Grade A+ Vascular NCLEX style questions and ans 2025
When discussing risk factor modification for a 60-year-old patient
who has a 4-cm abdominal aortic aneurysm, the nurse will focus
patient teaching on which of these patient risk factors?
a. Male gender
b. Marfan syndrome
ANS: D
c.Abdominal trauma history
All of the factors contribute to the patient's risk, but only the
hypertension can potentially be modified to decrease the patient's d.Uncontrolled hypertension
risk for further expansion of the aneurysm.
A patient in the outpatient clinic has a new diagnosis of peripheral
artery disease (PAD). Which group of medications will the nurse
plan to include when providing patient teaching about PAD man-
agement?
ANS: A
a.Statins
Current research indicates that statin use by patients with PAD
improves multiple outcomes. There is no research that supports
b.Antibiotics
the use of the other medication categories in PAD.
c.Thrombolytics
d. Anticoagulants
A patient at the clinic says, "I have always taken a walk after dinner,
but lately my leg cramps and hurts after just a few minutes of
starting. The pain goes away after I stop walking, though." The
nurse should
a.check for the presence of tortuous veins bilaterally on the legs.
ANS: D b.ask about any skin color changes that occur in response to cold.
The nurse should assess for other clinical manifestations of pe- c.assess for unilateral swelling, redness, and tenderness of either
ripheral arterial disease in a patient who describes intermittent leg.
claudication.
Unilateral leg swelling, redness, and tenderness indicate venous d. assess for the presence of the dorsalis pedis and posterior tibial
thromboembolism (VTE). pulses.
The nurse is assessing a client who reports claudication after
walking a distance of one block. The nurse notes a painful ulcer
ANS: B
on the fourth toe of the client's right foot. What condition do these
findings correlate with?
Arterial disease is characterized by claudication after walking
short distances. Ulcerations caused by peripheral arterial disease
a.Diabetic foot ulceration
are painful and initially are located at the most distal points on the
extremity. Diabetic ulcers and venous ulcers are seldom painful
b. Peripheral arterial disease
and usually tend to occur where pressure is applied.
c. Peripheral venous disease
1/6
, Grade A+ Vascular NCLEX style questions and ans 2025
d. Deep vein thrombosis
The nurse notes a venous ulcer on the client's left ankle. What
additional assessment finding does the nurse expect in this client?
a. Absence of hair on the left lower extremity
b. Skin surrounding the ulcer mottled but blanchable
ANS: C c. Brownish discoloration of the lower extremity
Venous ulcers are characterized by brown pigmentation of the d. Cold and gray-blue lower extremity
skin of the lower extremity. Mottled skin, the presence of depen-
dent rubor, and cyanosis are features of arterial ulcers.
The new graduate nurse is assessing a client with an unrepaired
abdominal aortic aneurysm. What assessment technique requires
further education by the supervising nurse?
ANS: D
a.Measurement of abdominal girth
Palpation on or near an aneurysm may cause pain and potential
rupture. Observation, auscultation, and measurement are appro- b.Observation of abdominal wall movement
priate assessments.
c.Auscultation of any area of the abdomen
d.Palpation of the abdominal midline area
The nurse is discharging home a client at risk for venous throm-
ANS: C
boembolism (VTE) on low-molecular-weight heparin. What in-
struction does the nurse provide to this client?
As with any anticoagulation, low-molecular-weight heparin incurs
risk of bleeding. Clients should be taught to report to their health
a. "You must have your aPTT checked every 2 weeks."
care provider the presence of tarry stools, bleeding gums, hema-
turia, ecchymosis, or petechiae. Low-molecular-weight heparin
b. "Massage the injection site after the heparin is injected."
does not affect activated partial thromboplastin time (aPTT), as
does intravenous heparin. This type of heparin is administered
c. "Notify your health care provider if your stools appear tarry."
subcutaneously to deliver a slow sustained response. Massaging
the site would hasten absorption and decrease effects.
d. "An IV catheter will be placed to administer your heparin."
The nurse is providing health education to a client with chronic
venous stasis ulcers. What priority instruction does the nurse
ANS: A
include?
Support hose or antiembolism stockings should be applied just
a. "Apply antiembolism stockings before getting out of bed in the
before getting out of bed in the morning and should be removed
morning."
before going to bed at night. Clients are advised that they will
probably need to wear these stockings indefinitely. Betadine is
b. "Clean venous ulcers with Betadine before applying a dressing."
not indicated and may cause irritation. Chronic venous ulcers are
not caused by an inflammatory process, so daily aspirin is not
c. "Take 1 low-dose aspirin (81 mg) daily to prevent inflammation."
indicated. Hydrocolloid (DuoDerm) dressings are left in place for
a minimum of 3 to 5 days for best effect.
d. "Remove and reapply a new DuoDerm dressing to your ulcers
each day."
A patient is going home with a new prescription for the beta blocker
atenolol (Tenormin). The nurse will include which content when
ANS: A
teaching the patient about this drug?
Patients need to be weaned off these medications slowly because
a.Never stop taking this medication abruptly.
