,Chapter 1.Perfusion raop
MULTIPLE CHOICE raop
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
raop raop raop raop raop raop raop raop raop raop raop raop raop
knows the student understands this problem when the student states, Central perfusion
raop raop raop raop raop raop raop raop raop raop raop raop
a. is monitored only by the physician. raop raop raop raop raop
b. involves the entire body. raop raop raop
c. is decreased with hypertension.
raop raop raop
d. is toxic to the cardiac system. raop raop raop raop raop
ANS: B
raop raop
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
raop raop raop raop raop raop raop raop raop raop raop raop raop
not decreased with hypertension. Central perfusion is not toxic to the cardiac system.
raop raop raop raop raop raop raop raop raop raop raop raop raop
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
have happened to them. The nurses best response is Hypertension
raop raop raop raop raop raop raop raop raop raop
a. happens to everyone sooner or later. Dont be concerned about it. raop raop raop raop raop raop raop raop raop raop
b. can happen from eating a poor diet, so change what you are eating.
raop raop raop raop raop raop raop raop raop r ao p raop raop
c. can happen from arterial changes that impede the blood flow.
raop raop raop r ao p raop raop raop raop raop
, d. happens when people do not exercise, so you should walk every day. raop raop raop raop raop raop raop raop raop raop raop
ANS: C
raop raop
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
raop raop raop raop raop raop raop raop raop raop raop
Hypertension does not happen to everyone. Changing the patients diet and exercising may be
raop raop raop raop raop raop raop raop raop raop raop raop raop
a positive life change, but these answers do not explain to the patient how the disease could
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
have happened.
raop raop
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
response would be, The sinoatrial node
raop raop raop raop raop raop
a. provides the heart with the stimulation to beat in a normal rhythm. raop raop raop raop raop raop raop raop r aop raop raop
b. protects the heart from atherosclerotic changes. raop raop raop raop raop
c. provides the heart with oxygenated blood. raop raop raop raop raop
d. protects the heart from infection. raop raop raop raop
ANS: A
raop raop
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,
raop raop raop raop raop raop raop raop raop raop raop raop
and it does not directly provide the heart with oxygenated blood.
raop raop raop raop raop raop raop raop raop raop raop
4. The patient is brought to the emergency department after a motor vehicle accident. The
raop raop raop raop raop raop raop raop raop raop raop raop raop
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
a. mental alertness. raop
b. perfusion.
, c. pain.
d. reaction to medications. raop raop
ANS: B
raop raop
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
raop raop raop raop raop raop raop raop raop raop raop r ao p raop
signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions are
raop raop raop raop raop raop raop raop raop raop raop raop raop
important but not the primary concern.
raop raop raop raop raop raop
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
raop raop raop raop raop raop raop raop raop raop raop raop
level is low. The nurse knows that the patient should be observed for
raop raop raop raop raop raop raop raop raop raop raop raop raop
a. tissue ischemia. raop
b. brain malformations. raop
c. intestinal blockage. raop
d. cardiac dysthymia. raop
ANS: D
raop raop
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
malformations, or intestinal blockage do not have a direct correlation to potassium irregularities. raop raop raop raop raop raop raop raop raop raop raop raop
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the
raop raop raop raop raop raop raop raop raop raop raop raop raop
student understands the concept of perfusion when the student states, Perfusion
raop raop raop raop raop raop raop raop raop raop raop
a. is a normal function of the body, and I dont have to be concerned about it.
raop raop raop raop r ao p raop raop raop raop raop raop raop raop raop raop
b. is monitored by the physician, and I just follow orders.
raop raop raop raop raop raop raop raop raop
c. is monitored by vital signs and capillary refill.
raop raop raop raop raop raop raop
d. varies as a person ages, so I would expect changes in the body. raop raop raop raop raop raop raop raop raop raop raop raop
ANS: C
raop raop
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
the nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
be concerned about perfusion. Perfusion is not only monitored by the physician but the nurse
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
too. Perfusion does not always change as the person ages.
raop raop raop raop raop raop raop raop raop raop
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
assessment?
raop
a. Blood pressure above the normal range raop raop raop raop raop
b. Bounding pedal pulses raop raop
c. Night blindness raop
d. Reflux disease raop
ANS: A
raop raop
Smokers have a constriction of the blood vessels due to the tar and nicotine in cigarettes. This
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
constriction may lead to hypertension. Bounding pulses, night blindness, and reflux disease do
raop raop raop raop raop raop raop raop raop raop raop raop
not have a direct link to smoking.
