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WorksheetsPART 3 TEST REVIEW 1
Total questions: 32
Worksheet time: 18mins
A nurse is providing discharge teaching to a client with thrombophlebitis. Which instructions should the nurse include? Select all that apply.
A. Elevate the legs when resting
B. Wear compression stockings as prescribed
C. Avoid prolonged sitting or standing
Encourage ambulation to promote venous return
Take anticoagulants as directed and monitor for bleeding
A nurse is teaching a client about risk factors for hypertension. Which of the following are modifiable risk factors? Select all that apply.
A. Obesity
B. Sedentary lifestyle
C. High sodium intake
D. Family history
E. Age
A nurse is caring for a client after an abdominal aortic aneurysm (AAA) repair. The nurse notes discoloration of the penis. This finding may indicate which complication?
A. Graft anastomosis disruption
B. Wound infection
C. Urinary tract infection
D. Deep vein thrombosis
A nurse is caring for an older adult with decreased circulation. Which interventions can the nurse use to enhance blood flow? Select all that apply.
A. Keep the client warm with blankets
B. Encourage isometric exercises
C. Restrict mobility to conserve energy
D. Elevate the head of the bed only
A nurse is reviewing medications with a student. Which statement correctly describes the action of streptokinase?
A. It prevents platelet aggregation
B. It dissolves fibrin clots
C. It decreases myocardial oxygen demand
D. It acts as an anticoagulant
A nurse is teaching a client about primary versus secondary hypertension. Which statement by the client indicates correct understanding?
A. Primary hypertension is usually caused by renal disease
B. Secondary hypertension accounts for most cases of hypertension.
C. Primary hypertension has no known cause.
D. Secondary hypertension has no identifiable cause.
A nurse is assessing a client with suspected arterial occlusion. Which findings are known as the “5 Ps” of arterial disease? Select all that apply.
A. Pain
B. Pallor
C. Pulselessness
D. Paresthesia
E. Paralysis
A nurse is assessing a 70-year-old male patient during a routine check-up. The patient reports mild abdominal discomfort and lower back pain. Upon palpation, the nurse feels a pulsatile mass in the mid-abdomen and hears a bruit over the area. Which of the following should be the nurse’s priority action?
A. Instruct the patient to avoid heavy lifting and monitor for changes
B. Document the findings and schedule a follow-up in one month
C. Notify the healthcare provider immediately
D. Perform deep palpation to assess the size of the mass
A nurse is teaching a patient at risk for venous stasis about prevention strategies. Which statement by the patient indicates the need for further teaching?
A. “I will wear compression stockings as prescribed.”
B. “I will try to walk or do leg exercises frequently.”
C. “I should sit with my legs crossed to help circulation.”
D. “I’ll elevate my legs above the level of my heart when resting.”
A nurse is assessing a postoperative patient who suddenly develops shortness of breath, chest pain, and anxiety. Which additional finding would support the nurse’s suspicion of a pulmonary embolism?
A. Bradycardia and hypertension
B. Cough with blood-tinged sputum
C. Slow, shallow respirations with normal oxygen saturation
D. Gradual onset of drowsiness and hypotension over several days
A nurse is teaching a patient about taking warfarin (Coumadin). Which statement by the patient indicates the need for further teaching?
A. “I should not take aspirin or NSAIDs unless my doctor approves.”
B. “I’ll check with my provider before starting antibiotics or antifungals.”
C. “I need to avoid herbal supplements like gingko and St. John’s wort because they may interfere with my medication.”
D. “I should completely avoid green leafy vegetables while on Coumadin.”
The nurse is teaching a patient about peripheral vascular disease (PVD). The nurse explains that the most common cause of PVD is:
A. Deep vein thrombosis
B. Atherosclerosis
C. Varicose veins
D. Venous stasis
The nurse is providing discharge teaching to a patient after surgical vein stripping for varicose veins. Which statement by the patient indicates a need for further teaching?
A. “I will avoid sitting or standing for long periods of time.”
B. “I’ll elevate my legs when resting to help with circulation.”
C. “I should wear my compression stockings as instructed.”
D. “It’s best for me to stay in bed and limit walking to avoid stressing my legs.”
The nurse is assessing an older adult patient. Which age-related change contributes most to decreased peripheral circulation?
A. Increased elasticity of blood vessels
B. Arteriosclerosis
C. Enhanced baroreceptor sensitivity
D. Accelerated wound healing
The nurse is reviewing blood pressure readings for several patients. Which patient requires immediate intervention for hypertensive crisis?
A. 150/92 mmHg, reports no symptoms
B. 168/98 mmHg, mild headache
C. 182/122 mmHg, severe headache and blurred vision
D. 160/100 mmHg, denies pain or discomfort
A patient presents with a blood pressure of 212/136 mmHg, confusion, and blurred vision. The nurse recognizes this condition as:
A. Primary hypertension
B. Hypertensive urgency
C. Malignant hypertension
D. Controlled hypertension
The nurse is teaching a patient with peripheral arterial disease ways to decrease vasoconstriction. Which statement by the patient indicates a need for further teaching?
A. “I will wear warm clothing and avoid getting chilled.”
C. “I will continue smoking but only when I feel stressed.”
B. “I’ll practice stress reduction techniques to help with circulation.”
D. “I’ll walk or do regular exercise to improve my blood flow.”
The nurse is teaching a patient about long-term complications of uncontrolled hypertension. Which statement by the patient demonstrates correct understanding?
