NCLEX-PN
Peripheral Vascular Disease NCLEX Questions
Extract:
Question 1 of 5
Which medication should the nurse expect the health-care provider to order for a client diagnosed with arterial occlusive disease?
Correct Answer: C
Rationale: Antiplatelet medications (e.g., aspirin, clopidogrel) (
C) prevent clot formation in PAD. Anticoagulants (
A) are for DVT, antihypertensives (
B) for BP, and muscle relaxants (
D) are irrelevant.
Question 2 of 5
The nurse is teaching the client recently diagnosed with essential hypertension. Which instruction should the nurse provide when discussing heart healthy exercise?
Correct Answer: A
Rationale: Walking 30 minutes daily (
A) is aerobic, safe, and effective for hypertension. Light weight lifting (
B) is less ideal, high-intensity aerobics (
C) is too strenuous, and weekly swimming (
D) is insufficient.
Question 3 of 5
The nurse is teaching the Dietary Approaches to Stop Hypertension (DASH) diet to a client diagnosed with essential hypertension. Which statement indicates that the client understands teaching concerning the DASH diet?
Correct Answer: A
Rationale: The DASH diet emphasizes 4–5 servings of vegetables daily (
A) to lower BP. Marbled meat (
B) is high-fat, whole milk (
C) is limited, and grains (
D) are encouraged (6–8 servings daily).
Question 4 of 5
Which assessment finding in a client with heart failure indicates pulmonary edema?
Correct Answer: A
Rationale: Crackles in the lung bases indicate fluid in the alveoli, a hallmark of pulmonary edema.
Question 5 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.