EXAM: EAQ Perfusion Exam with Complete
Solutions
Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid?
CORRECT ANS-Circulatory collapse
Which explanation will the nurse give when a client asks about what causes varicose veins?
CORRECT ANS-"Incompetent valves of superficial veins."
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia
is working effectively? CORRECT ANS-Decreased heart rate
Which assessment after administration of diltiazem to a client with supraventricular
tachycardia (SVT) and a heart rate of 170 beats/minute indicates that the medication was
effective? CORRECT ANS-Heart rate of 98 beats/minute
Within which period of time would a nurse advise the client to anticipate pain relief will begin
when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina?
CORRECT ANS-1 to 3 minutes
Which heart rate is the maximum normal for a 16-year-old? Record CORRECT ANS-90
, EXAM: EAQ Perfusion Exam with Complete
Solutions
Which is the minimum heart rate of a 14-year-old? Record your answer CORRECT ANS-60
Which Korotkoff sound represents the diastolic blood pressure in an adolescent? CORRECT
ANS-Fifth
Which blood pressure is optimal for an adolescent? CORRECT ANS-110/65 mm Hg
Which is involved in the postprocedure nursing care of a child after left- side cardiac
catheterization? CORRECT ANS-Monitoring the insertion site for bleeding
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip
surgery? CORRECT ANS-Prevent clot formation
Which immunoglobulin crosses the placenta? CORRECT ANS-IgG
, EXAM: EAQ Perfusion Exam with Complete
Solutions
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the
analgesic properties of cold therapy CORRECT ANS-Causes local vasoconstriction,
preventing edema and muscle spasms
Which cytokine stimulates the liver to produce fibrinogen and protein C? CORRECT ANS-
Interleukin-6
The parent of an infant with heart failure questions the necessity of weighing the baby every
morning. Which would the nurse say that this daily information is important in determining?
CORRECT ANS-Fluid retention
The weight of a 3-month-old infant with tetralogy of Fallot has declined from the 25th
percentile to the 5th. Which mechanism would the nurse suspect is the reason for this
inadequate weight gain? CORRECT ANS-Inadequate oxygen perfusion leading to activity
intolerance, resulting in diminished energy to nurse
Which rationale supports the nursing intervention to turn the client with paraplegia every 1 to
2 hours? CORRECT ANS-To prevent development of pressure injuries
Solutions
Which toxic effect would the nurse find in a client who has overdosed on isocarboxazid?
CORRECT ANS-Circulatory collapse
Which explanation will the nurse give when a client asks about what causes varicose veins?
CORRECT ANS-"Incompetent valves of superficial veins."
Which response indicates that a beta blocker prescribed for persistent ventricular tachycardia
is working effectively? CORRECT ANS-Decreased heart rate
Which assessment after administration of diltiazem to a client with supraventricular
tachycardia (SVT) and a heart rate of 170 beats/minute indicates that the medication was
effective? CORRECT ANS-Heart rate of 98 beats/minute
Within which period of time would a nurse advise the client to anticipate pain relief will begin
when nitroglycerin sublingual tablets are prescribed for a client with the diagnosis of angina?
CORRECT ANS-1 to 3 minutes
Which heart rate is the maximum normal for a 16-year-old? Record CORRECT ANS-90
, EXAM: EAQ Perfusion Exam with Complete
Solutions
Which is the minimum heart rate of a 14-year-old? Record your answer CORRECT ANS-60
Which Korotkoff sound represents the diastolic blood pressure in an adolescent? CORRECT
ANS-Fifth
Which blood pressure is optimal for an adolescent? CORRECT ANS-110/65 mm Hg
Which is involved in the postprocedure nursing care of a child after left- side cardiac
catheterization? CORRECT ANS-Monitoring the insertion site for bleeding
Which is the purpose of encouraging active leg and foot exercises for a client who has had hip
surgery? CORRECT ANS-Prevent clot formation
Which immunoglobulin crosses the placenta? CORRECT ANS-IgG
, EXAM: EAQ Perfusion Exam with Complete
Solutions
The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the
analgesic properties of cold therapy CORRECT ANS-Causes local vasoconstriction,
preventing edema and muscle spasms
Which cytokine stimulates the liver to produce fibrinogen and protein C? CORRECT ANS-
Interleukin-6
The parent of an infant with heart failure questions the necessity of weighing the baby every
morning. Which would the nurse say that this daily information is important in determining?
CORRECT ANS-Fluid retention
The weight of a 3-month-old infant with tetralogy of Fallot has declined from the 25th
percentile to the 5th. Which mechanism would the nurse suspect is the reason for this
inadequate weight gain? CORRECT ANS-Inadequate oxygen perfusion leading to activity
intolerance, resulting in diminished energy to nurse
Which rationale supports the nursing intervention to turn the client with paraplegia every 1 to
2 hours? CORRECT ANS-To prevent development of pressure injuries
