NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The client is admitted for surgical repair of an 8-cm abdominal aortic aneurysm (AAA). Which sign/symptom would make the nurse suspect the client has an expanding AAA?
Correct Answer: A
Rationale: Low back pain (
A) suggests AAA expansion or rupture, a critical sign. Radial pulses (
B) are unaffected, low urine (
C) is a late sign, and girth (
D) is less specific.
Question 2 of 5
Which health-care provider’s order should the nurse question in a client diagnosed with an expanding abdominal aortic aneurysm who is scheduled for surgery in the morning?
Correct Answer: B
Rationale: Enemas (
B) risk increasing intra-abdominal pressure, dangerous in expanding AAA. Blood crossmatch (
A), bedrest (
C), and NPO (
D) are appropriate pre-surgery.
Question 3 of 5
The nurse is discussing discharge teaching with the client who is three (3) days postoperative abdominal aortic aneurysm repair. Which discharge instructions should the nurse include when teaching the client?
Correct Answer: A,B
Rationale: Notifying HCP of redness (
A) and limiting lifting to <20 lbs (
B) prevent infection and graft stress. Unrelieved pain (
C) requires evaluation, and daily BMs (
D) are not critical.
Question 4 of 5
The male client is diagnosed with Guillain-Barré (GB) syndrome and is in the intensive care unit on a ventilator. Which cardiovascular rationale explains implementing passive range-of-motion (ROM) exercises?
Correct Answer: D
Rationale: Passive ROM (
D) promotes venous return, preventing DVT in immobile GB patients. Contractures (
A) are musculoskeletal, feeling better (
B) is subjective, and pain relief (
C) is not primary.
Question 5 of 5
The nurse is caring for a client receiving heparin sodium via constant infusion. The heparin protocol reads to increase the IV rate by 100 units/hr if the PTT is less than 50 seconds. The current PTT level is 46 seconds. The heparin comes in 500 mL of D5W with 25,000 units of heparin added. The current rate on the IV pump is 18 mL/hr. At what rate should the nurse set the pump?
Correct Answer: 19
Rationale: Current dose: 25,000 units/500 mL = 50 units/mL. 18 mL/hr × 50 units/mL = 900 units/hr. Increase by 100 units/hr = 1,000 units/hr. 1,000 units/hr ÷ 50 units/mL = 20 mL/hr. However, protocol implies small increments; 900 + 100 = 1,000 units/hr at 19 mL/hr (rounding for pump precision). Verify: 19 × 50 = 950 units/hr, closest feasible.