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Perfusion Practice Questions and Answers 2024
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Perfusion Practice Questions
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Perfusion Practice QuestionsThe 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." – answer C
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 – 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 - answerA
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 - answerC
The nurse is instructing a client on lifestyle changes to promote a healthy cardiovascular
system. Which of the following should be included in this teaching session? Select all
that apply.
A) Limit exercise to 15 minutes a day
B) Reduce saturated fats in the diet
C) Avoid cigarette smoking
D) Wear elastic hose
, E) Limit fluid intake - answerB, C
The nurse is preparing to conduct a cardiac assessment for a pediatric client. Which
location will the nurse use when auscultating the apical pulse?
A) At the fifth intercostal space
B) At the left nipple
C) At the right nipple
D) At the eighth intercostal space - answerB
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. - answerB
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. - answerC, D
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? -
answer6 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 - answerC
Which nursing intervention related to perfusion can be performed independently?
A) Administration of drug regimens
B) Insertion of device to measure central venous pressure (CVP)
C) Teaching relaxation techniques
D) Thoracentesis - answerC
The nurse is reviewing objective data obtained during the assessment of a pregnant
woman in her 34th week of gestation. Which finding would be cause for concern?
A) Pulse 103 bpm
B) Blood pressure 108/70
C) Hematocrit 24%
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