©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 130 Final: Perfusion/Circulation Exam Practice
Questions and Answers
1. The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The
nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what?
A) Lipids and fibrous tissue
B) White blood cells
C) Lipoproteins
D) High-density cholesterol - Ans:✔✔-A
2. A patient presents to the walk-in clinic complaining of intermittent chest pain on exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most often
attributable to what cause?
A) Decreased cardiac output
B) Decreased cardiac contractility
C) Infarction of the myocardium
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
D) Coronary arteriosclerosis - Ans:✔✔-D
3. The nurse is caring for an adult patient who had symptoms of unstable angina upon admission to the
hospital. What nursing diagnosis underlies the discomfort associated with angina?
A) Ineffective breathing pattern related to decreased cardiac output
B) Anxiety related to fear of death
C) Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
D) Impaired skin integrity related to CAD - Ans:✔✔-C
4. The triage nurse in the ED assesses a 66-year-old male patient who presents to the ED with complaints
of midsternal chest pain that has lasted for the last 5 hours. If the patients symptoms are due to an MI,
what will have happened to the myocardium?
A) It may have developed an increased area of infarction during the time without treatment.
B) It will probably not have more damage than if he came in immediately.
C) It may be responsive to restoration of the area of dead cells with proper treatment.
D) It has been irreparably damaged, so immediate treatment is no longer necessary. - Ans:✔✔-A
5. Family members bring a patient to the ED with pale cool skin, sudden midsternal chest pain unrelieved
with rest, and a history of CAD. How should the nurse best interpret these initial data?
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) The symptoms indicate angina and should be treated as such.
B) The symptoms indicate a pulmonary etiology rather than a cardiac etiology.
C) The symptoms indicate an acute coronary episode and should be treated as such.
D) Treatment should be determined pending the results of an exercise stress test. - Ans:✔✔-C
6. An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The OR nurse knows
that the vessel most commonly used as source for a CABG is what?
A) Brachial artery
B) Brachial vein
C) Femoral artery
D) Greater saphenous vein - Ans:✔✔-D
7. A patient with an occluded coronary artery is admitted and has an emergency percutaneous
transluminal coronary angioplasty (PTCA). The patient is admitted to the cardiac critical care unit after
the PTCA. For what complication should the nurse most closely monitor the patient?
A) Hyperlipidemia
B) Bleeding at insertion site
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
C) Left ventricular hypertrophy
D) Congestive heart failure - Ans:✔✔-B
8. The nurse is caring for a patient who is scheduled for cardiac surgery. What should the nurse include in
preoperative care?
A) With the patient, clarify the surgical procedure that will be performed.
B) Withhold the patients scheduled medications for at least 12 hours preoperatively.
C) Inform the patient that health teaching will begin as soon as possible after surgery.
D) Avoid discussing the patients fears as not to exacerbate them. - Ans:✔✔-A
9. The OR nurse is explaining to a patient that cardiac surgery requires the absence of blood from the
surgical field. At the same time, it is imperative to maintain perfusion of body organs and tissues. What
technique for achieving these simultaneous goals should the nurse describe?
A) Coronary artery bypass graft (CABG)
B) Percutaneous transluminal coronary angioplasty (PTCA)
C) Atherectomy
D) Cardiopulmonary bypass - Ans:✔✔-D
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FIRST PUBLISH OCTOBER 2024
NUR 130 Final: Perfusion/Circulation Exam Practice
Questions and Answers
1. The nurse is caring for a patient who has been diagnosed with an elevated cholesterol level. The
nurse is aware that plaque on the inner lumen of arteries is composed chiefly of what?
A) Lipids and fibrous tissue
B) White blood cells
C) Lipoproteins
D) High-density cholesterol - Ans:✔✔-A
2. A patient presents to the walk-in clinic complaining of intermittent chest pain on exertion, which is
eventually attributed to angina. The nurse should inform the patient that angina is most often
attributable to what cause?
A) Decreased cardiac output
B) Decreased cardiac contractility
C) Infarction of the myocardium
Page 1/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
D) Coronary arteriosclerosis - Ans:✔✔-D
3. The nurse is caring for an adult patient who had symptoms of unstable angina upon admission to the
hospital. What nursing diagnosis underlies the discomfort associated with angina?
A) Ineffective breathing pattern related to decreased cardiac output
B) Anxiety related to fear of death
C) Ineffective cardiopulmonary tissue perfusion related to coronary artery disease (CAD)
D) Impaired skin integrity related to CAD - Ans:✔✔-C
4. The triage nurse in the ED assesses a 66-year-old male patient who presents to the ED with complaints
of midsternal chest pain that has lasted for the last 5 hours. If the patients symptoms are due to an MI,
what will have happened to the myocardium?
A) It may have developed an increased area of infarction during the time without treatment.
B) It will probably not have more damage than if he came in immediately.
C) It may be responsive to restoration of the area of dead cells with proper treatment.
D) It has been irreparably damaged, so immediate treatment is no longer necessary. - Ans:✔✔-A
5. Family members bring a patient to the ED with pale cool skin, sudden midsternal chest pain unrelieved
with rest, and a history of CAD. How should the nurse best interpret these initial data?
Page 2/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) The symptoms indicate angina and should be treated as such.
B) The symptoms indicate a pulmonary etiology rather than a cardiac etiology.
C) The symptoms indicate an acute coronary episode and should be treated as such.
D) Treatment should be determined pending the results of an exercise stress test. - Ans:✔✔-C
6. An OR nurse is preparing to assist with a coronary artery bypass graft (CABG). The OR nurse knows
that the vessel most commonly used as source for a CABG is what?
A) Brachial artery
B) Brachial vein
C) Femoral artery
D) Greater saphenous vein - Ans:✔✔-D
7. A patient with an occluded coronary artery is admitted and has an emergency percutaneous
transluminal coronary angioplasty (PTCA). The patient is admitted to the cardiac critical care unit after
the PTCA. For what complication should the nurse most closely monitor the patient?
A) Hyperlipidemia
B) Bleeding at insertion site
Page 3/36
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
C) Left ventricular hypertrophy
D) Congestive heart failure - Ans:✔✔-B
8. The nurse is caring for a patient who is scheduled for cardiac surgery. What should the nurse include in
preoperative care?
A) With the patient, clarify the surgical procedure that will be performed.
B) Withhold the patients scheduled medications for at least 12 hours preoperatively.
C) Inform the patient that health teaching will begin as soon as possible after surgery.
D) Avoid discussing the patients fears as not to exacerbate them. - Ans:✔✔-A
9. The OR nurse is explaining to a patient that cardiac surgery requires the absence of blood from the
surgical field. At the same time, it is imperative to maintain perfusion of body organs and tissues. What
technique for achieving these simultaneous goals should the nurse describe?
A) Coronary artery bypass graft (CABG)
B) Percutaneous transluminal coronary angioplasty (PTCA)
C) Atherectomy
D) Cardiopulmonary bypass - Ans:✔✔-D
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