NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
The male client diagnosed with essential hypertension has been prescribed an alpha-adrenergic blocker. Which intervention should the nurse discuss with the client?
Correct Answer: D
Rationale: Alpha blockers cause orthostatic hypotension; changing positions slowly (
D) prevents falls. Bananas (
A) are unrelated, impotence (
B) is possible but not expected, and empty stomach (
C) is not required.
Question 2 of 5
The nurse is discussing the importance of exercising with a client who is diagnosed with coronary artery disease. Which statement best describes the scientific rationale for encouraging 30 minutes of walking daily to help prevent complications of atherosclerosis?
Correct Answer: A
Rationale: Walking promotes collateral circulation (
A), improving blood flow in CAD. Isometric exercises (
B) increase BP, plaque prevention (
C) is indirect, and glucose transport (
D) is unrelated.
Question 3 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 4 of 5
The nurse is completing a neurovascular assessment on the client with chronic venous insufficiency. What should be included in this assessment? Select all that apply.
Correct Answer: A,B
Rationale: Paresthesia (
A) and pedal pulses (
B) assess neurovascular status in venous insufficiency. Paralysis (
C) and pallor (
D) are arterial, and polar/temperature (E) is assessed but not primary.
Question 5 of 5
The nurse is discussing the pathophysiology of atherosclerosis with a client who has a normal high-density lipoprotein (HDL) level. Which information should the nurse discuss with the client concerning HDLs?
Correct Answer: A
Rationale: Normal HDL (
A) is protective, removing cholesterol from arteries. HDL doesn’t measure fatty acids (
B) or transport cholesterol into cells (
C), and diet (
D) is unrelated to normal HDL.