DANC 2325 HESI NURSING VERSION
PRACTICE EXAM 2026 QUESTIONS AND
ANSWERS CERTIFICATION EVALUATION
SET
●● A client with peripheral vascular disease has undergone a right
femoral popliteal bypass graft. The blood pressure has decreased from
124/80 to 94/62. What should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill..
Answer: 2. Pedal pulses.
With each set of vital signs, the nurse should assess the dorsalis pedis
and posterior tibial pulses. The nurse needs to ensure adequate perfusion
to the lower
extremity with the drop in blood pressure. IV fluids, nasal cannula
setting, and capillary refill are important to assess; however, priority is
to determine the cause of drop in blood pressure and that adequate
perfusion through the new graft is maintained.
,CN: Reduction of risk potential; CL: Analyze
●● An overweight client taking warfarin (Coumadin) 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.
2. Follow a reduced-calorie, reduced-fat diet.- promote circulation by
reducing weight.
3. Inspect the involved areas daily for new ulcerations.
4. Instruct the client to limit activities of daily living (ADLs). 5. Use an
electric razor to shave..
Answer: 1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.- promote circulation by
reducing weight.
3. Inspect the involved areas daily for new ulcerations.
5. Use an electric razor to shave.
1, 2, 3, 5. Maintaining skin integrity is important in preventing chronic
ulcers and infections. The client should be taught to inspect the skin on a
daily basis. The client should reduce weight to promote circulation; a
diet lower in calories and fat is appropriate. Because the client is
receiving Coumadin, the client is at risk for bleeding from cuts. To
decrease the risk of cuts, the nurse should suggest that the client use an
electric razor. The client with decreased arterial blood flow should be
,encouraged to participate in ADLs. In fact, the client should be
encouraged to consult an exercise physiologist for an exercise program
that enhances the aerobic capacity of the body. CN: Health promotion
and maintenance; CL: Synthesize
●● The nurse is caring for a client with peripheral artery disease who
has recently been prescribed clopidogrel (Plavix). The nurse understands
that more teaching is necessary when the client states which of the
following:
1. "I should not be surprised if I bruise easier or if my gums bleed a little
when brushing my teeth."
2. "It doesn't really matter if I take this medicine with or without food,
whatever works best for my stomach."
3. "I should stop taking Plavix 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 Plavix if it makes me feel weak and
dizzy."
Weakness, dizziness, and headache are common adverse effects of
Plavix and the client should report these to the physician if they are
problematic; in order to decrease risk of clot formation, Plavix must be
taken regularly and should not be
stopped or taken intermittently. The main adverse effect of Plavix is
bleeding, which often occurs as increased bruising or bleeding when
brushing teeth. Plavix is well absorbed, and while food may help
, decrease potential gastrointestinal upset, Plavix may be taken with or
without food. Plavix is an antiplatelet agent used to prevent clot
formation in clients who have experienced or are at risk for myocardial
infarction, ischemic stroke, peripheral artery disease, or acute coronary
syndrome.
CN: Pharmacological and parenteral therapies; CL: Evaluate
●● A client is receiving Cilostazol (Pletal) for peripheral arterial disease
causing intermittent claudication. The nurse determines this medication
is effective when the client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg pain."
4. "My toes are turning grayish black in color.".
Answer: 3. "I am able to walk further without leg pain."
Cilostazol is indicated for management of intermittent claudication.
Symptoms usually improve within 2 to 4 weeks of therapy. Intermittent
claudication prevents clients from walking for long periods of time.
Cilostazol inhibits platelet aggregation induced by various stimuli and
improving blood flow to the muscles and allowing the client to walk
long distances without pain. Peripheral arterial disease causes pain
mainly of the leg muscles. "Aches and pains" does not specify exactly
where the pain is occurring. Headaches may occur as a side effect of this
drug, and the client should report this information to the health care
provider. Peripheral arterial disease causes
PRACTICE EXAM 2026 QUESTIONS AND
ANSWERS CERTIFICATION EVALUATION
SET
●● A client with peripheral vascular disease has undergone a right
femoral popliteal bypass graft. The blood pressure has decreased from
124/80 to 94/62. What should the nurse assess first?