2/6
When discussing risk factor modification for a 60-year-old patient
who has a 4-cm abdominal aortic aneurysm, the nurse will focus
patient teaching on which of these patient risk factors?
a. Male gender
b. Marfan syndrome
ANS: D
c.Abdominal trauma history
All of the factors contribute to the patient's risk, but only the
hypertension can potentially be modified to decrease the patient's d.Uncontrolled hypertension
risk for further expansion of the aneurysm.
A patient in the outpatient clinic has a new diagnosis of peripheral
artery disease (PAD). Which group of medications will the nurse
plan to include when providing patient teaching about PAD man-
agement?
ANS: A
a.Statins
Current research indicates that statin use by patients with PAD
improves multiple outcomes. There is no research that supports
b.Antibiotics
the use of the other medication categories in PAD.
c.Thrombolytics
d. Anticoagulants
A patient at the clinic says, "I have always taken a walk after dinner,
but lately my leg cramps and hurts after just a few minutes of
starting. The pain goes away after I stop walking, though." The
nurse should
a.check for the presence of tortuous veins bilaterally on the legs.
ANS: D b.ask about any skin color changes that occur in response to cold.
The nurse should assess for other clinical manifestations of pe- c.assess for unilateral swelling, redness, and tenderness of either
ripheral arterial disease in a patient who describes intermittent leg.
claudication.
Unilateral leg swelling, redness, and tenderness indicate venous d. assess for the presence of the dorsalis pedis and posterior tibial
thromboembolism (VTE). pulses.
The nurse is assessing a client who reports claudication after
walking a distance of one block. The nurse notes a painful ulcer
ANS: B
on the fourth toe of the client's right foot. What condition do these
findings correlate with?
Arterial disease is characterized by claudication after walking
short distances. Ulcerations caused by peripheral arterial disease
a.Diabetic foot ulceration
are painful and initially are located at the most distal points on the
extremity. Diabetic ulcers and venous ulcers are seldom painful
b. Peripheral arterial disease
and usually tend to occur where pressure is applied.
c. Peripheral venous disease
1/6
, Grade A+ Vascular NCLEX style questions and ans 2025
d. Deep vein thrombosis
The nurse notes a venous ulcer on the client's left ankle. What
additional assessment finding does the nurse expect in this client?
a. Absence of hair on the left lower extremity
b. Skin surrounding the ulcer mottled but blanchable
ANS: C c. Brownish discoloration of the lower extremity
Venous ulcers are characterized by brown pigmentation of the d. Cold and gray-blue lower extremity
skin of the lower extremity. Mottled skin, the presence of depen-
dent rubor, and cyanosis are features of arterial ulcers.
The new graduate nurse is assessing a client with an unrepaired
abdominal aortic aneurysm. What assessment technique requires
further education by the supervising nurse?
ANS: D
a.Measurement of abdominal girth
Palpation on or near an aneurysm may cause pain and potential
rupture. Observation, auscultation, and measurement are appro- b.Observation of abdominal wall movement
priate assessments.
c.Auscultation of any area of the abdomen
d.Palpation of the abdominal midline area
The nurse is discharging home a client at risk for venous throm-
ANS: C
boembolism (VTE) on low-molecular-weight heparin. What in-
struction does the nurse provide to this client?
As with any anticoagulation, low-molecular-weight heparin incurs
risk of bleeding. Clients should be taught to report to their health
a. "You must have your aPTT checked every 2 weeks."
care provider the presence of tarry stools, bleeding gums, hema-
turia, ecchymosis, or petechiae. Low-molecular-weight heparin
b. "Massage the injection site after the heparin is injected."
does not affect activated partial thromboplastin time (aPTT), as
does intravenous heparin. This type of heparin is administered
c. "Notify your health care provider if your stools appear tarry."
subcutaneously to deliver a slow sustained response. Massaging
the site would hasten absorption and decrease effects.
d. "An IV catheter will be placed to administer your heparin."
The nurse is providing health education to a client with chronic
venous stasis ulcers. What priority instruction does the nurse
ANS: A
include?
Support hose or antiembolism stockings should be applied just
a. "Apply antiembolism stockings before getting out of bed in the
before getting out of bed in the morning and should be removed
morning."
before going to bed at night. Clients are advised that they will
probably need to wear these stockings indefinitely. Betadine is
b. "Clean venous ulcers with Betadine before applying a dressing."
not indicated and may cause irritation. Chronic venous ulcers are
not caused by an inflammatory process, so daily aspirin is not
c. "Take 1 low-dose aspirin (81 mg) daily to prevent inflammation."
indicated. Hydrocolloid (DuoDerm) dressings are left in place for
a minimum of 3 to 5 days for best effect.
d. "Remove and reapply a new DuoDerm dressing to your ulcers
each day."
A patient is going home with a new prescription for the beta blocker
atenolol (Tenormin). The nurse will include which content when
ANS: A
teaching the patient about this drug?
Patients need to be weaned off these medications slowly because
a.Never stop taking this medication abruptly.
2/6
