Test Banks For Clinical Reasoning Cases in Nursing
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8th Edition by Mariann M. Harding;
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Chapter 1 - 15 ll ll ll
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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Contents:
Chapter 1. Perfusion
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Chapter 2. Gas Exchange
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Chapter 3. Mobility
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Chapter 4. Digestion
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Chapter 5. Urinary Elimination
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Chapter 6. Intracranial Regulation
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Chapter 7. Metabolism and Glucose Regulation
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Chapter 8. Immunity
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Chapter 9. Cellular Regulation
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Chapter 10. Tissue Integrity
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Chapter 11. Cognition
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Chapter 12. Infection and Inflammation
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Chapter 13. Developmental
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Chapter 14. Reproductive
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Chapter 15. Mood, Stress, and Addiction
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,Chapter 1. Perfusion ll ll
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
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MULTIPLE CHOICE ll
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the
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student understands this problem when the student states, Central perfusion
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a. Is monitored only by the physician. ll ll ll ll ll
b. Involves the entire body. ll ll ll
c. Is decreased with hypertension.
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d. Is toxic to the cardiac system.
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ANSWER: B ll
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
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notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
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2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
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have happened to them. The nurses best response is Hypertension
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a. Happens to everyone sooner or later. Dont be concerned about it. ll ll ll ll ll ll ll ll ll ll
b. Can happen from eating a poor diet, so change what you are eating.
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c. Can happen from arterial changes that impede the blood flow.
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d. Happens when people do not exercise, so you should walk every ll ll ll ll ll ll ll ll ll ll
ll day.
ANSWER: C ll
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension
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does not happen to everyone. Changing the patients diet and exercising may be a positive life
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change, but these answers do not explain to the patient how the disease could have happened.
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3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response
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would be, The sinoatrial node
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a. Provides the heart with the stimulation to beat in a normal rhythm. ll ll ll ll ll ll ll ll ll ll ll
b. Protects the heart from atherosclerotic changes. ll ll ll ll ll
c. Provides the heart with oxygenated blood. ll ll ll ll ll
d. Protectstheheartfrom l l l
ll infection.
ANSWER: A ll
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal
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rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does
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not directly provide the heart with oxygenated blood.
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4. The patient is brought to the emergency department after a motor vehicle accident. The patient is
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diagnosed with internal bleeding. The nurses primary concern is to monitor for
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a. Mental alertness. ll
b. Perfusion.
, c. Pain.
d. Reactionto l
medications.
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ANSWER: B ll
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
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Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
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areimportant but not the primary concern.
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5. A patients serum electrolytes are being monitored. The nurse notices that the potassium level is
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low. The nurse knows that the patient should be observed for
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a. Tissue ischemia. ll
b. Brain malformations. ll
c. Intestinal blockage. ll
d. Cardiac
dysthymia.
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ANSWER: D ll
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
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Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
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6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the concept of perfusion when the student states, Perfusion
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a. Is a normal function of the body, and I dont have to be concerned about it. ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
b. Is monitored by the physician, and I just follow orders.
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c. Is monitored by vital signs and capillary refill.
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d. Varies as a person ages, so I would expect changes in the ll ll ll ll ll ll ll ll ll ll ll
ll body.
ANSWER: C ll
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
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The nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
concerned about perfusion. Perfusion is not only monitored by the physician but the nurse too.
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Perfusion does not always change as the person ages.
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7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked
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two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
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a. Blood pressure above the normal range ll ll ll ll ll
b. Bounding pedal pulses ll ll
c. Night blindness ll
ll ll ll ll ll ll ll
8th Edition by Mariann M. Harding;
ll ll ll ll ll ll ll
Chapter 1 - 15 ll ll ll
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
ll ll ll ll ll ll ll ll ll ll
Contents:
Chapter 1. Perfusion
ll ll
Chapter 2. Gas Exchange
ll ll ll
Chapter 3. Mobility
ll ll
Chapter 4. Digestion
ll ll
Chapter 5. Urinary Elimination
ll ll ll
Chapter 6. Intracranial Regulation
ll ll ll
Chapter 7. Metabolism and Glucose Regulation
ll ll ll ll ll
Chapter 8. Immunity
ll ll
Chapter 9. Cellular Regulation
ll ll ll
Chapter 10. Tissue Integrity
ll ll ll
Chapter 11. Cognition
ll ll
Chapter 12. Infection and Inflammation
ll ll ll ll
Chapter 13. Developmental
ll ll
Chapter 14. Reproductive
ll ll
Chapter 15. Mood, Stress, and Addiction
ll ll ll ll ll
,Chapter 1. Perfusion ll ll
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
ll ll ll ll ll ll ll ll ll ll
MULTIPLE CHOICE ll
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
student understands this problem when the student states, Central perfusion
ll ll ll ll ll ll ll ll ll ll
a. Is monitored only by the physician. ll ll ll ll ll
b. Involves the entire body. ll ll ll
c. Is decreased with hypertension.
