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NCLEX Exam NCLEX-RN Topic 2 Question 4 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 4
Topic #: 2
[All NCLEX-RN Questions]

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

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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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Scarlet
2 months ago
I'm not sure, but I think it might also be D) Inspect the site for color, warmth, and sensation to ensure there are no complications.
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Alpha
2 months ago
Ha! Checking for a bruit? What is this, a medical mystery novel? I'll go with C - checking for bruising or hematoma seems like the most practical option.
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Haley
2 months ago
Hmm, I think B. Auscultating for a bruit is a good way to check for any vascular issues with the device.
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Tess
2 months ago
I'd say D. Inspecting the site for color, warmth, and sensation gives a more comprehensive assessment of the device's condition.
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Tyisha
2 months ago
I agree with Anglea. Checking for a bruit is important to ensure proper blood flow.
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Chi
2 months ago
Definitely A. Checking for leakage is crucial to ensure the device is functioning properly and to prevent complications.
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Micah
18 days ago
User 4: Inspecting the site for color, warmth, and sensation is important too to monitor for any signs of infection.
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Peggie
23 days ago
User 3: Auscultating the site for a bruit is also necessary to check for proper blood flow.
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Timmy
1 months ago
User 2: Yes, that's important to make sure the device is working properly.
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Celestina
2 months ago
User 1: I think we should assess the site for leakage of blood or fluids.
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Anglea
2 months ago
I think the answer is B) Auscultate the site for a bruit.
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