When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?
Posterior tibial
Femoral
Popliteal
Dorsalis pedis
The Correct Answer is A
A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).
B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.
C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.
D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lymphadenopathy: A bruit is not associated with lymphadenopathy; it is caused by turbulent blood flow.
B. Turbulent blood flow: A bruit is the sound of turbulent blood flow, which occurs due to partial arterial occlusion.
C. Hypermetabolic states: While bruits can be heard in various conditions, they are not typically associated with hypermetabolic states like fever or thyroid disease.
D. Venous disease: Bruits are arterial in origin, not related to venous disease.
Correct Answer is B
Explanation
A. Stops any movement, and appears to listen for the sound: This does not relate to the corneal light reflex test.
B. Consider this a normal finding: Symmetric light reflection at the same clock position in both eyes indicates normal alignment of the eyes.
C. Shows no obvious response to the noise: This response is unrelated to the corneal light reflex test.
D. Shows a startle and acoustic blink reflex: This describes a normal response to a loud noise, not the corneal light reflex test.
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