NR304 Exam 1 Questions And Correct Answers 2024-2025
A nurse is caring for a client who has deep vein thrombosis and has been receiving
heparin continuous infusion for 5 days. The provider orders warfarin PO without
discontinuing the heparin. The client asks the nurse why both of these anticoagulants
are necessary. Which of the following statements should the nurse make?
A. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin
reaches a therapeutic level."
B. "I will call the provider to get a prescription for discontinuing the IV heparin today."
C. "Both heparin and warfarin work together to dissolve the clots."
D. "The IV heparin enhances the effectiveness of the warfarin and decreases the length
of your stay in the hospital." -Answer A. "Warfarin takes several days to be effective, so
the IV heparin will be used until the warfarin reaches a therapeutic level."
A nurse is caring for a client who is postoperative and at risk to develop VTE. Which
unsafe action by the client should the nurse instruct her to avoid doing?
A. Elevating the feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery - Answer B. Massaging her legs
A nurse working on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures puts the client at risk for
deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - Answer C. Hip arthroplasty
, A nurse is providing care for ⁞ who states that an area of redness, warmth, tenderness,
and pain exists in the right calf. The nurse predicts which of the following orders when
notifying the provider of this finding?
A. Obtain a venous duplex ultrasound
B. Obtain impedance plethysmography
C. Monitor Homan's sign
D. Apply cold therapy to the affected leg - Answer A. Obtain a venous duplex ultrasound
A nurse is providing discharge teaching ti a client who has peripheral arterial disease.
Which of the following instructions should the nurse include in the teaching?
A. Apply a heating pad on a low setting to help relieve leg pain
B. Adjust the thermostat so that the environment is warm
C. Wear antiembolic stockings during the day
D. Rest with the legs above heart level - Answer B. Adjust the thermostat so that the
environment is warm
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the
following symptoms should the nurse expect to find in the early stage of the disease?
A. Intermittent claudication
B. Dependent rubor
C. Rest pain
D. Foot ulcers - Answer A. Intermittent claudication
A nurse is conducting preoperative teaching with a client who will undergo surgery. The
nurse explains that the client will be wearing antiembolism stockings during and after
the surgical procedure. The client inquires about what the stockings do. The nurse
should answer the client with which of the following statements?
A. "They protect your legs and heels from skin breakdown."
B. "They help keep you warm after you're surgery."
C. "They improve your circulation to keep blood from pooling in your legs."
A nurse is caring for a client who has deep vein thrombosis and has been receiving
heparin continuous infusion for 5 days. The provider orders warfarin PO without
discontinuing the heparin. The client asks the nurse why both of these anticoagulants
are necessary. Which of the following statements should the nurse make?
A. "Warfarin takes several days to work, so the IV heparin will be used until the warfarin
reaches a therapeutic level."
B. "I will call the provider to get a prescription for discontinuing the IV heparin today."
C. "Both heparin and warfarin work together to dissolve the clots."
D. "The IV heparin enhances the effectiveness of the warfarin and decreases the length
of your stay in the hospital." -Answer A. "Warfarin takes several days to be effective, so
the IV heparin will be used until the warfarin reaches a therapeutic level."
A nurse is caring for a client who is postoperative and at risk to develop VTE. Which
unsafe action by the client should the nurse instruct her to avoid doing?
A. Elevating the feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery - Answer B. Massaging her legs
A nurse working on a medical-surgical unit is caring for four clients who are 24 to 36 hr
postoperative. Which of the following surgical procedures puts the client at risk for
deep-vein thrombosis?
A. Myringotomy
B. Laparoscopic appendectomy
C. Hip arthroplasty
D. Cataract extraction - Answer C. Hip arthroplasty
, A nurse is providing care for ⁞ who states that an area of redness, warmth, tenderness,
and pain exists in the right calf. The nurse predicts which of the following orders when
notifying the provider of this finding?
A. Obtain a venous duplex ultrasound
B. Obtain impedance plethysmography
C. Monitor Homan's sign
D. Apply cold therapy to the affected leg - Answer A. Obtain a venous duplex ultrasound
A nurse is providing discharge teaching ti a client who has peripheral arterial disease.
Which of the following instructions should the nurse include in the teaching?
A. Apply a heating pad on a low setting to help relieve leg pain
B. Adjust the thermostat so that the environment is warm
C. Wear antiembolic stockings during the day
D. Rest with the legs above heart level - Answer B. Adjust the thermostat so that the
environment is warm
A nurse is caring for a client who has peripheral arterial disease (PAD). Which of the
following symptoms should the nurse expect to find in the early stage of the disease?
A. Intermittent claudication
B. Dependent rubor
C. Rest pain
D. Foot ulcers - Answer A. Intermittent claudication
A nurse is conducting preoperative teaching with a client who will undergo surgery. The
nurse explains that the client will be wearing antiembolism stockings during and after
the surgical procedure. The client inquires about what the stockings do. The nurse
should answer the client with which of the following statements?
A. "They protect your legs and heels from skin breakdown."
B. "They help keep you warm after you're surgery."
C. "They improve your circulation to keep blood from pooling in your legs."
