Peripheral Vascular Disease NCLEX

Extract:

Question 1 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 2 of 5

The client diagnosed with atherosclerosis asks the nurse, 'I have heard of atherosclerosis for many years but I never really knew what it meant. Am I going to die?' Which statement would be the nurse’s best response?

A. This disease process will not kill you, so don’t worry.' B. The blood supply to your brain is being cut off.' C. It is what caused you to have your high blood pressure.' D. Atherosclerosis is a buildup of plaque in your arteries.'

Correct Answer: D

Rationale: Atherosclerosis is plaque buildup in arteries (
D), a clear and accurate response. It’s not always fatal (
A), doesn’t primarily affect brain (
B), and isn’t the sole cause of hypertension (
C).

Question 3 of 5

The unlicensed assistive personnel (UAP) is caring for the client diagnosed with chronic venous insufficiency. Which action would warrant immediate intervention from the nurse?

A. Removing compression stockings before assisting the client to bed. B. Taking the client’s blood pressure manually after using the machine. C. Assisting the client by opening the milk carton on the lunch tray. D. Calculating the client’s shift intake and output with a pen and paper.

Correct Answer: A

Rationale: Removing compression stockings (
A) at night is incorrect; they should be worn to reduce edema. Manual BP (
B), opening cartons (
C), and I/O Calculation(ans only)s (
D) are appropriate.

Question 4 of 5

The nurse is discussing discharge teaching with the client who is three (3) days postoperative abdominal aortic aneurysm repair. Which discharge instructions should the nurse include when teaching the client?

A. Notify the HCP of any redness or irritation of the incision. B. Do not lift anything that weighs more than 20 pounds. C. Inform the client there may be pain not relieved with pain medication. D. Stress the importance of having daily bowel movements.

Correct Answer: A,B

Rationale: Notifying HCP of redness (
A) and limiting lifting to <20 lbs (
B) prevent infection and graft stress. Unrelieved pain (
C) requires evaluation, and daily BMs (
D) are not critical.

Question 5 of 5

Which medication should the nurse expect the health-care provider to order for a client diagnosed with arterial occlusive disease?

A. An anticoagulant medication. B. An antihypertensive medication. C. An antiplatelet medication. D. A muscle relaxant.

Correct Answer: C

Rationale: Antiplatelet medications (e.g., aspirin, clopidogrel) (
C) prevent clot formation in PAD. Anticoagulants (
A) are for DVT, antihypertensives (
B) for BP, and muscle relaxants (
D) are irrelevant.

Peripheral Vascular Disease NCLEX | Nurselytic

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NCLEX-PN

NCLEX-PN