NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The client diagnosed with a deep vein thrombosis is prescribed heparin via continuous infusion. The client's laboratory data are: PT 12.2 aPTT 48 Control 1.4 Control 32 INR 1 Based on the laboratory results, which intervention should the nurse implement?
Correct Answer: D
Rationale: aPTT 48 (therapeutic 1.5–2× control 32 = 48–64) is within range; continue heparin as ordered (
D). Subcutaneous (
A) is inappropriate, vitamin K (
B) reverses heparin, and diet (
C) is for warfarin.
Question 2 of 5
Which discharge instruction should the nurse teach the client diagnosed with varicose veins who has received sclerotherapy?
Correct Answer: A
Rationale: Walking 15–20 minutes 3×/day (
A) promotes venous return post-sclerotherapy. Dependent position (
B) worsens pooling, bandages (
C) stay on, and Buerger-Allen (
D) is for arterial disease.
Question 3 of 5
The client diagnosed with atherosclerosis asks the nurse, 'I have heard of atherosclerosis for many years but I never really knew what it meant. Am I going to die?' Which statement would be the nurse’s best response?
Correct Answer: D
Rationale: Atherosclerosis is plaque buildup in arteries (
D), a clear and accurate response. It’s not always fatal (
A), doesn’t primarily affect brain (
B), and isn’t the sole cause of hypertension (
C).
Question 4 of 5
Which diagnostic test would the nurse expect to be ordered for a client suspected of having an arterial disorder?
Correct Answer: A
Rationale: The ankle-brachial index (ABI) is a non-invasive test that compares blood pressure in the ankle and arm to diagnose peripheral artery disease.
Question 5 of 5
Which finding should the nurse report immediately in a client with a deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: Warm, red skin over the affected area may indicate worsening DVT or complications like thrombophlebitis, requiring immediate attention.