A. “High blood pressure makes my heart work harder and can cause it to fail.”
B. “Hypertension only affects my heart and not other organs.”
C. “If my blood pressure is high, it can protect my kidneys by increasing blood flow.”
D. “Vision problems are not related to blood pressure.”
The nurse is teaching a patient about precautions while taking warfarin (Coumadin). Which statement by the patient indicates the need for further teaching?
A. “I will use an electric razor instead of a blade to avoid cuts.”
B. “I’ll avoid taking aspirin or NSAIDs unless approved by my provider.”
C. “I should eat a consistent amount of green leafy vegetables, not avoid them completely.”
D. “I don’t need to have my INR checked regularly once I start feeling better.”
The nurse is preparing a patient for abdominal aortic aneurysm (AAA) repair surgery. The patient asks, “Why do I need to keep my legs flat before and after the operation?” Which is the best response by the nurse?
A. “Keeping your legs flat prevents blood clots from forming.”
B. “It helps reduce pressure on the aortic graft and maintains proper circulation.”
C. “Lying flat helps your blood pressure stay elevated for healing.”
D. “It allows the surgical incision to heal faster.”
The nurse is teaching a community group about ways to prevent peripheral vascular disease (PVD). Which statement by a participant shows correct understanding?
A. “I should stop smoking because nicotine narrows my blood vessels.”
B. “I don’t need to worry about my blood pressure as long as I feel fine.”
C. “If I have diabetes, keeping my blood sugar under control can help prevent PVD.”
D. “Eating a balanced diet and exercising regularly will reduce my risk.”
The nurse is teaching a patient with hypertension about diet. The patient asks why caffeine should be limited. Which is the best response by the nurse?
A. “Caffeine widens your blood vessels, which drops your blood pressure.”
B. “Caffeine causes constriction of blood vessels and can raise your blood pressure.”
C. “Caffeine blocks your medication from working in your stomach.”
D. “Caffeine has no effect on your blood pressure, but it can upset your stomach.”
A patient reports cramping pain in the calves that begins after walking two blocks and goes away with rest. The nurse recognizes this as which condition?
A. Deep vein thrombosis (DVT)
C. Chronic venous insufficiency
D. Rest pain from peripheral arterial disease
B. Intermittent claudication
The nurse is caring for a patient with Raynaud’s disease. Which statement by the patient indicates correct understanding of the condition?
A. “My symptoms are caused by spasms of the small arteries in my fingers and toes.”
B. “This condition is due to blood clots that block my circulation.”
C. “I will only experience symptoms during exercise, not in the cold.”
D. “Raynaud’s disease causes permanent gangrene in all patients.”
The nurse is educating a group of older adults about age-related cardiovascular changes. Which statement best describes what happens to baroreceptors with aging?
A. “They become more sensitive, so blood pressure rises quickly when standing.”
B. “They become less sensitive, leading to poor regulation of blood pressure.”
C. “They enlarge and improve blood flow to the brain when moving.”
D. “They trigger an immediate increase in heart rate when lying down.”
The nurse is teaching a patient about taking prescribed diuretics. Which statement by the patient indicates the need for further teaching?
A. “I’ll take my medication in the morning to avoid getting up all night.”
B. “I need to change positions slowly so I don’t get dizzy.”
C. “I should weigh myself daily and watch for sudden changes.”
D. “It doesn’t matter if I take this medicine in the evening before bed.”
The nurse is teaching a patient with peripheral arterial disease about medications to reduce clot formation. The nurse explains that the most common and effective antiplatelet medication is:
A. Clopidogrel (Plavix)
B. Aspirin
C. Warfarin (Coumadin)
D. Heparin
A nurse is assessing a patient with chronic peripheral venous disease. The nurse notes brownish discoloration around the ankles and lower legs. This finding is best explained by which process?
A. Accumulation of bilirubin in the tissues
B. Ischemia from arterial insufficiency
C. Hemosiderin deposits from red blood cell breakdown
D. Lack of melanin production in the skin
The nurse is reinforcing teaching with a patient who has a venous stasis ulcer and an Unna boot applied. The patient asks how often the dressing will be changed. What is the nurse’s best response?
A. “It needs to be changed every 12 hours.”
B. “It is changed daily to keep the wound clean.”
C. “It is usually changed weekly, unless it becomes too loose or soiled.”
D. “It can stay in place for a month before changing.”
The nurse is reviewing lab results for a patient taking warfarin (Coumadin). Which INR value indicates that the patient is within the therapeutic range?
A. 1.0
B. 1.5
C. 2.5
D. 4.5
The nurse is collecting assessment data. Which statement is an example of subjective data?
A. The patient reports, “I feel short of breath when I walk.”
B. The patient’s oxygen saturation is 88% on room air.
C. The patient’s respiratory rate is 28 breaths per minute.
D. Crackles are heard in the patient’s lower lung fields.
The nurse is assessing a patient with suspected peripheral vascular disease. Which findings support this diagnosis? Select all that apply.
A. Shiny, hairless skin on the lower legs
B. Bounding pedal pulses
C. Cool temperature in the affected extremity
D. Ulcerations located on the toes
E. Pallor of the legs when elevated
