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NO.1 An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his
left leg that started approximately 20 minutes ago. When performing the admission assessment, the
nurse would expect to observe which of the following:
A. Both lower extremities cyanotic when placed in a dependent position
B. Both lower extremities warm to touch with 2_pedal pulses
C. Decreased or absent pedal pulse in the left leg
D. The left leg warmer to touch than the right leg
Answer: C
Explanation:
(A) This statement describes a normal assessment finding of the lower extremities. (B) This
assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal
pulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterial
insufficiency would be cool to touch due to the decreased circulation.

NO.2 A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her
to:
A. Take more frequent naps
B. Wear a patch over one eye
C. Use artificial tears
D. Limit activities which require focusing (close vision)
Answer: B

NCLEX-RN Quiz   
Explanation:
(A)
Limiting activities requiring close vision will not alleviate the discomfort of double vision.
(B)
Frequent naps may be comforting, but they will not prevent double vision. (C) Artificial tears are
necessary in the absence of a corneal reflex, but they have no effect on diplopia.
(D)
An eye patch over either eye will eliminate the effects of double vision during the time the eye patch
is worn. An eye patch is safe for a person with an intact corneal reflex.