NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with a DVT is placed on a medical unit. Which nursing interventions should be implemented? Select all that apply.
Correct Answer: A,C,D
Rationale: Compression devices (
A), fluids/fiber (
C), and IV monitoring (
D) prevent DVT progression and complications. Bedrest (
B) is not absolute (early ambulation is encouraged), and Homans’ sign (E) is unreliable.
Question 2 of 5
The client comes to the clinic complaining of muscle cramping and pain in both legs when walking for short periods of time. Which medical term would the nurse document in the client's record?
Correct Answer: B
Rationale: Muscle cramping/pain with walking (
B) is intermittent claudication, a hallmark of arterial occlusive disease. PVD (
A) is broader, DVT (
C) causes swelling/pain at rest, and dependent rubor (
D) is a skin color change.
Question 3 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 4 of 5
Which should the nurse include in the plan of care for a client diagnosed with venous stasis ulcers? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Leg elevation (
A), compression stockings (
B), injury avoidance (
C), and straight toenail trimming (
D) manage venous ulcers. Moisturizer (E) is beneficial, and dependent position (F) worsens edema.
Question 5 of 5
The nurse is assessing a client with endocarditis. Which finding is most concerning?
Correct Answer: A
Rationale: Fever is a hallmark of endocarditis and may indicate ongoing infection, requiring prompt attention.