NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
Which activity should the nurse advise a client with a new pacemaker to avoid?
Correct Answer: C
Rationale: Avoiding heavy lifting for 6 weeks prevents dislodgement of pacemaker leads.
Question 2 of 5
The intensive care department nurse is calculating the total intake for a client diagnosed with hypertensive crisis. The client has received 880 mL of D5W, IVPB of 100 mL of 0.9% NS, 8 ounces of water, 4 ounces of milk, and 6 ounces of chicken broth. The client has had a urinary output of 1,480 mL. What is the total intake for this client?
Correct Answer: 1180
Rationale:
Total intake = IV fluids (880 mL D5W + 100 mL NS) + oral fluids (8 oz water + 4 oz milk + 6 oz broth). 1 oz = 30 mL, so oral = (8+4+6) × 30 = 540 mL.
Total = 880 + 100 + 540 = 1,180 mL. Output (1,480 mL) is not included in intake.
Question 3 of 5
The nurse is teaching a client with endocarditis about preventing recurrence. Which statement is most important?
Correct Answer: A
Rationale: Prophylactic antibiotics before dental procedures prevent bacterial seeding of heart valves.
Question 4 of 5
The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?
Correct Answer: D
Rationale: Beta blockers slow heart rate; an apical pulse of 56 (
D) may indicate bradycardia, warranting caution. BP 110/70 (
A) is acceptable, K+ 3.4 (
B) is low but unrelated, and cough (
C) is not a contraindication.
Question 5 of 5
Which assessment finding in a client with heart failure indicates pulmonary edema?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid in the alveoli, a hallmark of pulmonary edema.