2026 NCLEX RN Perfusion Practice Questions
with Multiple choices Answers & Detailed
Explanations, High Yield Proven Exam Prep
Toolkit
The nurse has completed an assessment on a client with a decreased
cardiac output. Which findings should receive highest priority?
a. BP 110/62, atrial fibrillation with HR 82, bibasilar crackles
b. Confusion, urine output 15mL over the last 2 hours, orthopnea.
c. SpO2 92 on 2 liters nasal cannula, respirations 20, 1+ edema of lower
extremities.
d. Weight gain of 1kg in 3 days, BP 130/80, mild dyspnea with exercise. -
............ANSWER..........b. A low urine output and confusion are signs of
decreased tissue perfusion. Orthopnea is a sign of left-sided heart failure.
Crackles, edema and weight gain should be monitored closely, but the
levels are not as high a priority. With atrial fibrillation there is a loss of
atrial kick, but the blood pressure and heart rate are stable
Which of the following is an expected outcome when a client is receiving
an IV administration of furosemide?
a. Increased blood pressure
b. Increased urine output
c. Decreased pain
d. Decreased premature ventricular contractions
- ............ANSWER..........b. Furosemide is a loop diuretic that acts to
increase urine output. Furosemide does not increase blood pressure,
decrease pain, or decrease arrhythmias
, The nurse is assessing clients at a health fair. Which client is at greatest
risk for coronary artery disease?
a. a 32-year-old female with mitral valve prolapse who quit smoking 10
years ago.
b. a 43-year-old male with a family history of CAD and cholesterol level
of 158
c. A 56-year-old male with an HDL of 60 who takes atorvastatin (Lipitor)
d. A 65-year-old female who is obese with an LDL of 188
- ............ANSWER..........d. The woman who is 65-years-old, over weight
and has an elevated LDL is at greatest risk. Total cholesterol >200, LDL
>100, HDL <40 in men, HDL <50 in women, men 45-years and older,
women 55-years and older, smoking and obesity increase the risk of
CAD. Atorvastatin is a medication to reduce LDL and decrease risk of
CAD. The combination of postmenopausal, obesity and high LDL
cholesterol places this client at greatest risk.
A 58-year-old female with a family history of CAD is being seen for her
annual physical exam. Fasting lab test results include: Total cholesterol
198; LDL cholesterol 120; HDL cholesterol 58; Triglycerides 148; Blood
sugar 102; and C-reactive protein (CRP) 4.2. The health care provider
informs the client that she will be started on a statin medication and
aspirin. The client asks the nurse why she needs to take these
medications. Which is the best response by the nurse?
a. "The labs indicate severe hyperlipidemia and the medications will
lower your LDL, along with a low-fat diet."
b. "The triglycerides are elevated and will not return to normal without
these medications."
c. "The CRP is elevated indicating inflammation seen in cardiovascular
disease, which can be lowered by the medications ordered."
with Multiple choices Answers & Detailed
Explanations, High Yield Proven Exam Prep
Toolkit
The nurse has completed an assessment on a client with a decreased
cardiac output. Which findings should receive highest priority?
a. BP 110/62, atrial fibrillation with HR 82, bibasilar crackles
b. Confusion, urine output 15mL over the last 2 hours, orthopnea.
c. SpO2 92 on 2 liters nasal cannula, respirations 20, 1+ edema of lower
extremities.
d. Weight gain of 1kg in 3 days, BP 130/80, mild dyspnea with exercise. -
............ANSWER..........b. A low urine output and confusion are signs of
decreased tissue perfusion. Orthopnea is a sign of left-sided heart failure.
Crackles, edema and weight gain should be monitored closely, but the
levels are not as high a priority. With atrial fibrillation there is a loss of
atrial kick, but the blood pressure and heart rate are stable
Which of the following is an expected outcome when a client is receiving
an IV administration of furosemide?
a. Increased blood pressure
b. Increased urine output
c. Decreased pain
d. Decreased premature ventricular contractions
- ............ANSWER..........b. Furosemide is a loop diuretic that acts to
increase urine output. Furosemide does not increase blood pressure,
decrease pain, or decrease arrhythmias
, The nurse is assessing clients at a health fair. Which client is at greatest
risk for coronary artery disease?
a. a 32-year-old female with mitral valve prolapse who quit smoking 10
years ago.
b. a 43-year-old male with a family history of CAD and cholesterol level
of 158
c. A 56-year-old male with an HDL of 60 who takes atorvastatin (Lipitor)
d. A 65-year-old female who is obese with an LDL of 188
- ............ANSWER..........d. The woman who is 65-years-old, over weight
and has an elevated LDL is at greatest risk. Total cholesterol >200, LDL
>100, HDL <40 in men, HDL <50 in women, men 45-years and older,
women 55-years and older, smoking and obesity increase the risk of
CAD. Atorvastatin is a medication to reduce LDL and decrease risk of
CAD. The combination of postmenopausal, obesity and high LDL
cholesterol places this client at greatest risk.
A 58-year-old female with a family history of CAD is being seen for her
annual physical exam. Fasting lab test results include: Total cholesterol
198; LDL cholesterol 120; HDL cholesterol 58; Triglycerides 148; Blood
sugar 102; and C-reactive protein (CRP) 4.2. The health care provider
informs the client that she will be started on a statin medication and
aspirin. The client asks the nurse why she needs to take these
medications. Which is the best response by the nurse?
a. "The labs indicate severe hyperlipidemia and the medications will
lower your LDL, along with a low-fat diet."
b. "The triglycerides are elevated and will not return to normal without
these medications."
c. "The CRP is elevated indicating inflammation seen in cardiovascular
disease, which can be lowered by the medications ordered."
