For Clinical Reasoning Cases in Nursing 8th Edition by Te
v v v v v v v v v
st Banks Mariann M. Harding;
v v v v v
Chapter 1 - 15
v v v
,ClinicalvReasoningvCasesvinvNursingv8thvEditionvHardingvSnydervTestvBank
Contents:
Chapterv1.vPerfusion
Chapterv2.vGasvExchange
Chapterv3.vMobility
Chapterv4.vDigestion
Chapterv5.vUrinaryvElimination
Chapterv6.vIntracranialvRegulation
Chapterv7.vMetabolismvandvGlucosevRegulation
Chapterv8.vImmunity
Chapterv9.vCellularvRegulation
Chapterv10.vTissuevIntegrity
Chapterv11.vCognition
Chapterv12.vInfectionvandvInflammation
Chapterv13.vDevelopmental
Chapterv14.vReproductive
Chapterv15.vMood,vStress,vandvAddiction
,Chapterv1.vPerfusion
ClinicalvReasoningvCasesvinvNursingv8thvEditionvHardingvSnydervTestvBank
MULTIPLEvCHOICE
1.vThevnursevisvexplainingvtovavstudentvnursevaboutvimpairedvcentralvperfusion.vThevnursevknowsvthevst
udentvunderstandsvthisvproblemvwhenvthevstudentvstates,vCentralvperfusion
a. Isvmonitoredvonlyvbyvthevphysician.
b. Involvesvtheventirevbody.
c. Isvdecreasedvwithvhypertension.
d. Isvtoxicvtovthevcardiacvsystem.
ANSWER:vB
CentralvperfusionvdoesvinvolvevtheventirevbodyvasvallvorgansvarevsuppliedvwithvoxygenvandvvitalvNutr
ients.vThevphysicianvdoesvnotvcontrolvthevbodysvabilityvforvperfusion.vCentralvperfusionvisvnotdecreas
edvwithvhypertension.vCentralvperfusionvisvnotvtoxicvtovthevcardiacvsystem.
2.vAvpatientvwasvdiagnosedvwithvhypertension.vThevpatientvasksvthevnursevhowvthisvdiseasevcouldvhav
evhappenedvtovthem.vThevnursesvbestvresponsevisvHypertension
a. Happensvtoveveryonevsoonervorvlater.vDontvbevconcernedvaboutvit.
b. Canvhappenvfromveatingvavpoorvdiet,vsovchangevwhatvyouvareveating.
c. Canvhappenvfromvarterialvchangesvthatvimpedevthevbloodvflow.
d.
Happensvwhenvpeoplevdovnotvexercise,vsovyouvshouldvwalkveveryvd
ay.
ANSWER:vC
Hardeningvofvthevarteriesvfromvatherosclerosisvcanvcausevhypertensionvinvthevpatient.vHypertensionv
doesvnotvhappenvtoveveryone.vChangingvthevpatientsvdietvandvexercisingvmayvbevavpositivevlifevchan
ge,vbutvthesevanswersvdovnotvexplainvtovthevpatientvhowvthevdiseasevcouldvhavevhappened.
3.vThevpatientvasksvthevnursevtovexplainvthevsinoatrialvnodevinvthevheart.vThevnursesvbestvresponsevwo
uldvbe,vThevsinoatrialvnode
a. Providesvthevheartvwithvthevstimulationvtovbeatvinvavnormalvrhythm.
b. Protectsvthevheartvfromvatheroscleroticvchanges.
c. Providesvthevheartvwithvoxygenatedvblood.
d.
Protectsvthevheartvfromv
infection.
ANSWER:vA
Thevsinoatrialvnodevisvthevnaturalvpacemakervofvthevheart,vandvitvassistsvthevheartvtovbeatvinvavNormal
vrhythm.vThevsinoatrialvnodevdoesvnotvprotectvfromvatheroscleroticvchangesvorvinfection,andvitvdoesvn
otvdirectlyvprovidevthevheartvwithvoxygenatedvblood.
4.vThevpatientvisvbroughtvtovthevemergencyvdepartmentvaftervavmotorvvehiclevaccident.vThevpatientvisv
diagnosedvwithvinternalvbleeding.vThevnursesvprimaryvconcernvisvtovmonitorvfor
a. Mentalvalertness.
b. Perfusion.
, c. Pain.
d.
Reactionvtov
medications.
ANSWER:vB
Perfusionvisvthevcorrectvanswer,vbecausevwithvinternalvbleeding,vthevnursevshouldvmonitorvvital
Signsvtovbevsurevperfusionvisvhappening.vMentalvalertness,vpain,vandvmedicationvreactionsvareimport
antvbutvnotvthevprimaryvconcern.
