NCLEX-PN
Peripheral Vascular Disease NCLEX Questions Questions
Extract:
Question 1 of 5
Which instruction should the nurse include for a client with heart failure to monitor fluid status?
Correct Answer: B
Rationale: Daily weight monitoring detects fluid retention early, as 1 liter of fluid equals approximately 2.2 pounds.
Question 2 of 5
Which assessment data would support that the client has a venous stasis ulcer?
Correct Answer: A
Rationale: Venous stasis ulcers are superficial, pink, and medial (
A) due to venous pooling. Deep/pale (
B) or necrotic (
D) ulcers suggest arterial insufficiency, and blisters (
C) are unrelated.
Question 3 of 5
The nurse is caring for a male client diagnosed with essential hypertension. Which information regarding antihypertensive medication should the nurse teach?
Correct Answer: C
Rationale: Antihypertensives cause orthostatic hypotension; rising slowly (
C) prevents falls. Frequent BP checks (
A) are excessive, drug levels (
B) are rarely monitored, and glucose meters (
D) are irrelevant.
Question 4 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 5 of 5
The 66-year-old male client has his blood pressure (BP) checked at a health fair. The BP is 168/98. Which action should the nurse implement first?
Correct Answer: B
Rationale: BP 168/98 indicates stage 2 hypertension, requiring prompt HCP evaluation (
B). Waiting a month (
A) delays care, diet discussion (
C) is secondary, and normal range (
D) is incorrect (normal is <120/80).