1. IV fluid solution.
2. Pedal pulses.
3. Nasal cannula flow rate.
4. Capillary refill..
Answer: 2. Pedal pulses.
With each set of vital signs, the nurse should assess the dorsalis pedis
and posterior tibial pulses. The nurse needs to ensure adequate perfusion
to the lower
extremity with the drop in blood pressure. IV fluids, nasal cannula
setting, and capillary refill are important to assess; however, priority is
to determine the cause of drop in blood pressure and that adequate
perfusion through the new graft is maintained.
,CN: Reduction of risk potential; CL: Analyze
●● An overweight client taking warfarin (Coumadin) 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.
2. Follow a reduced-calorie, reduced-fat diet.- promote circulation by
reducing weight.
3. Inspect the involved areas daily for new ulcerations.
4. Instruct the client to limit activities of daily living (ADLs). 5. Use an
electric razor to shave..
Answer: 1. Apply lanolin or petroleum jelly to intact skin.
2. Follow a reduced-calorie, reduced-fat diet.- promote circulation by
reducing weight.
3. Inspect the involved areas daily for new ulcerations.
5. Use an electric razor to shave.
1, 2, 3, 5. Maintaining skin integrity is important in preventing chronic
ulcers and infections. The client should be taught to inspect the skin on a
daily basis. The client should reduce weight to promote circulation; a
diet lower in calories and fat is appropriate. Because the client is
receiving Coumadin, the client is at risk for bleeding from cuts. To
decrease the risk of cuts, the nurse should suggest that the client use an
electric razor. The client with decreased arterial blood flow should be
,encouraged to participate in ADLs. In fact, the client should be
encouraged to consult an exercise physiologist for an exercise program
that enhances the aerobic capacity of the body. CN: Health promotion
and maintenance; CL: Synthesize
●● The nurse is caring for a client with peripheral artery disease who
has recently been prescribed clopidogrel (Plavix). The nurse understands
that more teaching is necessary when the client states which of the
following:
1. "I should not be surprised if I bruise easier or if my gums bleed a little
when brushing my teeth."
2. "It doesn't really matter if I take this medicine with or without food,
whatever works best for my stomach."
3. "I should stop taking Plavix 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 Plavix if it makes me feel weak and
dizzy."
Weakness, dizziness, and headache are common adverse effects of
Plavix and the client should report these to the physician if they are
problematic; in order to decrease risk of clot formation, Plavix must be
taken regularly and should not be
stopped or taken intermittently. The main adverse effect of Plavix is
bleeding, which often occurs as increased bruising or bleeding when
brushing teeth. Plavix is well absorbed, and while food may help
, decrease potential gastrointestinal upset, Plavix may be taken with or
without food. Plavix is an antiplatelet agent used to prevent clot
formation in clients who have experienced or are at risk for myocardial
infarction, ischemic stroke, peripheral artery disease, or acute coronary
syndrome.
CN: Pharmacological and parenteral therapies; CL: Evaluate
●● A client is receiving Cilostazol (Pletal) for peripheral arterial disease
causing intermittent claudication. The nurse determines this medication
is effective when the client reports which of the following?
1. "I am having fewer aches and pains."
2. "I do not have headaches anymore."
3. "I am able to walk further without leg pain."
4. "My toes are turning grayish black in color.".
Answer: 3. "I am able to walk further without leg pain."
Cilostazol is indicated for management of intermittent claudication.
Symptoms usually improve within 2 to 4 weeks of therapy. Intermittent
claudication prevents clients from walking for long periods of time.
Cilostazol inhibits platelet aggregation induced by various stimuli and
improving blood flow to the muscles and allowing the client to walk
long distances without pain. Peripheral arterial disease causes pain
mainly of the leg muscles. "Aches and pains" does not specify exactly
where the pain is occurring. Headaches may occur as a side effect of this
drug, and the client should report this information to the health care
provider. Peripheral arterial disease causes
