Practice Question
The nurse is caring for a client with a history of peripheral vascular disease. The client has been sitting in a chair for 4 hours watching television. Which assessment finding is most concerning for impaired tissue perfusion?
Answer Choices:
Correct Answer:
The left foot is cooler than right, with delayed capillary refill and dusky color.
Rationale:
🔶 These findings indicate arterial insufficiency, a key sign of impaired tissue perfusion
🔶 Cool temperature and dusky discoloration suggest decreased arterial blood flow to the affected limb
🔶 Delayed capillary refill (>3 seconds) indicates slowed oxygen delivery at the microvascular level
🔶 This condition increases risk for ischemia, ulceration, or gangrene if untreated
🔶 Immediate assessment of pulses and ankle-brachial index (ABI) helps evaluate arterial circulation
Want to practice more questions like this?
This question is from ATI Custom NSGA 144 Fall1 2025 Exam 1 which contains 42 questions.
More Questions from This Exam
A nurse is explaining the concept of perfusion to a student nurse. The nurse knows the student understands the concept of perfusion when the student makes which statement?
Answer Choices:
A. "Perfusion is monitored by vital signs and capillary refill."
B. "Perfusion is monitored by the physician."
C. "Perfusion is a normal function of the body, and I don't have to be concerned about it."
D. "Perfusion remains constant regardless of age, so I would not expect significant changes in the body."
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which key problem should the nurse identify as being the priority in the client's care?
Answer Choices:
A. Impaired tissue perfusion
B. Alteration in body image
C. Alteration in activity tolerance
D. Impaired skin integrity
A nurse is assessing a client who has been on bedrest for 3 days following hip surgery. The client has a history of hypertension and type 2 diabetes.
Answer Choices:
A. Increased heart rate
B. Elevated blood pressure
C. Type 2 diabetes
D. Prolonged immobility
A patient is complaining of a sharp pain in their leg. The nurse knows that nociceptive pain typically responds best to?
Answer Choices:
A. Physical Therapy
B. Adjuvant medications like antidepressants
C. Opioid and non-opioid analgesics
D. Heat Therapy
A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?
Answer Choices:
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4