NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
Which finding should the nurse report immediately in a client with a deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: Warm, red skin over the affected area may indicate worsening DVT or complications like thrombophlebitis, requiring immediate attention.
Question 2 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 3 of 5
Which complication of uncontrolled hypertension should the nurse include in client teaching? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Uncontrolled hypertension can damage blood vessels, leading to stroke, kidney failure, heart attack, and vision loss.
Question 4 of 5
The nurse is completing a neurovascular assessment on the client with chronic venous insufficiency. What should be included in this assessment? Select all that apply.
Correct Answer: A,B
Rationale: Paresthesia (
A) and pedal pulses (
B) assess neurovascular status in venous insufficiency. Paralysis (
C) and pallor (
D) are arterial, and polar/temperature (E) is assessed but not primary.
Question 5 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.