Practice Perfusion NCLEX Questions with 100% Correct Answers
1. The nurse has completed an assessment b. A low urine output and con-
on a client with a decreased cardiac out- fusion are signs of decreased
put. Which findings should receive high- tissue perfusion. Orthopnea is
est priority? a sign of left-sided heart fail-
a. BP 110/62, atrial fibrillation with HR 82, ure. Crackles, edema and weight
bibasilar crackles gain should be monitored close-
b. Confusion, urine output 15mL over the ly, but the levels are not as high
last 2 hours, orthopnea. a priority. With atrial fibrillation
c. SpO2 92 on 2 liters nasal cannula, res- there is a loss of atrial kick, but
pirations 20, 1+ edema of lower extremi- the blood pressure and heart
ties. rate are stable
d. Weight gain of 1kg in 3 days, BP
130/80, mild dyspnea with exercise.
2. Which of the following is an expected b. Furosemide is a loop diuretic
outcome when a client is receiving an IV that acts to increase urine output.
administration of furosemide? Furosemide does not increase
a. Increased blood pressure blood pressure, decrease pain,
b. Increased urine output or decrease arrhythmias
c. Decreased pain
d. Decreased premature ventricular con-
tractions
3. The nurse is assessing clients at a health d. The woman who is
fair. Which client is at greatest risk for 65-years-old, over weight and
coronary artery disease? has an elevated LDL is at great-
a. a 32-year-old female with mitral valve est risk. Total cholesterol >200,
prolapse who quit smoking 10 years ago. LDL >100, HDL <40 in men, HDL
b. a 43-year-old male with a family history <50 in women, men 45-years
of CAD and cholesterol level of 158 and older, women 55-years and
c. A 56-year-old male with an HDL of 60 older, smoking and obesity in-
who takes atorvastatin (Lipitor) crease the risk of CAD. Ator-
d. A 65-year-old female who is obese with vastatin is a medication to re-
an LDL of 188 duce LDL and decrease risk of
CAD. The combination of post-
menopausal, obesity and high
LDL cholesterol places this client
at greatest risk.
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, Practice Perfusion NCLEX Questions with 100% Correct Answers
4. A 58-year-old female with a family histo- c. CRP is a marker of inflam-
ry of CAD is being seen for her annual mation and is elevated in the
physical exam. Fasting lab test results presence of cardiovascular dis-
include: Total cholesterol 198; LDL cho- ease. The high sensitivity CRP
lesterol 120; HDL cholesterol 58; Triglyc- (hs-CRP) is the blood test for
erides 148; Blood sugar 102; and C-re- greater accuracy in measuring
active protein (CRP) 4.2. The health care the CRP to evaluate cardio-
provider informs the client that she will vascular risk. The family histo-
be started on a statin medication and as- ry, post-menopausal age, LDL
pirin. The client asks the nurse why she above optimum levels and ele-
needs to take these medications. Which vated CRP place the client at risk
is the best response by the nurse? of CAD. Statin medications can
a. "The labs indicate severe hyperlipi- decrease LDL, whereas statins
demia and the medications will lower and aspirin can reduce CRP and
your LDL, along with a low-fat diet." decrease the risk of MI and
b. "The triglycerides are elevated and will stroke.
not return to normal without these med-
ications."
c. "The CRP is elevated indicating inflam-
mation seen in cardiovascular disease,
which can be lowered by the medications
ordered."
d. "The medications are not indicated
since your lab values are all normal."
