NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 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).
Question 2 of 5
The client had an abdominal aortic aneurysm repair two (2) days ago. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Assessing bowel sounds (
A) is first to detect ileus, common post-AAA repair. Antibiotics (
B), splinting (
C), and ambulation (
D) follow based on assessment.
Question 3 of 5
Which instruction should the nurse include for a client with valvular heart disease?
Correct Answer: A
Rationale: Avoiding high-sodium foods prevents fluid retention, reducing strain on the heart.
Question 4 of 5
The nurse is caring for the client with chronic venous insufficiency. Which statement indicates the client understands the discharge teaching?
Correct Answer: B
Rationale: Elevating the bed (
B) reduces edema in venous insufficiency. Crossing legs (
A) is discouraged entirely, aspirin (
C) is for arterial issues, and 3,000 mL (
D) risks fluid overload.
Question 5 of 5
The client with hypertension reports dizziness when standing. What should the nurse assess first?
Correct Answer: B
Rationale: Dizziness when standing suggests orthostatic hypotension, which should be confirmed by measuring blood pressure in lying, sitting, and standing positions.