NCLEX Questions on Peripheral Vascular Disease

Question 1 of 5

Which assessment finding in a client with a pacemaker requires immediate action? Select all that apply.

A. Heart rate of 50 beats per minuteB. Pain at the insertion siteC. Fever of 101Â°FD. Hiccups that persistE. Swelling at the pacemaker siteF. Mild bruising at the site

Correct Answer: A,C,D,E

Rationale: Low heart rate, fever, persistent hiccups, and swelling suggest pacemaker malfunction or infection, requiring immediate attention.

Question 2 of 5

The nurse is assessing the client diagnosed with long-term arterial occlusive disease. Which assessment data support the diagnosis?

A. Hairless skin on the legs.B. Brittle, flaky toenails.C. Petechiae on the soles of feet.D. Nonpitting ankle edema.

Correct Answer: A

Rationale: Hairless skin (
A) indicates chronic ischemia in PAD. Brittle nails (
B) are nonspecific, petechiae (
C) suggest bleeding, and nonpitting edema (
D) is unrelated (pitting edema is venous).

Question 3 of 5

The client with hypertension asks why they need to limit stress. What is the best response?

A. Stress causes fluid retention.B. Stress increases your heart rate and blood pressure.C. Stress reduces oxygen to your heart.D. Stress weakens your immune system.

Correct Answer: B

Rationale: Stress activates the sympathetic nervous system, increasing heart rate and blood pressure.

Question 4 of 5

The client with varicose veins is six (6) hours postoperative vein ligation. Which nursing intervention should the nurse implement first?

A. Assist the client to dangle the legs off the side of the bed.B. Assess and maintain pressure bandages on the affected leg.C. Apply a sequential compression device to the affected leg.D. Administer the prescribed prophylactic intravenous antibiotic.

Correct Answer: B

Rationale: Assessing/maintaining pressure bandages (
B) prevents bleeding post-vein ligation. Dangling (
A) is premature, compression devices (
C) are secondary, and antibiotics (
D) follow assessment.

Question 5 of 5

Which signs/symptoms would the nurse expect to find in the female client diagnosed with Marfan’s syndrome?

A. Xerostomia, dry eyes, and complaints of a dry vagina.B. A triad of arthritis, conjunctivitis, and urethritis.C. Very tall stature and long bones in the hands and feet.D. Spinal deformities of the vertebral column and malaise.

Correct Answer: C

Rationale: Marfan’s syndrome causes tall stature and long extremities (
C) due to connective tissue defects. Dryness (
A) is Sjögren’s, triad (
B) is reactive arthritis, and spinal deformities (
D) are partial but not primary.

NCLEX Questions on Peripheral Vascular Disease | Nurselytic

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