Break RoomScrubs NCLEX practice exam: Peripheral vascular disease By Scrubs October 14, 2013 ShareTweet 0 iStockphoto | ThinkStock Do you think you could pass the NCLEX? Take this quiz with these sample exam questions on peripheral vascular disease to see how you score! [10 questions] The highest systemic blood pressure is found in the:AortaCapillariesArteriolesCircle of WillisWhich laboratory level is a common finding associated with peripheral vascular disease (PVD)?Low serum albuminPotassium level of 3.1High serum lipidsTotal calcium level of 15 mg/dLFor a client experiencing symptoms of claudication, care plan activities should avoid promoting which of the following situations? Oxygen supply exceeds muscle demandOxygen is absentOxygen supply and muscle demand are equivalentOxygen supply is inadequate for muscle demand A 50-year-old client with a history of smoking is experiencing symptoms of claudication in his right calf during exercise, in which he participates daily. Which of the following assessment details requires further evaluation? Ankle brachial index of 0.65Blood pressure 138/78Heart rate 54SpO2 of 94% on room air The nurse diagnoses an overweight client taking wafarin (Coumadin) with Ineffective tissue perfusion related to decreased arterial blood flow. Which teaching point would not be appropriate to include in the plan of care for this client?Inspecting skin dailyEncouraging a reduced-calorie, reduced-fat dietLimiting activities of daily living (ADL)Using an electric razorThe nurse notes bilateral ankle edema on a client diagnosed with peripheral vascular disease (PVD). The nurse knows this is due to: Decreased blood volumeIncreased venous pressureDecreased muscular activityIncreased venous blood flowFollowing a client’s femoral-popliteal bypass surgery, which of the following pulse points would be most useful for determining the post-operative perfusion of the affected limb? BrachialFemoralApicalDorsal footThe pain of intermittent claudication is expected when arterial occlusion reaches: 20%40%50%95%The nurse is unable to palpate a client’s right pedal pulses. The nurse should then: Use a Doppler deviceNotify the health care providerInspect the entire right legAuscultate the pulses with a stethoscope bellA client with heart failure and peripheral vascular disease has 4+ edema in his left ankle that extends to mid-calf. He is currently sitting on the side of his bed with his feet in a dependent position. Which goal would be the priority at this time? Resume normal respirationsReduce cardiac stressPrevent injury to lower extremityDecrease venous congestion Post Views: 2,907
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