PERFUSION NCLEX EXAMS SCRIPT ALL UPDATED
QUESTIONS AND ANSWERS SURE A+
✔✔A client's blood pressure (BP) is 145/90. According to the guidelines for determining
hypertension, the nurse realizes that the client's BP is at which stage?
a. Normal
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension - ✔✔c
✔✔Captopril (Capoten) has been ordered for a client. The nurse teaches the client that
ACE inhibitors have which common side effects?
a. Nausea and vomiting
b. Dizziness and headaches
c. Upset stomach
, d. Constant, irritating cough - ✔✔d
✔✔The nurse is teaching a client about clopidogrel (Plavix). What is important
information to include?
a. Constipation may occur.
b. Hypotension may occur.
c. Bleeding may increase when taken with aspirin.
d. Normal dose is 25 mg tablet per day. - ✔✔C
✔✔A nurse who is giving a statin(Lipitor) realizes the importance of monitoring for which
serious adverse reaction?
a. Pharyngitis
b. Rash/pruritus
c. Rhabdomyolysis
d. Agranulocytosis - ✔✔c
✔✔A client's serum lipids are cholesterol 197
mg/dl, low-density lipoprotein (LDL) 110 mg/dl, and
high-density lipoprotein (HDL) 35 mg/dl. The nurse
knows what about these values?
a. Serum lipids are within desirable values.
b. Cholesterol is within desirable value, but LDL and HDL are not.
c. Cholesterol is not within desirable value, though LDL and HDL are.
d. Cholesterol, LDL, and HDL are not within desirable values. - ✔✔b
✔✔Prior to discharge from the Emergency Department, the nurse prints a rhythm strip
on a patient and notices that the P wave cannot be detected and the QRS complex is
0.24 seconds. This is a change in the patient's condition. What is the best action for the
nurse to take?
a. Measure the PR interval.
b. Prepare the patient for discharge.
c. Notify the physician of this abnormal strip.
d. Continue to monitor for abnormalities. - ✔✔c. Notify the physician of this abnormal
strip.
Rationale:
c. is correct because notifying the physician of the abnormal rhythm would be the most
appropriate response. The patient has experienced a rhythm change and requires
further treatment.
QUESTIONS AND ANSWERS SURE A+
✔✔A client's blood pressure (BP) is 145/90. According to the guidelines for determining
hypertension, the nurse realizes that the client's BP is at which stage?
a. Normal
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension - ✔✔c
✔✔Captopril (Capoten) has been ordered for a client. The nurse teaches the client that
ACE inhibitors have which common side effects?
a. Nausea and vomiting
b. Dizziness and headaches
c. Upset stomach
, d. Constant, irritating cough - ✔✔d
✔✔The nurse is teaching a client about clopidogrel (Plavix). What is important
information to include?
a. Constipation may occur.
b. Hypotension may occur.
c. Bleeding may increase when taken with aspirin.
d. Normal dose is 25 mg tablet per day. - ✔✔C
✔✔A nurse who is giving a statin(Lipitor) realizes the importance of monitoring for which
serious adverse reaction?
a. Pharyngitis
b. Rash/pruritus
c. Rhabdomyolysis
d. Agranulocytosis - ✔✔c
✔✔A client's serum lipids are cholesterol 197
mg/dl, low-density lipoprotein (LDL) 110 mg/dl, and
high-density lipoprotein (HDL) 35 mg/dl. The nurse
knows what about these values?
a. Serum lipids are within desirable values.
b. Cholesterol is within desirable value, but LDL and HDL are not.
c. Cholesterol is not within desirable value, though LDL and HDL are.
d. Cholesterol, LDL, and HDL are not within desirable values. - ✔✔b
✔✔Prior to discharge from the Emergency Department, the nurse prints a rhythm strip
on a patient and notices that the P wave cannot be detected and the QRS complex is
0.24 seconds. This is a change in the patient's condition. What is the best action for the
nurse to take?
a. Measure the PR interval.
b. Prepare the patient for discharge.
c. Notify the physician of this abnormal strip.
d. Continue to monitor for abnormalities. - ✔✔c. Notify the physician of this abnormal
strip.
Rationale:
c. is correct because notifying the physician of the abnormal rhythm would be the most
appropriate response. The patient has experienced a rhythm change and requires
further treatment.
