For Clinical Reasoning Cases in Nursing 8th Edition
by Test Banks Mariann M. Harding;
Chapter 1 - 15
,Clinical5Reasoning5Cases5in5Nursing58th5Edition5Harding5Snyder5Test5Bank
Contents:
Chapter51.5Perfusion
Chapter52.5Gas5Exchange
Chapter53.5Mobility
Chapter54.5Digestion
Chapter55.5Urinary5Elimination
Chapter56.5Intracranial5Regulation
Chapter57.5Metabolism5and5Glucose5Regulation
Chapter58.5Immunity
Chapter59.5Cellular5Regulation
Chapter510.5Tissue5Integrity
Chapter511.5Cognition
Chapter512.5Infection5and5Inflammation
Chapter513.5Developmental
Chapter514.5Reproductive
Chapter515.5Mood,5Stress,5and5Addiction
,Chapter51.5Perfusion43Clinical5Reasoning5Cases5in5Nursing58th5Edition5Harding5Snyder5Test5Ba
nk
MULTIPLE5CHOICE
1.5The5nurse5is5explaining5to5a5student5nurse5about5impaired5central5perfusion.5The5nurse5knows5the5s4 3
4 3 tudent5understands5this5problem5when5the5student5states,5Central5perfusion
a. Is5monitored5only5by5the5physician.
b. Involves5the5entire5body.
c. Is5decreased5with5hypertension.
d. Is5toxic5to5the5cardiac5system.
ANSWER:5B
Central5perfusion5does5involve5the5entire5body5as5all5organs5are5supplied5with5oxygen5and5vital5Nut43ri
ents.5The5physician5does5not5control5the5bodys5ability5for5perfusion.5Central5perfusion5is5notdecrea43s
ed5with5hypertension.5Central5perfusion5is5not5toxic5to5the5cardiac5system.
2.5A5patient5was5diagnosed5with5hypertension.5The5patient5asks5the5nurse5how5this5disease5could5hav4
3 4 3 e5happened5to5them.5The5nurses5best5response5is5Hypertension
a. Happens5to5everyone5sooner5or5later.5Dont5be5concerned5about5it.
b. Can5happen5from5eating5a5poor5diet,5so5change5what5you5are5eating.
c. Can5happen5from5arterial5changes5that5impede5the5blood5flow.
d.
Happens5when5people5do5not5exercise,5so5you5should5walk5every5
day.
ANSWER:5C
Hardening5of5the5arteries5from5atherosclerosis5can5cause5hypertension5in5the5patient.5Hypertension54 3 doe
s5not5happen5to5everyone.5Changing5the5patients5diet5and5exercising5may5be5a5positive5life5cha43nge,
5but5these5answers5do5not5explain5to5the5patient5how5the5disease5could5have5happened.
3.5The5patient5asks5the5nurse5to5explain5the5sinoatrial5node5in5the5heart.5The5nurses5best5response5wo4
3 4 3 uld5be,5The5sinoatrial5node
a. Provides5the5heart5with5the5stimulation5to5beat5in5a5normal5rhythm.
b. Protects5the5heart5from5atherosclerotic5changes.
c. Provides5the5heart5with5oxygenated5blood.
d.
Protects5the5heart5from5
infection.
ANSWER:5A
The5sinoatrial5node5is5the5natural5pacemaker5of5the5heart,5and5it5assists5the5heart5to5beat5in5a5Norma43l5rhythm.5T
he5sinoatrial5node5does5not5protect5from5atherosclerotic5changes5or5infection,and5it5does54 3 not5directly5provide
5the5heart5with5oxygenated5blood.
4.5The5patient5is5brought5to5the5emergency5department5after5a5motor5vehicle5accident.5The5patient5is
5diagnosed5with5internal5bleeding.5The5nurses5primary5concern5is5to5monitor5for
a. Mental5alertness.
b. Perfusion.
, c. Pain.
d.
Reaction5to54 3 medicatio
ns.
ANSWER:5B
Perfusion5is5the5correct5answer,5because5with5internal5bleeding,5the5nurse5should5monitor5vital43Sign
s5to5be5sure5perfusion5is5happening.5Mental5alertness,5pain,5and5medication5reactions5areimport4 3 4 3 4
3 ant5but5not5the5primary5concern.
