NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The client asks the nurse why arterial ulcers are so painful. What is the best response by the nurse?
Correct Answer: B
Rationale: Arterial ulcers are painful due to tissue ischemia from inadequate oxygen delivery, which stimulates pain receptors.
Question 2 of 5
The nurse is preparing a client for valve replacement surgery. Which preoperative teaching is most important?
Correct Answer: A
Rationale: Lifelong anticoagulation is often required post-valve replacement to prevent clot formation.
Question 3 of 5
The nurse is assessing a client with hypertension. Which finding requires immediate action?
Correct Answer: C
Rationale: Blurred vision and confusion indicate a hypertensive crisis, which can lead to organ damage and requires immediate intervention.
Question 4 of 5
The nurse has just received the a.m. shift report. Which client would the nurse assess first?
Correct Answer: C
Rationale: Inability to move the foot in arterial disease (
C) suggests acute ischemia, a priority. Ulcer pain (
A), cramps (
B), and Homans’ sign (
D) are less urgent.
Question 5 of 5
The client diagnosed with a DVT is on a heparin drip at 1,400 units per hour, and Coumadin (warfarin sodium, also an anticoagulant) 5 mg daily. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Check PTT (heparin) and PT/INR (warfarin) (
A) to assess therapeutic levels before action. HCP check (
B), administering (
C), or discontinuing (
D) depend on lab results (heparin often continues briefly with warfarin).