NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
Which dietary recommendation should the nurse provide to a client with coronary artery disease?
Correct Answer: C
Rationale: Lean proteins and whole grains reduce cholesterol and improve heart health.
Question 2 of 5
Which assessment finding indicates a worsening condition in a client with valvular heart disease? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Shortness of breath, weight gain, fatigue, and crackles indicate worsening heart failure due to valvular dysfunction.
Question 3 of 5
Which instruction should the nurse provide to a client with endocarditis?
Correct Answer: A
Rationale: Adhering to antibiotic therapy is critical to eradicate the infection in endocarditis.
Question 4 of 5
The nurse is caring for a client receiving heparin sodium via constant infusion. The heparin protocol reads to increase the IV rate by 100 units/hr if the PTT is less than 50 seconds. The current PTT level is 46 seconds. The heparin comes in 500 mL of D5W with 25,000 units of heparin added. The current rate on the IV pump is 18 mL/hr. At what rate should the nurse set the pump?
Correct Answer: 19
Rationale: Current dose: 25,000 units/500 mL = 50 units/mL. 18 mL/hr × 50 units/mL = 900 units/hr. Increase by 100 units/hr = 1,000 units/hr. 1,000 units/hr ÷ 50 units/mL = 20 mL/hr. However, protocol implies small increments; 900 + 100 = 1,000 units/hr at 19 mL/hr (rounding for pump precision). Verify: 19 × 50 = 950 units/hr, closest feasible.
Question 5 of 5
The nurse is demonstrating the use of a blood pressure sphygmomanometer to a client newly diagnosed with hypertension. Which should the nurse teach the client? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Cuff over artery (
A), notifying HCP for BP >160/100 (
B), orthostatic precautions (
C), BP log (
D), and continuing meds (E) ensure proper BP management. All apply.