NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment data would require immediate intervention by the nurse for the client who is six (6) hours postoperative abdominal aortic aneurysm repair?
Correct Answer: A
Rationale: Absent pedal pulses (
A) suggest graft occlusion, a surgical emergency. Incisional pain (
B), distension (
C), and low-grade fever (
D) are expected or less urgent.
Question 2 of 5
The nurse is caring for clients on a surgical floor. Which client should be assessed first?
Correct Answer: A
Rationale: Calf pain post-surgery (
A) suggests DVT, requiring immediate assessment. Normal voiding (
B), discharge (
C), and expected pain/flatus (
D) are less urgent.
Question 3 of 5
The client diagnosed with a DVT is placed on a medical unit. Which nursing interventions should be implemented? Select all that apply.
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 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 home health nurse is admitting a client diagnosed with a DVT. Which action by the client warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: Vitamin E (
C) increases bleeding risk with DVT anticoagulation, requiring intervention. Stool softeners (
A), Medic Alert (
B), and leg elevation (
D) are appropriate.