EDAPT: ALTERED PERFUSION EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
The nurse is caring for a client whose blood pressure is low. Which part of the clinical judgment
measurement model (CJMM) is the nurse performing? - ANS Recognizing a cue
The nurse is caring for a client who is experiencing shortness of breath and tachypnea during an
asthma exacerbation. Before administering oxygen, the nurse plans to elevate the head of the
bed. Which part of the clinical judgment measurement model (CJMM) is the nurse performing?
- ANS Generating a solution
The nurse checks a client's blood pressure and heart rate after administering an
antihypertensive medication. Which part of the clinical judgment measurement model (CJMM)
is the nurse performing? - ANS Evaluating outcomes
The nurse is caring for several clients with altered perfusion. For each assessment finding,
indicate if the finding represents altered peripheral or central perfusion. - ANS *Altered
Central Perfusion:*
• Dyspnea
• Dizziness
• Tachycardia
• Chest pain
*Altered Peripheral Perfusion:*
• Decreased hair distribution on legs
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 29
,• Cool, pale skin on legs
• Diminished pedal pulses
• Decreased capillary refill
The nurse is caring for a client with signs of altered central perfusion. The client is at risk for
developing __________ caused by __________. - ANS Myocardial infarction
Decreased cardiac output
When caring for a client who is hospitalized with decreased central perfusion following a
myocardial infarction, which prescriptions does the nurse anticipate? Select all that apply. -
ANS Vasodilator medication
Vascular intervention
Supplemental oxygen
The nurse is caring for a client who reports severe pain in the lower left leg following a femur
fracture. What is the nurse's priority action at this time? - ANS Perform a peripheral vascular
assessment of the left leg.
The nurse is caring for a client who reports severe pain in the lower left leg following a femur
fracture. After medical intervention, another peripheral vascular assessment is performed.
What are signs that medical intervention has been successful? Select all that apply. -
ANS Pain reported as 3/10
Pedal pulse 2+ in the left foot
Left foot is pink and warm to touch
Minimal swelling of the left foot
Select the cues that require immediate follow-up by the nurse.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 29
, Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L. - ANS Shortness of breath
Chest pain
Oxygen saturation 82%
Crackles in the lower lung fields
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The client has clinical manifestations consistent with acute heart failure. The client has
__________ caused by __________. - ANS Pulmonary edema
Fluid volume overloard
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The nurse analyzes the assessment findings and identifies three client problems. Place the
client's problems in the correct priority order, from highest to lowest. - ANS 1. Impaired gas
exchange
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 29
QUESTIONS AND ANSWERS 2026
VERIFIED.
The nurse is caring for a client whose blood pressure is low. Which part of the clinical judgment
measurement model (CJMM) is the nurse performing? - ANS Recognizing a cue
The nurse is caring for a client who is experiencing shortness of breath and tachypnea during an
asthma exacerbation. Before administering oxygen, the nurse plans to elevate the head of the
bed. Which part of the clinical judgment measurement model (CJMM) is the nurse performing?
- ANS Generating a solution
The nurse checks a client's blood pressure and heart rate after administering an
antihypertensive medication. Which part of the clinical judgment measurement model (CJMM)
is the nurse performing? - ANS Evaluating outcomes
The nurse is caring for several clients with altered perfusion. For each assessment finding,
indicate if the finding represents altered peripheral or central perfusion. - ANS *Altered
Central Perfusion:*
• Dyspnea
• Dizziness
• Tachycardia
• Chest pain
*Altered Peripheral Perfusion:*
• Decreased hair distribution on legs
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 29
,• Cool, pale skin on legs
• Diminished pedal pulses
• Decreased capillary refill
The nurse is caring for a client with signs of altered central perfusion. The client is at risk for
developing __________ caused by __________. - ANS Myocardial infarction
Decreased cardiac output
When caring for a client who is hospitalized with decreased central perfusion following a
myocardial infarction, which prescriptions does the nurse anticipate? Select all that apply. -
ANS Vasodilator medication
Vascular intervention
Supplemental oxygen
The nurse is caring for a client who reports severe pain in the lower left leg following a femur
fracture. What is the nurse's priority action at this time? - ANS Perform a peripheral vascular
assessment of the left leg.
The nurse is caring for a client who reports severe pain in the lower left leg following a femur
fracture. After medical intervention, another peripheral vascular assessment is performed.
What are signs that medical intervention has been successful? Select all that apply. -
ANS Pain reported as 3/10
Pedal pulse 2+ in the left foot
Left foot is pink and warm to touch
Minimal swelling of the left foot
Select the cues that require immediate follow-up by the nurse.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 29
, Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L. - ANS Shortness of breath
Chest pain
Oxygen saturation 82%
Crackles in the lower lung fields
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The client has clinical manifestations consistent with acute heart failure. The client has
__________ caused by __________. - ANS Pulmonary edema
Fluid volume overloard
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency
department with shortness of breath and chest pain. She has a history of smoking, heart failure,
asthma, and gastric ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The nurse analyzes the assessment findings and identifies three client problems. Place the
client's problems in the correct priority order, from highest to lowest. - ANS 1. Impaired gas
exchange
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 29
