Vascular Disorder NCLEX Questions 100% Verified
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. 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.
4. severe peripheral artery disease. 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. Ans:
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 Ans:
1. aerobic activity
3. weight control
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 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 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.
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. 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." Ans:
3. "I should stop taking my medicine if it makes me feel weak and dizzy."
A client is receiving cilostazol for peripheral artery disease causing intermittent claudication. The
nurse determines this medication is effective when the client reports:
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." Ans:
3. "I am able to walk further without leg pain."
The client with peripheral artery disease reports both legs hurt when walking. What should the nurse
instruct the client to do?
1. Avoid walking when the pain occurs.
2. Rest frequently with the legs elevated.
3. Wear support stockings.
4. Enroll in a supervised exercise training program. 4. Enroll in a supervised exercise training
program.
The nurse is assessing the lower extremities of the client with peripheral artery disease. Which
findings are expected? Select all that apply.
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. 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.
4. severe peripheral artery disease. 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. Ans:
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 Ans:
1. aerobic activity
3. weight control
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 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 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.
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. 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." Ans:
3. "I should stop taking my medicine if it makes me feel weak and dizzy."
A client is receiving cilostazol for peripheral artery disease causing intermittent claudication. The
nurse determines this medication is effective when the client reports:
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." Ans:
3. "I am able to walk further without leg pain."
The client with peripheral artery disease reports both legs hurt when walking. What should the nurse
instruct the client to do?
1. Avoid walking when the pain occurs.
2. Rest frequently with the legs elevated.
3. Wear support stockings.
4. Enroll in a supervised exercise training program. 4. Enroll in a supervised exercise training
program.
The nurse is assessing the lower extremities of the client with peripheral artery disease. Which
findings are expected? Select all that apply.
