NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The client presents to the outpatient clinic complaining of calf pain. The client reports returning from an airplane trip the previous day. Which should the nurse assess first?
Correct Answer: C
Rationale: Calf pain post-flight suggests DVT; assessing for chest pain (
C) rules out pulmonary embolism, a priority. Lung/heart sounds (
A), trip length (
B), and calf exam (
D) follow.
Question 2 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 3 of 5
The nurse is teaching the client diagnosed with deep vein thrombosis and prescribed warfarin. Which should the nurse teach the client? Select all that apply.
Correct Answer: A,B,D
Rationale: Constant green vegetable intake (
A), regular INR (
B), and reporting tarry stools (
D) ensure safe warfarin use. Avoiding all greens (E) is unnecessary, and iron (
C) doesn’t prevent bleeding. Immediate hospital for any bleeding (
C) is excessive; minor bleeding requires HCP contact.
Question 4 of 5
Which medication side effect should the nurse monitor for in a client taking an ACE inhibitor?
Correct Answer: A
Rationale: ACE inhibitors commonly cause a dry cough due to increased bradykinin levels.
Question 5 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.