NCLEX Exam NCLEX-RN Topic 2 Question 4 Discussion

Actual exam question for NCLEX's NCLEX-RN exam

Question #: 4
Topic #: 2

A female client decides on hemodialysis. She has an internal vascular access device placed. To ensure patency of the device, the nurse must:

AAssess the site for leakage of blood or fluids

BAuscultate the site for a bruit

CAssess the site for bruising or hematoma

DInspect the site for color, warmth, and sensation

Show Suggested Answer

Suggested Answer: B

(A) This is an internal device. Assessment of the site should include assessing for swelling, pain, warmth, and discoloration. This measure does not assess patency. (B) The presence of a bruit indicates good blood flow through the device. (C) The nurse should inspect the site for bruising or hematoma; however, this measure does not assure patency of the device. (D) The nurse should inspect the vascular access site frequently for signs of infection. However, this does not assure patency.

by Arminda at Jun 14, 2025, 05:21 AM

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