5.vAvpatientsvserumvelectrolytesvarevbeingvmonitored.vThevnursevnoticesvthatvthevpotassiumvlevelvisvlo
w.vThevnursevknowsvthatvthevpatientvshouldvbevobservedvfor
a. Tissuevischemia.
b. Brainvmalformations.
c. Intestinalvblockage.
d.
Cardia
cvdysthymia.
ANSWER:vD
Cardiacvdysthymiavisvavpossibilityvwhenvserumvpotassiumvisvhighvorvlow.vTissuevischemia,vbrainvMalformations,vo
rvintestinalvblockagevdovnotvhavevavdirectvcorrelationvtovpotassiumvirregularities.
6.vAvnursevisvexplainingvtovavstudentvnursevaboutvperfusion.vThevnursevknowsvthevstudentvunderstandsvt
hevconceptvofvperfusionvwhenvthevstudentvstates,vPerfusion
a. Isvavnormalvfunctionvofvthevbody,vandvIvdontvhavevtovbevconcernedvaboutvit.
b. Isvmonitoredvbyvthevphysician,vandvIvjustvfollowvorders.
c. Isvmonitoredvbyvvitalvsignsvandvcapillaryvrefill.
d.
Variesvasvavpersonvages,vsovIvwouldvexpectvchangesvinvthev
body.
ANSWER:vC
Thevbestvmethodvtovmonitorvperfusionvisvtovmonitorvvitalvsignsvandvcapillaryvrefill.vThisvallowsvThevn
ursevtovknowvifvperfusionvisvadequatevtovmaintainvvitalvorgans.vThevnursevdoesvhavevtovbevconcern
edvaboutvperfusion.vPerfusionvisvnotvonlyvmonitoredvbyvthevphysicianvbutvthevnursevtoo.vPerfusionvd
oesvnotvalwaysvchangevasvthevpersonvages.
7.vThevnursevisvconductingvavpatientvassessment.vThevpatientvtellsvthevnursevthatvhevhasvsmokedvtwo
vpacksvofvcigarettesvpervdayvforv27vyears.vThevnursevmayvfindvwhichvdatavuponvassessment?
a. Bloodvpressurevabovevthevnormalvrange
b. Boundingvpedalvpulses
c. Nightvblindness
v v v v v v v v v
st Banks Mariann M. Harding;
v v v v v
Chapter 1 - 15
v v v
,ClinicalvReasoningvCasesvinvNursingv8thvEditionvHardingvSnydervTestvBank
Contents:
Chapterv1.vPerfusion
Chapterv2.vGasvExchange
Chapterv3.vMobility
Chapterv4.vDigestion
Chapterv5.vUrinaryvElimination
Chapterv6.vIntracranialvRegulation
Chapterv7.vMetabolismvandvGlucosevRegulation
Chapterv8.vImmunity
Chapterv9.vCellularvRegulation
Chapterv10.vTissuevIntegrity
Chapterv11.vCognition
Chapterv12.vInfectionvandvInflammation
Chapterv13.vDevelopmental
Chapterv14.vReproductive
Chapterv15.vMood,vStress,vandvAddiction
,Chapterv1.vPerfusion
ClinicalvReasoningvCasesvinvNursingv8thvEditionvHardingvSnydervTestvBank
MULTIPLEvCHOICE
1.vThevnursevisvexplainingvtovavstudentvnursevaboutvimpairedvcentralvperfusion.vThevnursevknowsvthevst
udentvunderstandsvthisvproblemvwhenvthevstudentvstates,vCentralvperfusion
a. Isvmonitoredvonlyvbyvthevphysician.
b. Involvesvtheventirevbody.
c. Isvdecreasedvwithvhypertension.
d. Isvtoxicvtovthevcardiacvsystem.
ANSWER:vB
CentralvperfusionvdoesvinvolvevtheventirevbodyvasvallvorgansvarevsuppliedvwithvoxygenvandvvitalvNutr
ients.vThevphysicianvdoesvnotvcontrolvthevbodysvabilityvforvperfusion.vCentralvperfusionvisvnotdecreas
edvwithvhypertension.vCentralvperfusionvisvnotvtoxicvtovthevcardiacvsystem.
2.vAvpatientvwasvdiagnosedvwithvhypertension.vThevpatientvasksvthevnursevhowvthisvdiseasevcouldvhav
evhappenedvtovthem.vThevnursesvbestvresponsevisvHypertension
a. Happensvtoveveryonevsoonervorvlater.vDontvbevconcernedvaboutvit.
b. Canvhappenvfromveatingvavpoorvdiet,vsovchangevwhatvyouvareveating.
c. Canvhappenvfromvarterialvchangesvthatvimpedevthevbloodvflow.
d.
