NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The 66-year-old male client has his blood pressure (BP) checked at a health fair. The BP is 168/98. Which action should the nurse implement first?
Correct Answer: B
Rationale: BP 168/98 indicates stage 2 hypertension, requiring prompt HCP evaluation (
B). Waiting a month (
A) delays care, diet discussion (
C) is secondary, and normal range (
D) is incorrect (normal is <120/80).
Question 2 of 5
The nurse is unable to assess a pedal pulse in the client diagnosed with arterial occlusive disease. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Absent pedal pulse in PAD requires Doppler use (
B) to confirm blood flow. Neurovascular assessment (
A) follows, dependent position (
C) worsens ischemia, and blankets (
D) are irrelevant.
Question 3 of 5
The nurse knows the client understands the teaching concerning a low-fat, low-cholesterol diet when the client selects which meal?
Correct Answer: C
Rationale: Baked chicken, baked potato, and skim milk (
C) are low-fat/low-cholesterol. Fried fish (
A), ham/cheese/milk (
B), and hamburger/fries (
D) are high-fat.
Question 4 of 5
The unlicensed assistive personnel (UAP) is applying elastic compression stockings to the client. Which action by the UAP would warrant immediate intervention by the nurse?
Correct Answer: A
Rationale: Applying stockings in a chair (
A) is incorrect; legs should be elevated to reduce edema. Two fingers (
B) ensures fit, elevation (
C) is correct, and warm toes (
D) is appropriate.
Question 5 of 5
The client with coronary artery disease asks why they need a stress test. What is the best response?
Correct Answer: B
Rationale: A stress test assesses heart function during physical stress to detect ischemia or blockages.