REAL EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+
|2025 LATEST VERSION | 100% VERIFIED
A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood pressure, high
sodium intake, and sedentary lifestyle. When developing an individualized care plan for her, the
nurse determines that the most important risk factors for peripheral artery disease (PAD) that
must be modified are
a. weight and diet.
b. activity level and salt intake.
c. tobacco use and high blood pressure.
d. sedentary lifestyle and exercise training. - (answer)c. tobacco use and high blood pressure.
Rest pain is a manifestation of PAD that occurs due to a chronic
a. vasospasm of small cutaneous arteries in the feet.
b. increase in retrograde venous blood flow in the legs.
c. decrease in arterial blood flow to the nerves of the feet.
d. constriction in arterial blood flow to the leg muscles during exercise. - (answer)c. decrease in
arterial blood flow to the nerves of the feet.
A patient with infective endocarditis develops sudden left leg pain with pallor, paresthesia, and a
loss of peripheral pulses. The nurse's initial action should be to
a. elevate the leg to promote venous return.
b. start anticoagulant therapy with IV heparin.
,c. notify the HCP of the change in peripheral perfusion.
d. place the bed in reverse Trendelenburg to promote perfusion - (answer)c. notify the HCP of the
change in peripheral perfusion.
Which clinical manifestations are seen in patients with either Buerger's disease or Raynaud's
phenomenon (select all that apply)?
a. Intermittent fevers
b. Sensitivity to cold temperatures
c. Gangrenous ulcers on fingertips
d. Color changes of fingers and toes
e. Episodes of superficial vein thrombosis - (answer)b. Sensitivity to cold temperatures
c. Gangrenous ulcers on fingertips
d. Color changes of fingers and toes
The patient at highest risk for venous thromboembolism (VTE) is a.
a 62-year-old man with spider veins who is having arthroscopic knee surgery.
b. a 32-year-old woman who smokes, takes oral contraceptives, and is planning a trip to Europe.
c. a 26-year-old woman who is 3 days postpartum and received maintenance IV fluids for 12
hours during her labor.
d. an active 72-year-old man at home recovering from transurethral resection of the prostate for
benign prostatic hyperplasia. - (answer)b. a 32-year-old woman who smokes, takes oral
contraceptives, and is planning a trip to Europe.
Which are clinical findings in a person with an acute lower extremity VTE (select all that apply)?
, a. Pallor and coolness of foot and calf
b. Mild to moderate calf pain and tenderness
c. Grossly diminished or absent pedal pulses
d. Unilateral edema and induration of the thigh
e. Palpable cord along a superficial varicose vein - (answer)b. Mild to moderate calf pain and
tenderness
c. Grossly diminished or absent pedal pulses
The recommended treatment for an initial VTE in an otherwise healthy person with no
significant co-morbidities would include
a. IV argatroban (Acova) as an inpatient.
b. IV unfractionated heparin as an inpatient.
c. subcutaneous unfractionated heparin as an outpatient.
d. subcutaneous low-molecular-weight heparin as an outpatient. - (answer)d. subcutaneous low-
molecular-weight heparin as an outpatient.
A key aspect of teaching for the patient on anticoagulant therapy includes which instructions?
a. Monitor for and report any signs of bleeding.
b. Do not take acetaminophen (Tylenol) for a headache.
c. Decrease your dietary intake of foods containing vitamin
K.
d. Arrange to have blood drawn twice a week to check drug effects. - (answer)a. Monitor for and
report any signs of bleeding.