PRACTICE PERFUSION NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A 58-year-old female with a family history of CAD is being seen for her annual physical exam. Fas�ng lab
test results include: Total cholesterol 198; LDL cholesterol 120; HDL cholesterol 58; Triglycerides 148;
Blood sugar 102; and C-reac�ve protein (CRP) 4.2. The health care provider informs the client that she
will be started on a sta�n medica�on and aspirin. The client asks the nurse why she needs to take these
medica�ons. Which is the best response by the nurse?
a. "The labs indicate severe hyperlipidemia and the medica�ons will lower your LDL, along with a low-fat
diet."
b. "The triglycerides are elevated and will not return to normal without these medica�ons."
c. "The CRP is elevated indica�ng inflamma�on seen in cardiovascular disease, which can be lowered by
the medica�ons ordered."
d. "The medica�ons are not indicated since your lab values are all normal." - ansc. CRP is a marker of
inflamma�on and is elevated in the presence of cardiovascular disease. The high sensi�vity CRP (hs-CRP)
is the blood test for greater accuracy in measuring the CRP to evaluate cardiovascular risk. The family
history, post-menopausal age, LDL above op�mum levels and elevated CRP place the client at risk of
CAD. Sta�n medica�ons can decrease LDL, whereas sta�ns and aspirin can reduce CRP and decrease the
risk of MI and stroke.
A client has developed uncontrolled atrial fibrilla�on with a ventricular rate of 150 beats/min. What
manifesta�on should the nurse observe for when performing the client's focused assessment?
a. Flat neck veins
b. Nausea and vomi�ng
c. Hypotension and dizziness
d. Clubbed finger�ps and headache - ansd. Hypotension and dizziness
A client taking spironolactone (Aldactone) [potassium-sparing diure�c] has been taught about the
therapy. Which menu selec�on indicates that the client understands teaching related to this medica�on?
a. Apricots
b. Bananas
c. Fish
d. Strawberries - ansc.
, PRACTICE PERFUSION NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
Spironolactone is a potassium-sparing diure�c that could poten�ally cause hyperkalemia. Fish is an
appropriate dietary choice, because it is low in potassium. The other foods are high in potassium.
A client with a diagnosis of cardiac dysrhythmias and a history of type I diabetes mellitus is placed on
propranolol therapy. The client asks the nurse if the drug will affect insulin needs. The best response by
the nurse would be that:
a. The drug will have no effect on insulin needs.
b. The drug might cause hypoglycemia.
c. The drug could cause hyperglycemia.
d. The client should ask the physician this ques�on. - ansb. The drug might cause hypoglycemia.
There is increased incidence of hypoglycemia with type I diabetes mellitus, because propranolol can
inhibit glycogenolysis.
A client with a first-degree heart block has an electrocardiogram (ECG) taken during an episode of chest
pain. The nurse knows that which ECG finding would be an indica�on of first-degree heart block?
a. Presence of Q waves
b. Tall, peaked T waves
c. Prolonged PR interval
d. Widened QRS complex - ansc. Prolonged PR interval
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
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
A 58-year-old female with a family history of CAD is being seen for her annual physical exam. Fas�ng lab
test results include: Total cholesterol 198; LDL cholesterol 120; HDL cholesterol 58; Triglycerides 148;
Blood sugar 102; and C-reac�ve protein (CRP) 4.2. The health care provider informs the client that she
will be started on a sta�n medica�on and aspirin. The client asks the nurse why she needs to take these
medica�ons. Which is the best response by the nurse?
a. "The labs indicate severe hyperlipidemia and the medica�ons will lower your LDL, along with a low-fat
diet."
b. "The triglycerides are elevated and will not return to normal without these medica�ons."
c. "The CRP is elevated indica�ng inflamma�on seen in cardiovascular disease, which can be lowered by
the medica�ons ordered."
d. "The medica�ons are not indicated since your lab values are all normal." - ansc. CRP is a marker of
inflamma�on and is elevated in the presence of cardiovascular disease. The high sensi�vity CRP (hs-CRP)
is the blood test for greater accuracy in measuring the CRP to evaluate cardiovascular risk. The family
history, post-menopausal age, LDL above op�mum levels and elevated CRP place the client at risk of
CAD. Sta�n medica�ons can decrease LDL, whereas sta�ns and aspirin can reduce CRP and decrease the
risk of MI and stroke.
A client has developed uncontrolled atrial fibrilla�on with a ventricular rate of 150 beats/min. What
manifesta�on should the nurse observe for when performing the client's focused assessment?
a. Flat neck veins
b. Nausea and vomi�ng
c. Hypotension and dizziness
d. Clubbed finger�ps and headache - ansd. Hypotension and dizziness
A client taking spironolactone (Aldactone) [potassium-sparing diure�c] has been taught about the
therapy. Which menu selec�on indicates that the client understands teaching related to this medica�on?
a. Apricots
b. Bananas
c. Fish
d. Strawberries - ansc.
, PRACTICE PERFUSION NCLEX QUESTIONS AND
ANSWERS LATEST VERSION VERIFIED RATIONALE
GRADED A+
Spironolactone is a potassium-sparing diure�c that could poten�ally cause hyperkalemia. Fish is an
appropriate dietary choice, because it is low in potassium. The other foods are high in potassium.
A client with a diagnosis of cardiac dysrhythmias and a history of type I diabetes mellitus is placed on
propranolol therapy. The client asks the nurse if the drug will affect insulin needs. The best response by
the nurse would be that:
a. The drug will have no effect on insulin needs.
b. The drug might cause hypoglycemia.
c. The drug could cause hyperglycemia.
d. The client should ask the physician this ques�on. - ansb. The drug might cause hypoglycemia.
There is increased incidence of hypoglycemia with type I diabetes mellitus, because propranolol can
inhibit glycogenolysis.
A client with a first-degree heart block has an electrocardiogram (ECG) taken during an episode of chest
pain. The nurse knows that which ECG finding would be an indica�on of first-degree heart block?
a. Presence of Q waves
b. Tall, peaked T waves
c. Prolonged PR interval
d. Widened QRS complex - ansc. Prolonged PR interval
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
