NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The client prescribed rivaroxaban (Xarelto), an anticoagulant, is complaining of dark, tarry stool. Which should the nurse implement first?
Correct Answer: A
Rationale: Dark, tarry stool suggests GI bleeding; notifying HCP (
A) is first for urgent evaluation. Stool sample (
B), last dose (
C), and bleeding assessment (
D) follow.
Question 2 of 5
The male client diagnosed with essential hypertension has been prescribed an alpha-adrenergic blocker. Which intervention should the nurse discuss with the client?
Correct Answer: D
Rationale: Alpha blockers cause orthostatic hypotension; changing positions slowly (
D) prevents falls. Bananas (
A) are unrelated, impotence (
B) is possible but not expected, and empty stomach (
C) is not required.
Question 3 of 5
The client prescribed rivaroxaban (Xarelto), an anticoagulant, is complaining of dark, tarry stool. Which should the nurse implement first?
Correct Answer: A
Rationale: Dark, tarry stool suggests GI bleeding; notifying HCP (
A) is first for urgent evaluation. Stool sample (
B), last dose (
C), and bleeding assessment (
D) follow.
Question 4 of 5
The nurse is teaching the client about risk factors for arterial disorders. Which modifiable risk factor should the nurse emphasize?
Correct Answer: C
Rationale: Smoking is a modifiable risk factor that significantly contributes to arterial disorders by causing vasoconstriction and endothelial damage.
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.