NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
Which complication should the nurse monitor for in a client with pericarditis?
Correct Answer: A
Rationale: Cardiac tamponade is a serious complication of pericarditis, where fluid accumulation compresses the heart.
Question 2 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 3 of 5
Which medical treatment would be prescribed for the client with an AAA less than 3 cm?
Correct Answer: A
Rationale: Small AAAs (<3 cm) are monitored with ultrasound every 6 months (
A). IV pyelogram (
B) is irrelevant, girth (
C) is not standard, and repair (
D) is for larger AAAs (>5.5 cm).
Question 4 of 5
The client diagnosed with a deep vein thrombosis is prescribed heparin via continuous infusion. The client's laboratory data are: PT 12.2 aPTT 48 Control 1.4 Control 32 INR 1 Based on the laboratory results, which intervention should the nurse implement?
Correct Answer: D
Rationale: aPTT 48 (therapeutic 1.5–2× control 32 = 48–64) is within range; continue heparin as ordered (
D). Subcutaneous (
A) is inappropriate, vitamin K (
B) reverses heparin, and diet (
C) is for warfarin.
Question 5 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.