Test Banks For Clinical Reasoning Cases in Nursin
8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 1. Perfusion
Chapter 2. Gas Exchange
Chapter 3. Mobility
Chapter 4. Digestion
Chapter 5. Urinary Elimination
Chapter 6. Intracranial Regulation
Chapter 7. Metabolism and Glucose Regulation
Chapter 8. Immunity
Chapter 9. Cellular Regulation
Chapter 10. Tissue Integrity
Chapter 11. Cognition
Chapter 12. Infection and Inflammation
Chapter 13. Developmental
Chapter 14. Reproductive
Chapter 15. Mood, Stress, and Addiction
,Chapter 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands this problem when the student states, Central perfusion
a. Is monitored only by the physician.
b. Involves the entire body.
c. Is decreased with hypertension.
d. Is toxic to the cardiac system.
ANSWER: B
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
have happened to them. The nurses best response is Hypertension
a. Happens to everyone sooner or later. Dont be concerned about it.
b. Can happen from eating a poor diet, so change what you are eating.
c. Can happen from arterial changes that impede the blood flow.
d. Happens when people do not exercise, so you should walk every
day.
ANSWER: C
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
Hypertension does not happen to everyone. Changing the patients diet and exercising may be a
positive life change, but these answers do not explain to the patient how the disease could have
happened.
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response
would be, The sinoatrial node
a. Provides the heart with the stimulation to beat in a normal rhythm.
b. Protects the heart from atherosclerotic changes.
c. Provides the heart with oxygenated blood.
d. Protects the heart from
infection.
ANSWER: A
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
Normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
infection,and it does not directly provide the heart with oxygenated blood.
4. The patient is brought to the emergency department after a motor vehicle accident. The patient
is diagnosed with internal bleeding. The nurses primary concern is to monitor for
a. Mental alertness.
b. Perfusion.
, c. Pain.
d. Reaction to
medications.
ANSWER: B
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
areimportant but not the primary concern.
5. A gpatients gserum gelectrolytes gare gbeing gmonitored. gThe gnurse gnotices gthat gthe
gpotassium glevel gis glow. gThe gnurse gknows gthat gthe gpatient gshould gbe gobserved gfor
a. Tissue gischemia.
b. Brain gmalformations.
c. Intestinal gblockage.
d. Cardiac
gdysthymia.
ANSWER: gD
Cardiac gdysthymia gis ga gpossibility gwhen gserum gpotassium gis ghigh gor glow. gTissue gischemia, gbrain
gMalformations, gor gintestinal gblockage gdo gnot ghave ga gdirect gcorrelation gto gpotassium girregularities.
6. gA gnurse gis gexplaining gto ga gstudent gnurse gabout gperfusion. gThe gnurse gknows gthe gstudent
gunderstands gthe gconcept gof gperfusion gwhen gthe gstudent gstates, gPerfusion
a. Is ga gnormal gfunction gof gthe gbody, gand gI gdont ghave gto gbe gconcerned gabout git.
b. Is gmonitored gby gthe gphysician, gand gI gjust gfollow gorders.
c. Is gmonitored gby gvital gsigns gand gcapillary grefill.
d. Varies gas ga gperson gages, gso gI gwould gexpect gchanges
gin gthe gbody.
ANSWER: gC
The gbest gmethod gto gmonitor gperfusion gis gto gmonitor gvital gsigns gand gcapillary grefill.
gThis gallows gThe gnurse gto gknow gif gperfusion gis gadequate gto gmaintain gvital gorgans. gThe
gnurse gdoes ghave gto gbe gconcerned gabout gperfusion. gPerfusion gis gnot gonly gmonitored gby
gthe gphysician gbut gthe gnurse gtoo. gPerfusion gdoes gnot galways gchange gas gthe gperson gages.
