NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The client asks the nurse, 'My doctor just told me that atherosclerosis is why my legs hurt when I walk. What does that mean?' Which response by the nurse would be the best response?
Correct Answer: D
Rationale: Atherosclerosis causes arterial hardening, reducing leg oxygen (
D), a clear explanation for claudication. Thickening (
A) is technical, deferring (
B) avoids teaching, and venous valves (
C) are unrelated.
Question 2 of 5
The nurse is caring for a client who is receiving heparin therapy intravenously. Which assessment data would indicate to the nurse the client is developing heparin-induced thrombocytopenia (HIT)? Select all that apply.
Correct Answer: A,C,D
Rationale: HIT causes thrombocytopenia and bleeding: IV site bleeding (
A), platelet drop from 420 to 200 (
C), and gum bleeding (
D) are signs. Chest pain/restlessness (
B) suggests PE, and skin lesions (E) are not typical.
Question 3 of 5
Which lifestyle modification should the nurse emphasize for a client newly diagnosed with hypertension?
Correct Answer: C
Rationale: Reducing alcohol consumption helps lower blood pressure, as excessive alcohol can elevate it.
Question 4 of 5
The nurse is caring for clients on a medical floor. Which client will the nurse assess first?
Correct Answer: D
Rationale: Decreased pedal pulse in arterial occlusive disease (
D) suggests acute ischemia, a priority. Constipation (
A), unauthorized ambulation (
B), and epistaxis/headache (
C) are less urgent.
Question 5 of 5
The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?
Correct Answer: D
Rationale: Beta blockers slow heart rate; an apical pulse of 56 (
D) may indicate bradycardia, warranting caution. BP 110/70 (
A) is acceptable, K+ 3.4 (
B) is low but unrelated, and cough (
C) is not a contraindication.