checked via blood tests for diabetes management, not vascular assessment, making this incorrect, as ABI specifically targets peripheral artery disease, not metabolic conditions.

Choice D reason: Varicose veins are a venous condition, assessed visually or by ultrasound, not by ABI, which evaluates arterial flow. ABI does not measure venous insufficiency severity, making this incorrect, as the test is specific to detecting and quantifying peripheral artery disease.

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Correct Answer is B

Explanation

Choice A reason: A healed, painful area on the spine is unrelated to peripheral artery disease, which affects limb circulation. It may indicate a separate issue but is not a priority safety concern for this condition, making it less urgent to report compared to balance issues.

Choice B reason: Needing to walk slowly due to frequent loss of balance is a safety concern in peripheral artery disease, as it suggests neuropathy or severe ischemia, increasing fall risk. This requires immediate provider attention to prevent injury, making it the correct statement to report.

Choice C reason: Feeling sad about not keeping up with grandchildren reflects emotional impact but not an immediate safety concern in peripheral artery disease. Balance issues pose a greater risk, making this less urgent to report, as it does not indicate physical harm.

Choice D reason: Avoiding going out due to leg pain is expected in peripheral artery disease (claudication) but is not an immediate safety concern like balance loss. It requires management but not urgent reporting, making this incorrect compared to the fall risk indicated by balance issues.

A. Poikilothermia B. Pooling C. Pallor D. Paralysis E. Petechiae

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Poikilothermia, or coolness of the limb, is one of the “6 P’s” of arterial disease, indicating reduced blood flow causing temperature drop. This is a correct choice, as it reflects ischemia in acute arterial occlusion, critical for students to recognize in assessing limb compromise.

Choice B reason: Pooling is not one of the “6 P’s” of arterial disease, which include pain, pallor, pulselessness, paresthesia, paralysis, and poikilothermia. Pooling relates to venous stasis, not arterial insufficiency, making this incorrect for inclusion in teaching about arterial disease signs.

Choice C reason: Pallor is a key “6 P’s” sign of arterial disease, indicating reduced blood flow causing skin paleness due to ischemia. This is a correct choice, as it is a critical clinical finding students must recognize in assessing acute arterial occlusion and limb ischemia.

Choice D reason: Paralysis is included in the “6 P’s” of arterial disease, signaling severe ischemia impairing muscle function. This is a correct choice, as it indicates advanced limb compromise, requiring urgent intervention, and is essential for students to understand in arterial disease assessment.

Choice E reason: Petechiae, small hemorrhagic spots, are not part of the “6 P’s” of arterial disease, which focus on ischemic signs like pallor and paralysis. Petechiae relate to bleeding disorders, making this incorrect for teaching, as it does not reflect arterial occlusion pathology.

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What is the primary purpose of performing an Ankle Brachial Index test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data on a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?

Correct Answer is B

Explanation

The nurse educator is discussing arterial disease with a group of clinical students. Which of the following are included in the “6 P’s”? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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A nurse is reinforcing teaching to a group of clients about risk factors for developing peripheral artery disease. Which of the following risk factors should the nurse include in the teaching?

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