NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse knows the client understands the teaching concerning a low-fat, low-cholesterol diet when the client selects which meal?
Correct Answer: C
Rationale: Baked chicken, baked potato, and skim milk (
C) are low-fat/low-cholesterol. Fried fish (
A), ham/cheese/milk (
B), and hamburger/fries (
D) are high-fat.
Question 2 of 5
The client is receiving prophylactic low molecular weight heparin. There are no PT/PTT or INR results on the client's chart since admission three (3) days ago. Which action should the nurse implement?
Correct Answer: A
Rationale: LMWH (e.g., enoxaparin) does not require PT/PTT/INR monitoring (
A); it’s administered as ordered. Notifying HCP (
B), obtaining labs (
C), or holding (
D) are unnecessary.
Question 3 of 5
The nurse is teaching a client with cardiomyopathy about implantable cardioverter-defibrillators (ICDs). Which statement is accurate?
Correct Answer: B
Rationale: An ICD monitors heart rhythm and delivers a shock to restore normal rhythm in life-threatening arrhythmias.
Question 4 of 5
The client diagnosed with a DVT is on a heparin drip at 1,400 units per hour, and Coumadin (warfarin sodium, also an anticoagulant) 5 mg daily. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Check PTT (heparin) and PT/INR (warfarin) (
A) to assess therapeutic levels before action. HCP check (
B), administering (
C), or discontinuing (
D) depend on lab results (heparin often continues briefly with warfarin).
Question 5 of 5
The nurse is caring for the client on strict bedrest. Which intervention is priority when caring for this client?
Correct Answer: D
Rationale: High-fiber diet (
D) prevents constipation, a priority in bedrest to avoid straining and DVT risk. Fluids (
A) are important, active ROM (
B) is incorrect (passive needed), and HOB elevation (
C) is not primary.