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