Happensvwhenvpeoplevdovnotvexercise,vsovyouvshouldvwalkveveryvd
ay.
ANSWER:vC
Hardeningvofvthevarteriesvfromvatherosclerosisvcanvcausevhypertensionvinvthevpatient.vHypertensionv
doesvnotvhappenvtoveveryone.vChangingvthevpatientsvdietvandvexercisingvmayvbevavpositivevlifevchan
ge,vbutvthesevanswersvdovnotvexplainvtovthevpatientvhowvthevdiseasevcouldvhavevhappened.
3.vThevpatientvasksvthevnursevtovexplainvthevsinoatrialvnodevinvthevheart.vThevnursesvbestvresponsevwo
uldvbe,vThevsinoatrialvnode
a. Providesvthevheartvwithvthevstimulationvtovbeatvinvavnormalvrhythm.
b. Protectsvthevheartvfromvatheroscleroticvchanges.
c. Providesvthevheartvwithvoxygenatedvblood.
d.
Protectsvthevheartvfromv
infection.
ANSWER:vA
Thevsinoatrialvnodevisvthevnaturalvpacemakervofvthevheart,vandvitvassistsvthevheartvtovbeatvinvavNormal
vrhythm.vThevsinoatrialvnodevdoesvnotvprotectvfromvatheroscleroticvchangesvorvinfection,andvitvdoesvn
otvdirectlyvprovidevthevheartvwithvoxygenatedvblood.
4.vThevpatientvisvbroughtvtovthevemergencyvdepartmentvaftervavmotorvvehiclevaccident.vThevpatientvisv
diagnosedvwithvinternalvbleeding.vThevnursesvprimaryvconcernvisvtovmonitorvfor
a. Mentalvalertness.
b. Perfusion.
, c. Pain.
d.
Reactionvtov
medications.
ANSWER:vB
Perfusionvisvthevcorrectvanswer,vbecausevwithvinternalvbleeding,vthevnursevshouldvmonitorvvital
Signsvtovbevsurevperfusionvisvhappening.vMentalvalertness,vpain,vandvmedicationvreactionsvareimport
antvbutvnotvthevprimaryvconcern.
5.vAvpatientsvserumvelectrolytesvarevbeingvmonitored.vThevnursevnoticesvthatvthevpotassiumvlevelvisvlo
w.vThevnursevknowsvthatvthevpatientvshouldvbevobservedvfor
a. Tissuevischemia.
b. Brainvmalformations.
c. Intestinalvblockage.
d.
Cardia
cvdysthymia.
ANSWER:vD
Cardiacvdysthymiavisvavpossibilityvwhenvserumvpotassiumvisvhighvorvlow.vTissuevischemia,vbrainvMalformations,vo
rvintestinalvblockagevdovnotvhavevavdirectvcorrelationvtovpotassiumvirregularities.
6.vAvnursevisvexplainingvtovavstudentvnursevaboutvperfusion.vThevnursevknowsvthevstudentvunderstandsvt
hevconceptvofvperfusionvwhenvthevstudentvstates,vPerfusion
a. Isvavnormalvfunctionvofvthevbody,vandvIvdontvhavevtovbevconcernedvaboutvit.
b. Isvmonitoredvbyvthevphysician,vandvIvjustvfollowvorders.
c. Isvmonitoredvbyvvitalvsignsvandvcapillaryvrefill.
d.
Variesvasvavpersonvages,vsovIvwouldvexpectvchangesvinvthev
body.
ANSWER:vC
Thevbestvmethodvtovmonitorvperfusionvisvtovmonitorvvitalvsignsvandvcapillaryvrefill.vThisvallowsvThevn
ursevtovknowvifvperfusionvisvadequatevtovmaintainvvitalvorgans.vThevnursevdoesvhavevtovbevconcern
edvaboutvperfusion.vPerfusionvisvnotvonlyvmonitoredvbyvthevphysicianvbutvthevnursevtoo.vPerfusionvd
oesvnotvalwaysvchangevasvthevpersonvages.
7.vThevnursevisvconductingvavpatientvassessment.vThevpatientvtellsvthevnursevthatvhevhasvsmokedvtwo
vpacksvofvcigarettesvpervdayvforv27vyears.vThevnursevmayvfindvwhichvdatavuponvassessment?
a. Bloodvpressurevabovevthevnormalvrange
b. Boundingvpedalvpulses
c. Nightvblindness
