TEST BANKS FOR CLINICAL REASONING CASES IN NURSING
8TH EDITION BY MARIANN M. HARDING/ALL CHAPTERS 1-15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
CH 1. Perfusion
CH 2. Gas Exchange
CH 3. Mobility
CH 4. Digestion
CH 5. Urinary Elimination
CH 6. Intracranial Regulation
CH 7. Metabolism and Glucose Regulation
CH 8. Immunity
CH 9. Cellular Regulation
CH 10. Tissue Integrity
CH 11. Cognition
CH 12. Infection and Inflammation
CH 13. Developmental
CH 14. Reproductive
CH 15: Mood, Stress and Addiction
,CH 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The professional nurse is explaining to a learner professional nurse about impaired central perfusion. The
professional nurse knows
the learner understands this problem when the learner 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.
ACCURATE ANSWER:-B
REASONING :->>Central perfusion does involve the entire body as all organs are supplied with
oxygen and vitalNutrients. 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 hospital patient was diagnosed with hypertension. The hospital patient asks the nursing
attendant how this disease couldhave happened to them. The professional 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 everyday.
ACCURATE ANSWER:-C
REASONING :->>Hardening of the arteries from atherosclerosis can cause hypertension in the
hospital patient. Hypertension does not happen to everyone. Changing the hospital patients diet
and exercising may be apositive life change, but these answers do not explain to the hospital
patient how the disease could have happened.
3. The hospital patient asks the nursing attendant to explain the sinoatrial node in the heart. The
professional nurses best responsewould 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.
ACCURATE ANSWER:-A
REASONING :->>The sinoatrial node is the natural pacemaker of the heart, and it assists the
heart to beat in aNormal 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 hospital patient is brought to the emergency department after a motor vehicle accident. The
hospital patient is diagnosed with internal bleeding. The professional nurses primary concern is to
monitor for
, a. Mental alertness.
b. Perfusion.
c. Pain.
d. Reaction to
medications.
ACCURATE ANSWER:-B
REASONING :->>Perfusion is the correct answer, because with internal bleeding, the
nursing attendant should monitor vitalSigns to be sure perfusion is happening. Mental
alertness, pain, and medication reactions areimportant but not the primary concern.
5. A hospital patients serum electrolytes are being monitored. The nursing attendant notices that the
potassium level
is low. The nursing attendant knows that the hospital patient should be observed for
a. Tissue ischemia.
b. Brain malformations.
c. Intestinal blockage.
d. Cardiac
dysthymia.
ACCURATE ANSWER:-D
REASONING :->>Cardiac dysthymia is a possibility when serum potassium is high or low.
Tissue ischemia, brainMalformations, or intestinal blockage do not have a direct correlation to
potassium irregularities.
6. A nursing attendant is explaining to a learner nursing attendant about perfusion. The nursing attendant
knows the learner
understands the concept of perfusion when the learner states, Perfusion
a. Is a normal function of the body, and I dont have to be concerned about it.
b. Is monitored by the physician, and I just follow orders.
c. Is monitored by vital signs and capillary refill.
d. Varies as a person ages, so I would expect changes in the
body.
ACCURATE ANSWER:-C
REASONING :->>The best method to monitor perfusion is to monitor vital signs and
capillary refill. This allows The nursing attendant to know if perfusion is adequate to maintain
vital organs. The nursing attendant does have to beconcerned about perfusion. Perfusion is not
only monitored by the physician but the nursing attendant too. Perfusion does not always
change as the person ages.
7. The nursing attendant is conducting a hospital patient assessment. The hospital patient tells
the nursing attendant that he has smoked two packs of cigarettes per day for 27 years. The
nursing attendant may find which data upon assessment?
a. Blood pressure above the normal range
b. Bounding pedal pulses
c. Night blindness
8TH EDITION BY MARIANN M. HARDING/ALL CHAPTERS 1-15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
CH 1. Perfusion
CH 2. Gas Exchange
CH 3. Mobility
CH 4. Digestion
CH 5. Urinary Elimination
CH 6. Intracranial Regulation
CH 7. Metabolism and Glucose Regulation
CH 8. Immunity
CH 9. Cellular Regulation
CH 10. Tissue Integrity
CH 11. Cognition
CH 12. Infection and Inflammation
CH 13. Developmental
CH 14. Reproductive
CH 15: Mood, Stress and Addiction
,CH 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The professional nurse is explaining to a learner professional nurse about impaired central perfusion. The
professional nurse knows
the learner understands this problem when the learner 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.
ACCURATE ANSWER:-B
REASONING :->>Central perfusion does involve the entire body as all organs are supplied with
oxygen and vitalNutrients. 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 hospital patient was diagnosed with hypertension. The hospital patient asks the nursing
attendant how this disease couldhave happened to them. The professional 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 everyday.
ACCURATE ANSWER:-C
REASONING :->>Hardening of the arteries from atherosclerosis can cause hypertension in the
hospital patient. Hypertension does not happen to everyone. Changing the hospital patients diet
and exercising may be apositive life change, but these answers do not explain to the hospital
patient how the disease could have happened.
3. The hospital patient asks the nursing attendant to explain the sinoatrial node in the heart. The
professional nurses best responsewould 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.
ACCURATE ANSWER:-A
REASONING :->>The sinoatrial node is the natural pacemaker of the heart, and it assists the
heart to beat in aNormal 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 hospital patient is brought to the emergency department after a motor vehicle accident. The
hospital patient is diagnosed with internal bleeding. The professional nurses primary concern is to
monitor for
, a. Mental alertness.
b. Perfusion.
c. Pain.
d. Reaction to
medications.
ACCURATE ANSWER:-B
REASONING :->>Perfusion is the correct answer, because with internal bleeding, the
nursing attendant should monitor vitalSigns to be sure perfusion is happening. Mental
alertness, pain, and medication reactions areimportant but not the primary concern.
5. A hospital patients serum electrolytes are being monitored. The nursing attendant notices that the
potassium level
is low. The nursing attendant knows that the hospital patient should be observed for
a. Tissue ischemia.
b. Brain malformations.
c. Intestinal blockage.
d. Cardiac
dysthymia.
ACCURATE ANSWER:-D
REASONING :->>Cardiac dysthymia is a possibility when serum potassium is high or low.
Tissue ischemia, brainMalformations, or intestinal blockage do not have a direct correlation to
potassium irregularities.
6. A nursing attendant is explaining to a learner nursing attendant about perfusion. The nursing attendant
knows the learner
understands the concept of perfusion when the learner states, Perfusion
a. Is a normal function of the body, and I dont have to be concerned about it.
b. Is monitored by the physician, and I just follow orders.
c. Is monitored by vital signs and capillary refill.
d. Varies as a person ages, so I would expect changes in the
body.
ACCURATE ANSWER:-C
REASONING :->>The best method to monitor perfusion is to monitor vital signs and
capillary refill. This allows The nursing attendant to know if perfusion is adequate to maintain
vital organs. The nursing attendant does have to beconcerned about perfusion. Perfusion is not
only monitored by the physician but the nursing attendant too. Perfusion does not always
change as the person ages.
7. The nursing attendant is conducting a hospital patient assessment. The hospital patient tells
the nursing attendant that he has smoked two packs of cigarettes per day for 27 years. The
nursing attendant may find which data upon assessment?
a. Blood pressure above the normal range
b. Bounding pedal pulses
c. Night blindness
