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Vascular Disorder NCLEX Questions |
Complete Q&A Study Set with Correct
Answers | Peripheral Arterial & Venous
Disorders Review
What instructions should the nurse give a client experiencing signs and
symptoms related to decreased arterial insufficiency? Select all that apply.
1. Avoid smoking and exposure to the cold.
2. Take acetaminophen if experiencing pain at night.
3. Take aspirin or clopidogrel as prescribed.
4. Use additional bed clothes at night.
5. Wear tight socks to keep feet warm.
ANSWER: Ans:
1. Avoid smoking and exposure to the cold.
3. Take aspirin or clopidogrel as prescribed.
4. Use additional bed clothes at night.
The nurse is caring for a client who has just had an ankle-brachial index
(ABI) test. The left arm blood pressure was 160/80 mm Hg, and a palpable
systolic blood pressure of the left lower extremity was 130/60 mm Hg. These
findings suggest that the client has:
1. mild peripheral artery disease.
2. moderate peripheral artery disease.
3. no apparent occlusion in the left lower extremity.
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4. severe peripheral artery disease.
ANSWER: Ans:
1. mild peripheral artery disease
A client is admitted for a revascularization procedure for artheriosclerosis in
the left iliac artery. To promote circulation in the extremities, the nurse
should:
1. position the client on a firm mattress.
2. keep the involved extremity warm with blankets.
3. position the left leg at or below the body's horizontal plane
4. encourage the client to raise and lower the leg four times every hour.
ANSWER: 3. position the leg at or below the body's horizontal plane.
A sedentary, obese, middle-aged client is recovering from surgery to remove
an embolus in the right iliac artery. The nurse should develop a discharge
plan with the client that will focus on participating in which activities? Select
all that apply.
1. aerobic activity
2. strength training
3. weight control
4. wearing supportive athletic shoes
ANSWER: Ans:
1. aerobic activity
3. weight control
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The nurse is assessing a 48 year old client with a history of smoking during a
routine clinic visit. The client, who exercises regularly, reports having pain the
calf during exercises that disappears at rest. Which finding requires further
evaluation?
1. heart rate 57 bpm
2. SpO2 of 94% on room air
3. blood pressure 134/82 mm Hg
4. ankle-brachial index of 0.65
ANSWER: Ans:
1. SpO2 of 94% on room air
A client with peripheral artery disease has undergone a right femoral-
popliteal bypass graft. The blood pressure has decreased from 124/80 mm Hg
to 88/62 mm Hg. What should the nurse assess first?
1. IV fluid infusion rate
2. pedal pulses
3. nasal cannula flow rate
4. capillary refill
ANSWER: Ans:
2. pedal pulses
An obese client taking warfarin has dry skin due to decreased arterial blood
flow. What should the nurse instruct the client to do? Select all that apply.
1. Apply lanolin or petroleum jelly to intact skin.
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2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
4. Limit activities of daily living (ADLs).
5. Use an electric razor to shave.
ANSWER: Ans:
1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
5. Use an electric razor to shave.
The nurse is caring for a client with peripheral artery disease who has
recently been prescribed clopidogrel. The nurse understands that more
teaching is necessary when the client states:
1. "I should not be surprised if I bruise easier or if my gums bleed a little when
brushing my teeth."
2. "It does not really matter if I take this medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking my medicine if it makes me feel weak and dizzy."
4. "The doctor prescribed this medicine to make my platelets less likely to stick
together and help prevent clots from forming."
ANSWER: 3. "I should stop taking my medicine if it makes me feel weak and
dizzy."
Vascular Disorder NCLEX Questions |
Complete Q&A Study Set with Correct
Answers | Peripheral Arterial & Venous
Disorders Review
What instructions should the nurse give a client experiencing signs and
symptoms related to decreased arterial insufficiency? Select all that apply.
1. Avoid smoking and exposure to the cold.
2. Take acetaminophen if experiencing pain at night.
3. Take aspirin or clopidogrel as prescribed.
4. Use additional bed clothes at night.
5. Wear tight socks to keep feet warm.
ANSWER: Ans:
1. Avoid smoking and exposure to the cold.
3. Take aspirin or clopidogrel as prescribed.
4. Use additional bed clothes at night.
The nurse is caring for a client who has just had an ankle-brachial index
(ABI) test. The left arm blood pressure was 160/80 mm Hg, and a palpable
systolic blood pressure of the left lower extremity was 130/60 mm Hg. These
findings suggest that the client has:
1. mild peripheral artery disease.
2. moderate peripheral artery disease.
3. no apparent occlusion in the left lower extremity.
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4. severe peripheral artery disease.
ANSWER: Ans:
1. mild peripheral artery disease
A client is admitted for a revascularization procedure for artheriosclerosis in
the left iliac artery. To promote circulation in the extremities, the nurse
should:
1. position the client on a firm mattress.
2. keep the involved extremity warm with blankets.
3. position the left leg at or below the body's horizontal plane
4. encourage the client to raise and lower the leg four times every hour.
ANSWER: 3. position the leg at or below the body's horizontal plane.
A sedentary, obese, middle-aged client is recovering from surgery to remove
an embolus in the right iliac artery. The nurse should develop a discharge
plan with the client that will focus on participating in which activities? Select
all that apply.
1. aerobic activity
2. strength training
3. weight control
4. wearing supportive athletic shoes
ANSWER: Ans:
1. aerobic activity
3. weight control
,3|Page
The nurse is assessing a 48 year old client with a history of smoking during a
routine clinic visit. The client, who exercises regularly, reports having pain the
calf during exercises that disappears at rest. Which finding requires further
evaluation?
1. heart rate 57 bpm
2. SpO2 of 94% on room air
3. blood pressure 134/82 mm Hg
4. ankle-brachial index of 0.65
ANSWER: Ans:
1. SpO2 of 94% on room air
A client with peripheral artery disease has undergone a right femoral-
popliteal bypass graft. The blood pressure has decreased from 124/80 mm Hg
to 88/62 mm Hg. What should the nurse assess first?
1. IV fluid infusion rate
2. pedal pulses
3. nasal cannula flow rate
4. capillary refill
ANSWER: Ans:
2. pedal pulses
An obese client taking warfarin has dry skin due to decreased arterial blood
flow. What should the nurse instruct the client to do? Select all that apply.
1. Apply lanolin or petroleum jelly to intact skin.
, 4|Page
2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
4. Limit activities of daily living (ADLs).
5. Use an electric razor to shave.
ANSWER: Ans:
1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.
3. Inspect the involved areas daily for new ulcerations.
5. Use an electric razor to shave.
The nurse is caring for a client with peripheral artery disease who has
recently been prescribed clopidogrel. The nurse understands that more
teaching is necessary when the client states:
1. "I should not be surprised if I bruise easier or if my gums bleed a little when
brushing my teeth."
2. "It does not really matter if I take this medicine with or without food, whatever
works best for my stomach."
3. "I should stop taking my medicine if it makes me feel weak and dizzy."
4. "The doctor prescribed this medicine to make my platelets less likely to stick
together and help prevent clots from forming."
ANSWER: 3. "I should stop taking my medicine if it makes me feel weak and
dizzy."
