PERFUSION PRACTICE QUESTIONS EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+
The nurse is caring for a client who is scheduled to receive metoprolol
(Lopressor). What should the nurse teach the client about this medication?
A) Expect a rapid heart rate.
B) Change positions slowly.
C) Reduce protein intake.
D) Increase fluids. --CORRECT ANSWER--B
Which statements are correct regarding the various layers of the heart? Select all
that apply.
A) The endocardium covers the entire heart and great vessels.
B) The endocardium is the muscular layer of the heart that contracts during each
heartbeat.
C) The outermost layer of the heart is the epicardium.
D) The myocardium consists of myofibril cells.
E) The myocardium has four layers. --CORRECT ANSWER--C, D
Page | 1
,A client's stroke volume (SV) is 85mL/beat and the heart rate (HR) is 71 beats
per minute (bpm). What is the client's cardiac output (CO) rounded to the
nearest liter? --CORRECT ANSWER--6 Liters (L)
Blood pressure is influenced by all except which factor?
A) Pumping action of the heart
B) Peripheral vascular resistance
C) Heart rate
D) Blood volume --CORRECT ANSWER--C
The nurse is auscultating heart sounds for a pregnant client in the third trimester
of pregnancy. The client wants to know why her doctor told her she had an extra
heart sound at the last visit. Which response by the nurse is appropriate?
A) "You will need to have an echocardiogram to determine the reason for the
extra sound."
B) "You are likely experiencing heart failure due to the extra fluid that
accumulates during this time in pregnancy."
C) "You have what is known as a ventricular gallop, and it can be a normal
finding during this trimester of pregnancy."
D) "You have what is known as atrial gallop, and this is cause for concern." --
CORRECT ANSWER--C
Page | 2
, The nurse is concerned that a client with an alteration in perfusion is at risk for
inadequate oxygenation. What should the nurse consider when planning for this
client's potential health problem?
A) Encouraging ambulation every 30 minutes
B) Instructing on deep breathing
C) Administering medications appropriate to increase heart rate
D) Positioning to increase blood return --CORRECT ANSWER--B
An older adult client is diagnosed with cardiomyopathy and a cardiac
dysrhythmia. What would the nurse expect to be prescribed for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids --CORRECT ANSWER--A
The nurse is caring for a client admitted to the hospital with lower extremity
edema and shortness of breath. Which electrocardiogram finding indicates the
client is at risk for an alteration in perfusion?
A) P wave smooth and round
B) Absent U wave
C) PR interval 0.30 seconds
D) ST segment isoelectric --CORRECT ANSWER--C
Page | 3
QUESTIONS AND CORRECT ANSWERS
GRADED A+
The nurse is caring for a client who is scheduled to receive metoprolol
(Lopressor). What should the nurse teach the client about this medication?
A) Expect a rapid heart rate.
B) Change positions slowly.
C) Reduce protein intake.
D) Increase fluids. --CORRECT ANSWER--B
Which statements are correct regarding the various layers of the heart? Select all
that apply.
A) The endocardium covers the entire heart and great vessels.
B) The endocardium is the muscular layer of the heart that contracts during each
heartbeat.
C) The outermost layer of the heart is the epicardium.
D) The myocardium consists of myofibril cells.
E) The myocardium has four layers. --CORRECT ANSWER--C, D
Page | 1
,A client's stroke volume (SV) is 85mL/beat and the heart rate (HR) is 71 beats
per minute (bpm). What is the client's cardiac output (CO) rounded to the
nearest liter? --CORRECT ANSWER--6 Liters (L)
Blood pressure is influenced by all except which factor?
A) Pumping action of the heart
B) Peripheral vascular resistance
C) Heart rate
D) Blood volume --CORRECT ANSWER--C
The nurse is auscultating heart sounds for a pregnant client in the third trimester
of pregnancy. The client wants to know why her doctor told her she had an extra
heart sound at the last visit. Which response by the nurse is appropriate?
A) "You will need to have an echocardiogram to determine the reason for the
extra sound."
B) "You are likely experiencing heart failure due to the extra fluid that
accumulates during this time in pregnancy."
C) "You have what is known as a ventricular gallop, and it can be a normal
finding during this trimester of pregnancy."
D) "You have what is known as atrial gallop, and this is cause for concern." --
CORRECT ANSWER--C
Page | 2
, The nurse is concerned that a client with an alteration in perfusion is at risk for
inadequate oxygenation. What should the nurse consider when planning for this
client's potential health problem?
A) Encouraging ambulation every 30 minutes
B) Instructing on deep breathing
C) Administering medications appropriate to increase heart rate
D) Positioning to increase blood return --CORRECT ANSWER--B
An older adult client is diagnosed with cardiomyopathy and a cardiac
dysrhythmia. What would the nurse expect to be prescribed for this client?
A) Beta blocker
B) Digoxin
C) Nitrate medications
D) Fluids --CORRECT ANSWER--A
The nurse is caring for a client admitted to the hospital with lower extremity
edema and shortness of breath. Which electrocardiogram finding indicates the
client is at risk for an alteration in perfusion?
A) P wave smooth and round
B) Absent U wave
C) PR interval 0.30 seconds
D) ST segment isoelectric --CORRECT ANSWER--C
Page | 3