5. An older, sedentary adult may not re- a. In older adults who are less ac-
spond to emotional or physical stress as tive and do not exercise the heart
well as a younger individual because of: muscle, atrophy can result. Dis-
a. Left ventricular atrophy use or deconditioning can lead
b. Irregular heartbeats to abnormal changes in the my-
c. Peripheral vascular occlusion ocardium of the older adult. As
d. Pacemaker placement a result, under sudden emotional
or physical stress, the left ventri-
cle is less able to respond to the
increased demands on the my-
ocardial muscle. Decreased car-
diac output, cardiac hypertrophy,
and heart failure are examples
of the chronic conditions that
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1. The nurse has completed an assessment b. A low urine output and con-
on a client with a decreased cardiac out- fusion are signs of decreased
put. Which findings should receive high- tissue perfusion. Orthopnea is
est priority? a sign of left-sided heart fail-
a. BP 110/62, atrial fibrillation with HR 82, ure. Crackles, edema and weight
bibasilar crackles gain should be monitored close-
b. Confusion, urine output 15mL over the ly, but the levels are not as high
last 2 hours, orthopnea. a priority. With atrial fibrillation
c. SpO2 92 on 2 liters nasal cannula, res- there is a loss of atrial kick, but
pirations 20, 1+ edema of lower extremi- the blood pressure and heart
ties. rate are stable
d. Weight gain of 1kg in 3 days, BP
130/80, mild dyspnea with exercise.
2. Which of the following is an expected b. Furosemide is a loop diuretic
outcome when a client is receiving an IV that acts to increase urine output.
administration of furosemide? Furosemide does not increase
a. Increased blood pressure blood pressure, decrease pain,
b. Increased urine output or decrease arrhythmias
c. Decreased pain
d. Decreased premature ventricular con-
tractions
3. The nurse is assessing clients at a health d. The woman who is
fair. Which client is at greatest risk for 65-years-old, over weight and
coronary artery disease? has an elevated LDL is at great-
a. a 32-year-old female with mitral valve est risk. Total cholesterol >200,
prolapse who quit smoking 10 years ago. LDL >100, HDL <40 in men, HDL
b. a 43-year-old male with a family history <50 in women, men 45-years
of CAD and cholesterol level of 158 and older, women 55-years and
c. A 56-year-old male with an HDL of 60 older, smoking and obesity in-
who takes atorvastatin (Lipitor) crease the risk of CAD. Ator-
d. A 65-year-old female who is obese with vastatin is a medication to re-
an LDL of 188 duce LDL and decrease risk of
CAD. The combination of post-
menopausal, obesity and high
LDL cholesterol places this client
at greatest risk.
1/9
, Practice Perfusion NCLEX Questions with 100% Correct Answers
4. A 58-year-old female with a family histo- c. CRP is a marker of inflam-
ry of CAD is being seen for her annual mation and is elevated in the
physical exam. Fasting lab test results presence of cardiovascular dis-
include: Total cholesterol 198; LDL cho- ease. The high sensitivity CRP
lesterol 120; HDL cholesterol 58; Triglyc- (hs-CRP) is the blood test for
erides 148; Blood sugar 102; and C-re- greater accuracy in measuring
active protein (CRP) 4.2. The health care the CRP to evaluate cardio-
provider informs the client that she will vascular risk. The family histo-
be started on a statin medication and as- ry, post-menopausal age, LDL
pirin. The client asks the nurse why she above optimum levels and ele-
needs to take these medications. Which vated CRP place the client at risk
is the best response by the nurse? of CAD. Statin medications can
a. "The labs indicate severe hyperlipi- decrease LDL, whereas statins
demia and the medications will lower and aspirin can reduce CRP and
your LDL, along with a low-fat diet." decrease the risk of MI and
b. "The triglycerides are elevated and will stroke.
not return to normal without these med-
ications."
c. "The CRP is elevated indicating inflam-
mation seen in cardiovascular disease,
which can be lowered by the medications
ordered."
d. "The medications are not indicated
since your lab values are all normal."
5. An older, sedentary adult may not re- a. In older adults who are less ac-
spond to emotional or physical stress as tive and do not exercise the heart
well as a younger individual because of: muscle, atrophy can result. Dis-
a. Left ventricular atrophy use or deconditioning can lead
b. Irregular heartbeats to abnormal changes in the my-
c. Peripheral vascular occlusion ocardium of the older adult. As
d. Pacemaker placement a result, under sudden emotional
or physical stress, the left ventri-
cle is less able to respond to the
increased demands on the my-
ocardial muscle. Decreased car-
diac output, cardiac hypertrophy,
and heart failure are examples
of the chronic conditions that
2/9
