NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The client with a left-sided mastectomy is diagnosed with elephantiasis of the left arm. Which signs/symptoms should the nurse expect to assess?
Correct Answer: A
Rationale: Elephantiasis causes chronic lymphedema, leading to arm edema from axilla to fingertips (
A). Pain/redness (
B) suggests infection, tented turgor (
C) is dehydration, and nipple changes (
D) are breast cancer signs.
Question 2 of 5
Which client problem would be priority in a client diagnosed with arterial occlusive disease who is admitted to the hospital with a foot ulcer?
Correct Answer: A
Rationale: A foot ulcer in PAD indicates impaired skin integrity (
A), the priority due to infection risk. Activity intolerance (
B), health maintenance (
C), and neuropathy (
D) are secondary.
Question 3 of 5
The nurse is caring for clients on a medical floor. Which client will the nurse assess first?
Correct Answer: D
Rationale: Decreased pedal pulse in arterial occlusive disease (
D) suggests acute ischemia, a priority. Constipation (
A), unauthorized ambulation (
B), and epistaxis/headache (
C) are less urgent.
Question 4 of 5
Which complication of anticoagulant therapy should the nurse teach the client to report to the health-care provider?
Correct Answer: B
Rationale: Bleeding (
B) is a serious anticoagulant complication, requiring HCP notification. Gastric upset (
A) and constipation (
C) are minor, and MI (
D) is unrelated.
Question 5 of 5
Which interventions should the nurse discuss with the client diagnosed with atherosclerosis? Select all that apply.
Correct Answer: A,B,D
Rationale: Including significant other (
A), stopping smoking (
B), and avoiding stress (
D) reduce atherosclerosis risk. Sedentary lifestyle (
C) worsens it, and isometric exercises (E) increase BP.