NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Question 1 of 5
The nurse is teaching the client recently diagnosed with essential hypertension. Which instruction should the nurse provide when discussing heart healthy exercise?
Correct Answer: A
Rationale: Walking 30 minutes daily (
A) is aerobic, safe, and effective for hypertension. Light weight lifting (
B) is less ideal, high-intensity aerobics (
C) is too strenuous, and weekly swimming (
D) is insufficient.
Question 2 of 5
The male client diagnosed with essential hypertension has been prescribed an alpha-adrenergic blocker. Which intervention should the nurse discuss with the client?
Correct Answer: D
Rationale: Alpha blockers cause orthostatic hypotension; changing positions slowly (
D) prevents falls. Bananas (
A) are unrelated, impotence (
B) is possible but not expected, and empty stomach (
C) is not required.
Question 3 of 5
The nurse is teaching the Dietary Approaches to Stop Hypertension (DASH) diet to a client diagnosed with essential hypertension. Which statement indicates that the client understands teaching concerning the DASH diet?
Correct Answer: A
Rationale: The DASH diet emphasizes 4–5 servings of vegetables daily (
A) to lower BP. Marbled meat (
B) is high-fat, whole milk (
C) is limited, and grains (
D) are encouraged (6–8 servings daily).
Question 4 of 5
The intensive care department nurse is calculating the total intake for a client diagnosed with hypertensive crisis. The client has received 880 mL of D5W, IVPB of 100 mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480 mL. What is the total intake for this client?
Correct Answer: 1180
Rationale:
Total intake = IV fluids (880 mL D5W + 100 mL NS) + oral fluids (8 oz water + 4 oz milk + 6 oz broth). 1 oz = 30 mL, so oral = (8+4+6) × 30 = 540 mL.
Total = 880 + 100 + 540 = 1,180 mL. Output (1,480 mL) is not included in intake.
Question 5 of 5
Which instruction should the nurse include when providing discharge instructions to a client diagnosed with peripheral arterial disease?
Correct Answer: C
Rationale: Daily walking for 30 minutes (
C) promotes collateral circulation in PAD. Heating pads (
A) risk burns, elastic hose (
B) are for venous disease, and weekly checks (
D) are insufficient (daily needed).