NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The home health nurse is admitting a client diagnosed with a DVT. Which action by the client warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Vitamin E (
C) increases bleeding risk with DVT anticoagulation, requiring intervention. Stool softeners (
A), Medic Alert (
B), and leg elevation (
D) are appropriate.
Question 2 of 5
Which assessment data would support that the client has a venous stasis ulcer?
Correct Answer: A
Rationale: Venous stasis ulcers are superficial, pink, and medial (
A) due to venous pooling. Deep/pale (
B) or necrotic (
D) ulcers suggest arterial insufficiency, and blisters (
C) are unrelated.
Question 3 of 5
The nurse is caring for the client with chronic venous insufficiency. Which statement indicates the client understands the discharge teaching?
Correct Answer: B
Rationale: Elevating the bed (
B) reduces edema in venous insufficiency. Crossing legs (
A) is discouraged entirely, aspirin (
C) is for arterial issues, and 3,000 mL (
D) risks fluid overload.
Question 4 of 5
Which assessment data would the nurse expect to find in the client diagnosed with chronic venous insufficiency?
Correct Answer: D
Rationale: Brown discoloration (
D) results from hemosiderin deposits in venous insufficiency. Decreased pulses (
A) and claudication (
C) are arterial, and cool skin (
B) is not typical (skin is often warm).
Question 5 of 5
The nurse has just received the a.m. shift report. Which client would the nurse assess first?
Correct Answer: C
Rationale: Inability to move the foot in arterial disease (
C) suggests acute ischemia, a priority. Ulcer pain (
A), cramps (
B), and Homans’ sign (
D) are less urgent.