ll ll ll
d. Is toxic to the cardiac system.
ll ll ll ll ll
ANSWER: B ll
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
ll ll ll ll ll ll ll ll ll ll ll ll
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
have happened to them. The nurses best response is Hypertension
ll ll ll ll ll ll ll ll ll ll
a. Happens to everyone sooner or later. Dont be concerned about it. ll ll ll ll ll ll ll ll ll ll
b. Can happen from eating a poor diet, so change what you are eating.
ll ll ll ll ll ll ll ll ll ll ll ll
c. Can happen from arterial changes that impede the blood flow.
ll ll ll ll ll ll ll ll ll
d. Happens when people do not exercise, so you should walk every ll ll ll ll ll ll ll ll ll ll
ll day.
ANSWER: C ll
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension
ll ll ll ll ll ll ll ll ll ll ll ll
does not happen to everyone. Changing the patients diet and exercising may be a positive life
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
change, but these answers do not explain to the patient how the disease could have happened.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
would be, The sinoatrial node
ll ll ll ll ll
a. Provides the heart with the stimulation to beat in a normal rhythm. ll ll ll ll ll ll ll ll ll ll ll
b. Protects the heart from atherosclerotic changes. ll ll ll ll ll
c. Provides the heart with oxygenated blood. ll ll ll ll ll
d. Protectstheheartfrom l l l
ll infection.
ANSWER: A ll
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a Normal
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
rhythm. The sinoatrial node does not protect from atherosclerotic changes or infection,and it does
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
not directly provide the heart with oxygenated blood.
ll ll ll ll ll ll ll ll
4. The patient is brought to the emergency department after a motor vehicle accident. The patient is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
diagnosed with internal bleeding. The nurses primary concern is to monitor for
ll ll ll ll ll ll ll ll ll ll ll ll
a. Mental alertness. ll
b. Perfusion.
, c. Pain.
d. Reactionto l
medications.
ll
ANSWER: B ll
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
ll ll ll ll ll ll ll ll ll ll ll ll ll
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
ll ll ll ll ll ll ll ll ll ll ll ll
areimportant but not the primary concern.
ll ll ll ll ll ll
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium level is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
low. The nurse knows that the patient should be observed for
ll ll ll ll ll ll ll ll ll ll ll
a. Tissue ischemia. ll
b. Brain malformations. ll
c. Intestinal blockage. ll
d. Cardiac
dysthymia.
ll
ANSWER: D ll
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
ll ll ll ll ll ll ll ll ll ll ll ll ll
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the concept of perfusion when the student states, Perfusion
ll ll ll ll ll ll ll ll ll
a. Is a normal function of the body, and I dont have to be concerned about it. ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
b. Is monitored by the physician, and I just follow orders.
ll ll ll ll ll ll ll ll ll
c. Is monitored by vital signs and capillary refill.
ll ll ll ll ll ll ll
d. Varies as a person ages, so I would expect changes in the ll ll ll ll ll ll ll ll ll ll ll
ll body.
ANSWER: C ll
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
concerned about perfusion. Perfusion is not only monitored by the physician but the nurse too.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Perfusion does not always change as the person ages.
ll ll ll ll ll ll ll ll ll
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
two packs of cigarettes per day for 27 years. The nurse may find which data upon assessment?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
a. Blood pressure above the normal range ll ll ll ll ll
b. Bounding pedal pulses ll ll
c. Night blindness ll
