Peripheral Vascular Disease NCLEX Questions

Question 1 of 5

The nurse is caring for clients on a surgical floor. Which client should be assessed first?

A. The client who is four (4) days postoperative abdominal surgery and is complaining of left calf pain when ambulating.B. The client who is one (1) day postoperative hernia repair who has just been able to void 550 mL of clear amber urine.C. The client who is five (5) days postoperative open cholecystectomy who has a T-tube and is being discharged.D. The client who is 16 hours post-abdominal hysterectomy and is complaining of abdominal pain and is expelling flatus.

Correct Answer: A

Rationale: Calf pain post-surgery (
A) suggests DVT, requiring immediate assessment. Normal voiding (
B), discharge (
C), and expected pain/flatus (
D) are less urgent.

Question 2 of 5

Which risk factor revealed in the client's health history is most closely related to the development of varicose veins?

A. The client's mother also has varicose veins.B. The client was a track athlete in high school.C. The client is a 50-year-old corporate executive.D. The client smokes one pack of cigarettes daily.

Correct Answer: A

Rationale: Varicose veins have a strong genetic component, so a family history, such as the client's mother having varicose veins, is a significant risk factor.

Question 3 of 5

The nurse is teaching the client diagnosed with deep vein thrombosis and prescribed warfarin. Which should the nurse teach the client? Select all that apply.

A. Keep a constant amount of green, leafy vegetables in the diet.B. Instruct the client to have regular INR laboratory work done.C. Tell the client to go to the hospital immediately for any bleeding.D. Inform the client to notify the HCP if having dark, tarry stools.E. Encourage the client to avoid all green vegetables.F. Have the client take iron orally to prevent bleeding.

Correct Answer: A,B,D

Rationale: Constant green vegetable intake (
A), regular INR (
B), and reporting tarry stools (
D) ensure safe warfarin use. Avoiding all greens (E) is unnecessary, and iron (
C) doesn’t prevent bleeding. Immediate hospital for any bleeding (
C) is excessive; minor bleeding requires HCP contact.

Question 4 of 5

The nurse is preparing a client for valve replacement surgery. Which preoperative teaching is most important?

A. You will need lifelong anticoagulant therapy.B. You can resume heavy lifting in 2 weeks.C. You will not need antibiotics before dental procedures.D. You should avoid all physical activity post-surgery.

Correct Answer: A

Rationale: Lifelong anticoagulation is often required post-valve replacement to prevent clot formation.

Question 5 of 5

The client asks the nurse why arterial ulcers are so painful. What is the best response by the nurse?

A. The ulcers are deep and affect the bone.B. The lack of oxygen to the tissue causes pain.C. The ulcers are infected, causing inflammation.D. The pressure from swelling presses on nerves.

Correct Answer: B

Rationale: Arterial ulcers are painful due to tissue ischemia from inadequate oxygen delivery, which stimulates pain receptors.

Peripheral Vascular Disease NCLEX Questions | Nurselytic

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