NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The intensive care department nurse is calculating the total intake for a client diagnosed with hypertensive crisis. The client has received 880 mL of D5W, IVPB of 100 mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480 mL. What is the total intake for this client?
Correct Answer: 1180
Rationale:
Total intake = IV fluids (880 mL D5W + 100 mL NS) + oral fluids (8 oz water + 4 oz milk + 6 oz broth). 1 oz = 30 mL, so oral = (8+4+6) × 30 = 540 mL.
Total = 880 + 100 + 540 = 1,180 mL. Output (1,480 mL) is not included in intake.
Question 2 of 5
The male client is diagnosed with Guillain-Barré (GB) syndrome and is in the intensive care unit on a ventilator. Which cardiovascular rationale explains implementing passive range-of-motion (ROM) exercises?
Correct Answer: D
Rationale: Passive ROM (
D) promotes venous return, preventing DVT in immobile GB patients. Contractures (
A) are musculoskeletal, feeling better (
B) is subjective, and pain relief (
C) is not primary.
Question 3 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 4 of 5
Which finding in a client post-myocardial infarction requires immediate action?
Correct Answer: A
Rationale: Prolonged chest pain post-myocardial infarction may indicate reinfarction or ischemia, requiring immediate intervention.
Question 5 of 5
The client asks the nurse, 'My doctor just told me that atherosclerosis is why my legs hurt when I walk. What does that mean?' Which response by the nurse would be the best response?
Correct Answer: D
Rationale: Atherosclerosis causes arterial hardening, reducing leg oxygen (
D), a clear explanation for claudication. Thickening (
A) is technical, deferring (
B) avoids teaching, and venous valves (
C) are unrelated.