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