5.5A5patients5serum5electrolytes5are5being5monitored.5The5nurse5notices5that5the5potassium5level5is5l4 3
4 3 ow.5The5nurse5knows5that5the5patient5should5be5observed5for
a. Tissue5ischemia.
b. Brain5malformations.
c. Intestinal5blockage.
d.
Cardia
43c5dysthymia.
ANSWER:5D
Cardiac5dysthymia5is5a5possibility5when5serum5potassium5is5high5or5low.5Tissue5ischemia,5brain5Malformations,54 3 4 3
4 3 4 3 or5intestinal5blockage5do5not5have5a5direct5correlation5to5potassium5irregularities.
6.5A5nurse5is5explaining5to5a5student5nurse5about5perfusion.5The5nurse5knows5the5student5understands54
3 4 3 the5concept5of5perfusion5when5the5student5states,5Perfusion
a. Is5a5normal5function5of5the5body,5and5I5dont5have5to5be5concerned5about5it.
b. Is5monitored5by5the5physician,5and5I5just5follow5orders.
c. Is5monitored5by5vital5signs5and5capillary5refill.
d.
Varies5as5a5person5ages,5so5I5would5expect5changes5in5the5
body.
ANSWER:5C
The5best5method5to5monitor5perfusion5is5to5monitor5vital5signs5and5capillary5refill.5This5allows5The54
3 nurse5to5know5if5perfusion5is5adequate5to5maintain5vital5organs.5The5nurse5does5have5to5be5concer43ne
d5about5perfusion.5Perfusion5is5not5only5monitored5by5the5physician5but5the5nurse5too.5Perfusion54 3 does
5not5always5change5as5the5person5ages.
7.5The5nurse5is5conducting5a5patient5assessment.5The5patient5tells5the5nurse5that5he5has5smoked5two
5packs5of5cigarettes5per5day5for5275years.5The5nurse5may5find5which5data5upon5assessment?
a. Blood5pressure5above5the5normal5range
b. Bounding5pedal5pulses
c. Night5blindness
by Test Banks Mariann M. Harding;
Chapter 1 - 15
,Clinical5Reasoning5Cases5in5Nursing58th5Edition5Harding5Snyder5Test5Bank
Contents:
Chapter51.5Perfusion
Chapter52.5Gas5Exchange
Chapter53.5Mobility
Chapter54.5Digestion
Chapter55.5Urinary5Elimination
Chapter56.5Intracranial5Regulation
Chapter57.5Metabolism5and5Glucose5Regulation
Chapter58.5Immunity
Chapter59.5Cellular5Regulation
Chapter510.5Tissue5Integrity
Chapter511.5Cognition
Chapter512.5Infection5and5Inflammation
Chapter513.5Developmental
Chapter514.5Reproductive
Chapter515.5Mood,5Stress,5and5Addiction
,Chapter51.5Perfusion43Clinical5Reasoning5Cases5in5Nursing58th5Edition5Harding5Snyder5Test5Ba
nk
MULTIPLE5CHOICE
1.5The5nurse5is5explaining5to5a5student5nurse5about5impaired5central5perfusion.5The5nurse5knows5the5s4 3
4 3 tudent5understands5this5problem5when5the5student5states,5Central5perfusion
a. Is5monitored5only5by5the5physician.
b. Involves5the5entire5body.
c. Is5decreased5with5hypertension.
d. Is5toxic5to5the5cardiac5system.
ANSWER:5B
Central5perfusion5does5involve5the5entire5body5as5all5organs5are5supplied5with5oxygen5and5vital5Nut43ri
ents.5The5physician5does5not5control5the5bodys5ability5for5perfusion.5Central5perfusion5is5notdecrea43s
ed5with5hypertension.5Central5perfusion5is5not5toxic5to5the5cardiac5system.
2.5A5patient5was5diagnosed5with5hypertension.5The5patient5asks5the5nurse5how5this5disease5could5hav4
3 4 3 e5happened5to5them.5The5nurses5best5response5is5Hypertension
a. Happens5to5everyone5sooner5or5later.5Dont5be5concerned5about5it.
b. Can5happen5from5eating5a5poor5diet,5so5change5what5you5are5eating.
c. Can5happen5from5arterial5changes5that5impede5the5blood5flow.
d.
