NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
The unlicensed assistive personnel (UAP) is applying elastic compression stockings to the client. Which action by the UAP would warrant immediate intervention by the nurse?
Correct Answer: A
Rationale: Applying stockings in a chair (
A) is incorrect; legs should be elevated to reduce edema. Two fingers (
B) ensures fit, elevation (
C) is correct, and warm toes (
D) is appropriate.
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
Which assessment finding indicates a worsening condition in a client with pericarditis?
Correct Answer: A
Rationale: Muffled heart sounds suggest pericardial effusion or cardiac tamponade, indicating worsening pericarditis.
Question 4 of 5
Which discharge instruction should the nurse discuss with the client to prevent recurrent episodes of cellulitis?
Correct Answer: D
Rationale: Inspecting feet for cracks (
D) prevents skin breakdown, a cellulitis entry point in diabetes. Epsom salts (
A) are not standard, socks (
B) are less specific, and repellent (
C) prevents bites but not cracks.
Question 5 of 5
Which risk factor revealed in the client's health history is most closely related to the development of varicose veins?
Correct Answer: A
Rationale: Varicose veins have a strong genetic component, so a family history, such as the client's mother having varicose veins, is a significant risk factor.