1|Page
NCLEX NCSBN LATEST ACTUAL EXAM WITH 250+
ACTUAL QUESTIONS AND CORRECT ANSWERS
RATED A+, Exams of Nursing||VERIFIED EXAM!!!
The patient had aortic aneurysm repair. What priority
nursing action will the nurse use to maintain graft
patency?
a Assess output for renal dysfunction.
b Use IV fluids to maintain adequate BP.
c Use oral antihypertensives to maintain cardiac output.
d Maintain a low BP to prevent pressure on surgical site -
ANSWER-Correct Answer: B
Rationale: The priority is to maintain an adequate BP
(determined by the surgeon) to maintain graft patency. A
prolonged low BP may result in graft thrombosis, and
hypertension may cause undue stress on arterial
anastomoses resulting in leakage of blood or rupture at
the suture lines, which is when IV antihypertensives may
be used. Renal output will be assessed when the
aneurysm repair is above the renal arteries to assess graft
patency, not maintain it.
,2|Page
Which person should the nurse identify as having the
highest risk for abdominal aortic aneurysm?
a A 70-year-old male, with high cholesterol and
hypertension
b A 40-year-old female with obesity and metabolic
syndrome
c A 60-year-old male with renal insufficiency who is
physically inactive
d A 65-year-old female with hyperhomocysteinemia and
substance abuse - ANSWER-Correct Answer: A
The most common etiology of descending abdominal
aortic aneurysm (AAA) is atherosclerosis. Male gender,
age 65 years or older, and tobacco use are the major risk
factors for AAAs of atherosclerotic origin. Other risk factors
include the presence of coronary or peripheral artery
disease, high blood pressure, and high cholesterol
During an assessment of a patient's abdomen, a pulsating
abdominal mass is noted by the healthcare provider.
Which of the following should be the healthcare provider's
next action?
,3|Page
A. Assess femoral pulses
B. Obtain a bladder scan
C. Measure the abdominal circumference
D. Ask the patient to perform a Valsalva maneuver -
ANSWER-A - assess femoral pulse
A patient sustains an amputation of the first and second
digits in a chainsaw accident. Which task should be
delegated to the LPN/LVN?
A
Gently cleanse the amputated digits with Betadine
solution.
B
Place the amputated digits directly into ice slurry.
C
Wrap the amputated digits in sterile gauze moistened with
saline.
D
Store the amputated digits in a solution of sterile normal
saline. - ANSWER-Question 14 Explanation: C
, 4|Page
The only correct intervention is C. the digits should be
gently cleansed with normal saline, wrapped in sterile
gauze moistened with saline, and placed in a plastic bag
or container. The container is then placed on ice.
Matt has PVD. The nurse shows an understanding of PVD
when the nurse states:
A. In PVD, skin temperature is not important.
B. Do not elevate lower limb positioning for arterial PVD
C. No hair on lower legs with venous PVD
D. Elevate lower limb positioning for venous PVD -
ANSWER-B and D
**no elevation with arterial, can elevate with venous, but
not above level of the heart.
**no hair on legs for arterial PVD
Amy is being assessed for PVD. Upon her assessment,
the nurse finds that Amy has ulceration around her hips,
her legs show no edema, she has severe pain, and has no
NCLEX NCSBN LATEST ACTUAL EXAM WITH 250+
ACTUAL QUESTIONS AND CORRECT ANSWERS
RATED A+, Exams of Nursing||VERIFIED EXAM!!!
The patient had aortic aneurysm repair. What priority
nursing action will the nurse use to maintain graft
patency?
a Assess output for renal dysfunction.
b Use IV fluids to maintain adequate BP.
c Use oral antihypertensives to maintain cardiac output.
d Maintain a low BP to prevent pressure on surgical site -
ANSWER-Correct Answer: B
Rationale: The priority is to maintain an adequate BP
(determined by the surgeon) to maintain graft patency. A
prolonged low BP may result in graft thrombosis, and
hypertension may cause undue stress on arterial
anastomoses resulting in leakage of blood or rupture at
the suture lines, which is when IV antihypertensives may
be used. Renal output will be assessed when the
aneurysm repair is above the renal arteries to assess graft
patency, not maintain it.
,2|Page
Which person should the nurse identify as having the
highest risk for abdominal aortic aneurysm?
a A 70-year-old male, with high cholesterol and
hypertension
b A 40-year-old female with obesity and metabolic
syndrome
c A 60-year-old male with renal insufficiency who is
physically inactive
d A 65-year-old female with hyperhomocysteinemia and
substance abuse - ANSWER-Correct Answer: A
The most common etiology of descending abdominal
aortic aneurysm (AAA) is atherosclerosis. Male gender,
age 65 years or older, and tobacco use are the major risk
factors for AAAs of atherosclerotic origin. Other risk factors
include the presence of coronary or peripheral artery
disease, high blood pressure, and high cholesterol
During an assessment of a patient's abdomen, a pulsating
abdominal mass is noted by the healthcare provider.
Which of the following should be the healthcare provider's
next action?
,3|Page
A. Assess femoral pulses
B. Obtain a bladder scan
C. Measure the abdominal circumference
D. Ask the patient to perform a Valsalva maneuver -
ANSWER-A - assess femoral pulse
A patient sustains an amputation of the first and second
digits in a chainsaw accident. Which task should be
delegated to the LPN/LVN?
A
Gently cleanse the amputated digits with Betadine
solution.
B
Place the amputated digits directly into ice slurry.
C
Wrap the amputated digits in sterile gauze moistened with
saline.
D
Store the amputated digits in a solution of sterile normal
saline. - ANSWER-Question 14 Explanation: C
, 4|Page
The only correct intervention is C. the digits should be
gently cleansed with normal saline, wrapped in sterile
gauze moistened with saline, and placed in a plastic bag
or container. The container is then placed on ice.
Matt has PVD. The nurse shows an understanding of PVD
when the nurse states:
A. In PVD, skin temperature is not important.
B. Do not elevate lower limb positioning for arterial PVD
C. No hair on lower legs with venous PVD
D. Elevate lower limb positioning for venous PVD -
ANSWER-B and D
**no elevation with arterial, can elevate with venous, but
not above level of the heart.
**no hair on legs for arterial PVD
Amy is being assessed for PVD. Upon her assessment,
the nurse finds that Amy has ulceration around her hips,
her legs show no edema, she has severe pain, and has no