7. gThe gnurse gis gconducting ga gpatient gassessment. gThe gpatient gtells gthe gnurse gthat ghe
ghas gsmoked gtwo gpacks gof gcigarettes gper gday gfor g27 g years. gThe gnurse gmay gfind gwhich
gdata gupon gassessment?
a. Blood gpressure gabove gthe gnormal grange
b. Bounding gpedal gpulses
c. Night gblindness
8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 1. Perfusion
Chapter 2. Gas Exchange
Chapter 3. Mobility
Chapter 4. Digestion
Chapter 5. Urinary Elimination
Chapter 6. Intracranial Regulation
Chapter 7. Metabolism and Glucose Regulation
Chapter 8. Immunity
Chapter 9. Cellular Regulation
Chapter 10. Tissue Integrity
Chapter 11. Cognition
Chapter 12. Infection and Inflammation
Chapter 13. Developmental
Chapter 14. Reproductive
Chapter 15. Mood, Stress, and Addiction
,Chapter 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands this problem when the student states, Central perfusion
a. Is monitored only by the physician.
b. Involves the entire body.
c. Is decreased with hypertension.
d. Is toxic to the cardiac system.
ANSWER: B
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
have happened to them. The nurses best response is Hypertension
a. Happens to everyone sooner or later. Dont be concerned about it.
b. Can happen from eating a poor diet, so change what you are eating.
c. Can happen from arterial changes that impede the blood flow.
d. Happens when people do not exercise, so you should walk every
day.
ANSWER: C
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
Hypertension does not happen to everyone. Changing the patients diet and exercising may be a
positive life change, but these answers do not explain to the patient how the disease could have
happened.
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best response
would be, The sinoatrial node
a. Provides the heart with the stimulation to beat in a normal rhythm.
b. Protects the heart from atherosclerotic changes.
c. Provides the heart with oxygenated blood.
d. Protects the heart from
infection.
ANSWER: A
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
Normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
infection,and it does not directly provide the heart with oxygenated blood.
4. The patient is brought to the emergency department after a motor vehicle accident. The patient
is diagnosed with internal bleeding. The nurses primary concern is to monitor for
a. Mental alertness.
b. Perfusion.
, c. Pain.
d. Reaction to
medications.
ANSWER: B
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
areimportant but not the primary concern.
5. A gpatients gserum gelectrolytes gare gbeing gmonitored. gThe gnurse gnotices gthat gthe
gpotassium glevel gis glow. gThe gnurse gknows gthat gthe gpatient gshould gbe gobserved gfor
a. Tissue gischemia.
b. Brain gmalformations.
c. Intestinal gblockage.
d. Cardiac
gdysthymia.
ANSWER: gD
Cardiac gdysthymia gis ga gpossibility gwhen gserum gpotassium gis ghigh gor glow. gTissue gischemia, gbrain
gMalformations, gor gintestinal gblockage gdo gnot ghave ga gdirect gcorrelation gto gpotassium girregularities.
6. gA gnurse gis gexplaining gto ga gstudent gnurse gabout gperfusion. gThe gnurse gknows gthe gstudent
gunderstands gthe gconcept gof gperfusion gwhen gthe gstudent gstates, gPerfusion
a. Is ga gnormal gfunction gof gthe gbody, gand gI gdont ghave gto gbe gconcerned gabout git.
b. Is gmonitored gby gthe gphysician, gand gI gjust gfollow gorders.
c. Is gmonitored gby gvital gsigns gand gcapillary grefill.
d. Varies gas ga gperson gages, gso gI gwould gexpect gchanges
gin gthe gbody.
ANSWER: gC
The gbest gmethod gto gmonitor gperfusion gis gto gmonitor gvital gsigns gand gcapillary grefill.
gThis gallows gThe gnurse gto gknow gif gperfusion gis gadequate gto gmaintain gvital gorgans. gThe
gnurse gdoes ghave gto gbe gconcerned gabout gperfusion. gPerfusion gis gnot gonly gmonitored gby
gthe gphysician gbut gthe gnurse gtoo. gPerfusion gdoes gnot galways gchange gas gthe gperson gages.
7. gThe gnurse gis gconducting ga gpatient gassessment. gThe gpatient gtells gthe gnurse gthat ghe
ghas gsmoked gtwo gpacks gof gcigarettes gper gday gfor g27 g years. gThe gnurse gmay gfind gwhich
gdata gupon gassessment?
a. Blood gpressure gabove gthe gnormal grange
b. Bounding gpedal gpulses
c. Night gblindness
