Peripheral Vascular Disease NCLEX Questions

Extract:

Question 1 of 5

The client with restrictive cardiomyopathy asks why they feel short of breath. What is the best response?

Correct Answer: A

Rationale: Restrictive cardiomyopathy impairs ventricular filling, reducing cardiac output and causing shortness of breath.

Question 2 of 5

The client is at risk for a myocardial infarction due to decreased tissue perfusion as a result of atherosclerosis. Which instructions can the nurse provide the client to reduce the risk?

A. Teach the client to control the blood pressure to less than 140/90. B. Instruct the client to exercise 30 minutes a day three (3) times a week. C. Demonstrate how to take the blood pressure using a battery-operated cuff. D. Inform the client to limit fat intake and which foods have a higher fat content.

Correct Answer: A,B,D

Rationale: Controlling BP <140/90 (
A), exercising 30 min 3×/week (
B), and limiting fat (
D) reduce MI risk. BP cuff use (
C) is monitoring, not prevention.

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?

A. Check the PTT and PT/INR. B. Check with the HCP to see which drug should be discontinued. C. Administer both medications. D. Discontinue the heparin because the client is receiving Coumadin.

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

The nurse is caring for clients on a surgical floor. Which client should be assessed first?

A. The client who is four (4) days postoperative abdominal surgery and is complaining of left calf pain when ambulating. B. The client who is one (1) day postoperative hernia repair who has just been able to void 550 mL of clear amber urine. C. The client who is five (5) days postoperative open cholecystectomy who has a T-tube and is being discharged. D. The client who is 16 hours post-abdominal hysterectomy and is complaining of abdominal pain and is expelling flatus.

Correct Answer: A

Rationale: Calf pain post-surgery (
A) suggests DVT, requiring immediate assessment. Normal voiding (
B), discharge (
C), and expected pain/flatus (
D) are less urgent.

Question 5 of 5

The nurse knows the client understands the teaching concerning a low-fat, low-cholesterol diet when the client selects which meal?

A. Fried fish, garlic mashed potatoes, and iced tea. B. Ham and cheese on white bread and whole milk. C. Baked chicken, baked potato, and skim milk. D. A hamburger, French fries, and carbonated beverage.

Correct Answer: C

Rationale: Baked chicken, baked potato, and skim milk (
C) are low-fat/low-cholesterol. Fried fish (
A), ham/cheese/milk (
B), and hamburger/fries (
D) are high-fat.

Peripheral Vascular Disease NCLEX Questions | Nurselytic

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