Peripheral Vascular Disease NCLEX Questions

Extract:

Question 1 of 5

The nurse is unable to assess a pedal pulse in the client diagnosed with arterial occlusive disease. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Absent pedal pulse in PAD requires Doppler use (
B) to confirm blood flow. Neurovascular assessment (
A) follows, dependent position (
C) worsens ischemia, and blankets (
D) are irrelevant.

Question 2 of 5

The client diagnosed with a DVT is placed on a medical unit. Which nursing interventions should be implemented? Select all that apply.

A. Place sequential compression devices on both legs. B. Instruct the client to stay in bed and not ambulate. C. Encourage fluids and a diet high in roughage. D. Monitor IV site every four (4) hours and prn. E. Assess Homans’ sign every 24 hours.

Correct Answer: A,C,D

Rationale: Compression devices (
A), fluids/fiber (
C), and IV monitoring (
D) prevent DVT progression and complications. Bedrest (
B) is not absolute (early ambulation is encouraged), and Homans’ sign (E) is unreliable.

Question 3 of 5

The client is diagnosed with an abdominal aortic aneurysm. Which statement would the nurse expect the client to make during the admission assessment?

A. I have stomach pain every time I eat a big, heavy meal.' B. I don’t have any abdominal pain or any type of problems.' C. I have periodic episodes of constipation and then diarrhea.' D. I belch a lot, especially when I lie down after eating.'

Correct Answer: B

Rationale: Small AAAs are often asymptomatic (
B). Postprandial pain (
A), bowel changes (
C), and belching (
D) suggest GI issues, not AAA.

Question 4 of 5

The client diagnosed with essential hypertension asks the nurse, 'Why do I have high blood pressure?' Which response by the nurse would be most appropriate?

A. You probably have some type of kidney disease that causes the high BP.' B. More than likely you have had a diet high in salt, fat, and cholesterol.' C. There is no specific cause for hypertension, but there are many known risk factors.' D. You are concerned that you have high blood pressure. Let's sit down and talk.'

Correct Answer: C

Rationale: Essential hypertension has no single cause but multiple risk factors (e.g., genetics, lifestyle) (
C). Kidney disease (
A) or diet (
B) may contribute but aren’t definitive, and concern (
D) avoids the question.

Question 5 of 5

The client with endocarditis asks why they need IV antibiotics. What is the best response?

A. They work faster than oral antibiotics. B. They are cheaper than oral forms. C. They prevent stomach upset. D. They are easier to take.

Correct Answer: A

Rationale: IV antibiotics achieve higher blood levels to effectively treat the infection in endocarditis.

Peripheral Vascular Disease NCLEX Questions | Nurselytic

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