Happens5when5people5do5not5exercise,5so5you5should5walk5every5
day.
ANSWER:5C
Hardening5of5the5arteries5from5atherosclerosis5can5cause5hypertension5in5the5patient.5Hypertension54 3 doe
s5not5happen5to5everyone.5Changing5the5patients5diet5and5exercising5may5be5a5positive5life5cha43nge,
5but5these5answers5do5not5explain5to5the5patient5how5the5disease5could5have5happened.
3.5The5patient5asks5the5nurse5to5explain5the5sinoatrial5node5in5the5heart.5The5nurses5best5response5wo4
3 4 3 uld5be,5The5sinoatrial5node
a. Provides5the5heart5with5the5stimulation5to5beat5in5a5normal5rhythm.
b. Protects5the5heart5from5atherosclerotic5changes.
c. Provides5the5heart5with5oxygenated5blood.
d.
Protects5the5heart5from5
infection.
ANSWER:5A
The5sinoatrial5node5is5the5natural5pacemaker5of5the5heart,5and5it5assists5the5heart5to5beat5in5a5Norma43l5rhythm.5T
he5sinoatrial5node5does5not5protect5from5atherosclerotic5changes5or5infection,and5it5does54 3 not5directly5provide
5the5heart5with5oxygenated5blood.
4.5The5patient5is5brought5to5the5emergency5department5after5a5motor5vehicle5accident.5The5patient5is
5diagnosed5with5internal5bleeding.5The5nurses5primary5concern5is5to5monitor5for
a. Mental5alertness.
b. Perfusion.
, c. Pain.
d.
Reaction5to54 3 medicatio
ns.
ANSWER:5B
Perfusion5is5the5correct5answer,5because5with5internal5bleeding,5the5nurse5should5monitor5vital43Sign
s5to5be5sure5perfusion5is5happening.5Mental5alertness,5pain,5and5medication5reactions5areimport4 3 4 3 4
3 ant5but5not5the5primary5concern.
5.5A5patients5serum5electrolytes5are5being5monitored.5The5nurse5notices5that5the5potassium5level5is5l4 3
4 3 ow.5The5nurse5knows5that5the5patient5should5be5observed5for
a. Tissue5ischemia.
b. Brain5malformations.
c. Intestinal5blockage.
d.
Cardia
43c5dysthymia.
ANSWER:5D
Cardiac5dysthymia5is5a5possibility5when5serum5potassium5is5high5or5low.5Tissue5ischemia,5brain5Malformations,54 3 4 3
4 3 4 3 or5intestinal5blockage5do5not5have5a5direct5correlation5to5potassium5irregularities.
6.5A5nurse5is5explaining5to5a5student5nurse5about5perfusion.5The5nurse5knows5the5student5understands54
3 4 3 the5concept5of5perfusion5when5the5student5states,5Perfusion
a. Is5a5normal5function5of5the5body,5and5I5dont5have5to5be5concerned5about5it.
b. Is5monitored5by5the5physician,5and5I5just5follow5orders.
c. Is5monitored5by5vital5signs5and5capillary5refill.
d.
Varies5as5a5person5ages,5so5I5would5expect5changes5in5the5
body.
ANSWER:5C
The5best5method5to5monitor5perfusion5is5to5monitor5vital5signs5and5capillary5refill.5This5allows5The54
3 nurse5to5know5if5perfusion5is5adequate5to5maintain5vital5organs.5The5nurse5does5have5to5be5concer43ne
d5about5perfusion.5Perfusion5is5not5only5monitored5by5the5physician5but5the5nurse5too.5Perfusion54 3 does
5not5always5change5as5the5person5ages.
7.5The5nurse5is5conducting5a5patient5assessment.5The5patient5tells5the5nurse5that5he5has5smoked5two
5packs5of5cigarettes5per5day5for5275years.5The5nurse5may5find5which5data5upon5assessment?
a. Blood5pressure5above5the5normal5range
b. Bounding5pedal5pulses
c. Night5blindness