raop raop raop raop raop raop raop
Chapter 2.Gas Exchange raop raop
MULTIPLE CHOICE raop
MULTIPLE CHOICE raop
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
raop raop raop raop raop raop raop raop raop raop raop raop raop
knows the student understands this problem when the student states, Central perfusion
raop raop raop raop raop raop raop raop raop raop raop raop
a. is monitored only by the physician. raop raop raop raop raop
b. involves the entire body. raop raop raop
c. is decreased with hypertension.
raop raop raop
d. is toxic to the cardiac system. raop raop raop raop raop
ANS: B
raop raop
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
raop raop raop raop raop raop raop raop raop raop raop raop raop
not decreased with hypertension. Central perfusion is not toxic to the cardiac system.
raop raop raop raop raop raop raop raop raop raop raop raop raop
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
have happened to them. The nurses best response is Hypertension
raop raop raop raop raop raop raop raop raop raop
a. happens to everyone sooner or later. Dont be concerned about it. raop raop raop raop raop raop raop raop raop raop
b. can happen from eating a poor diet, so change what you are eating.
raop raop raop raop raop raop raop raop raop r ao p raop raop
c. can happen from arterial changes that impede the blood flow.
raop raop raop r ao p raop raop raop raop raop
, d. happens when people do not exercise, so you should walk every day. raop raop raop raop raop raop raop raop raop raop raop
ANS: C
raop raop
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
raop raop raop raop raop raop raop raop raop raop raop
Hypertension does not happen to everyone. Changing the patients diet and exercising may be
raop raop raop raop raop raop raop raop raop raop raop raop raop
a positive life change, but these answers do not explain to the patient how the disease could
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
have happened.
raop raop
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
response would be, The sinoatrial node
raop raop raop raop raop raop
a. provides the heart with the stimulation to beat in a normal rhythm. raop raop raop raop raop raop raop raop r aop raop raop
b. protects the heart from atherosclerotic changes. raop raop raop raop raop
c. provides the heart with oxygenated blood. raop raop raop raop raop
d. protects the heart from infection. raop raop raop raop
ANS: A
raop raop
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,
raop raop raop raop raop raop raop raop raop raop raop raop
and it does not directly provide the heart with oxygenated blood.
raop raop raop raop raop raop raop raop raop raop raop
4. The patient is brought to the emergency department after a motor vehicle accident. The
raop raop raop raop raop raop raop raop raop raop raop raop raop
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
a. mental alertness. raop
b. perfusion.
, c. pain.
d. reaction to medications. raop raop
ANS: B
raop raop
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
raop raop raop raop raop raop raop raop raop raop raop r ao p raop
signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions are
raop raop raop raop raop raop raop raop raop raop raop raop raop
important but not the primary concern.
raop raop raop raop raop raop
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
raop raop raop raop raop raop raop raop raop raop raop raop
level is low. The nurse knows that the patient should be observed for
raop raop raop raop raop raop raop raop raop raop raop raop raop
a. tissue ischemia. raop
b. brain malformations. raop
c. intestinal blockage. raop
d. cardiac dysthymia. raop
ANS: D
raop raop
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
malformations, or intestinal blockage do not have a direct correlation to potassium irregularities. raop raop raop raop raop raop raop raop raop raop raop raop
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the
raop raop raop raop raop raop raop raop raop raop raop raop raop
student understands the concept of perfusion when the student states, Perfusion
raop raop raop raop raop raop raop raop raop raop raop
a. is a normal function of the body, and I dont have to be concerned about it.
raop raop raop raop r ao p raop raop raop raop raop raop raop raop raop raop
b. is monitored by the physician, and I just follow orders.
raop raop raop raop raop raop raop raop raop
c. is monitored by vital signs and capillary refill.
raop raop raop raop raop raop raop
d. varies as a person ages, so I would expect changes in the body. raop raop raop raop raop raop raop raop raop raop raop raop
ANS: C
raop raop
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
the nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
be concerned about perfusion. Perfusion is not only monitored by the physician but the nurse
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
too. Perfusion does not always change as the person ages.
raop raop raop raop raop raop raop raop raop raop
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
raop raop raop raop raop raop raop raop raop raop raop raop raop raop
smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
assessment?
raop
a. Blood pressure above the normal range raop raop raop raop raop
b. Bounding pedal pulses raop raop
c. Night blindness raop
d. Reflux disease raop
ANS: A
raop raop
Smokers have a constriction of the blood vessels due to the tar and nicotine in cigarettes. This
raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop raop
constriction may lead to hypertension. Bounding pulses, night blindness, and reflux disease do
raop raop raop raop raop raop raop raop raop raop raop raop
not have a direct link to smoking.
raop raop raop raop raop raop raop
Chapter 2.Gas Exchange raop raop
MULTIPLE CHOICE raop
