NEWEST ACTUAL EXAM (2 VERSIONS)
WITH COMPLETE QUESTIONS AND
DETAILED VERIFIED ANSWERS GRADED A |
100% VERIFIED
When evaluating the discharge teaching for a patient with
chronic peripheral artery disease (PAD), the nurse determines a
need for further instruction when the patient says, "I will
A. have to buy some loose clothes that do not bind across my
legs or waist."
B. use a heating pad on my feet at night to increase the
circulation and warmth in my feet."
C. change my position every hour and avoid long periods of
sitting with my legs crossed."
D. walk to the point of pain, rest, and walk again until the pain
returns for at least 30 minutes 3 times a week." - ✔✔✔ Correct
Answer > B
Which nursing action should be included in the plan of care
after endovascular repair of an abdominal aortic aneurysm?
,A. Record hourly chest tube drainage.
B. Monitor fluid intake and urine output.
C. Check the abdominal incision for any redness.
D. Teach the reason for a prolonged recovery period. - ✔✔✔
Correct Answer > B
When developing a teaching plan for a 76-year-old patient
newly diagnosed with peripheral artery disease (PAD), which
instructions should the nurse include?
A. "Exercise only if you do not experience any pain."
B. "It is very important that you stop smoking cigarettes."
C. "Try to keep your legs elevated whenever you are sitting."
D. "Put elastic compression stockings on early in the morning." -
✔✔✔ Correct Answer > B
When caring for a patient on the first postoperative day after
an abdominal aortic aneurysm repair, which assessment finding
is most important for the nurse to communicate to the health
care provider?
A. Presence of flatus
B. Loose, bloody stools
C. Hypoactive bowel sounds
,D. Abdominal pain with palpation - ✔✔✔ Correct Answer > B
The nurse is caring for a patient with critical limb ischemia who
has just arrived on the nursing unit after having percutaneous
transluminal balloon angioplasty. Which action should the
nurse perform first?
A. Begin oral intake.
B. Obtain vital signs.
C. Assess pedal pulses.
D. Start discharge teaching. - ✔✔✔ Correct Answer > B
A 46-year-old is diagnosed with thromboangiitis obliterans
(Buerger's disease). When the nurse is developing a discharge
teaching plan for the patient, which outcome has the highest
priority for this patient?
A. Cessation of all tobacco use
B. Control of serum lipid levels
C. Maintenance of appropriate weight
D. Demonstration of meticulous foot care - ✔✔✔ Correct
Answer > A
, Which assessment finding for a patient who has been admitted
with a right calf venous thromboembolism (VTE) requires
immediate action by the nurse?
A. Erythema of right lower leg
B. Complaint of right calf pain
C. New onset shortness of breath
D. Temperature of 100.4° F (38° C) - ✔✔✔ Correct Answer > C
A nurse is caring for a client who has chronic venous
insufficiency and a prescription for thigh high compression
stockings. Which action should the nurse take?
a. elevate legs for 10 min, 2-3 times a day while wearing
stockings
b. apply the stockings in the morning upon awakening and
before getting out of bed
c. roll the stockings down to the knees to relieve discomfort on
the legs
d. remove the stockings while out of bed for 1 hour, 4 times a
day, to allow the legs to rest - ✔✔✔ Correct Answer > B.
Applying the stockings in the morning upon waking up before
getting out of bed reduces venous stasis and assists in the
venous return of blood to the heart.