Test Banks For Clinical Reasoning Cases in Nursing
8th Edition by Mariann M. Harding;
Chap
er 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 patients serum electrolytes are being monitored. The nurse notices that the potassium
level is low. The nurse knows that the patient should be observed for
a. Tissue ischemia.
b. Brain malformations.
c. Intestinal blockage.
d. Cardiac
dysthymia.
ANSWER: D
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
understands the concept of perfusion when the student 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.
8th Edition by Mariann M. Harding;
Chap
er 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 patients serum electrolytes are being monitored. The nurse notices that the potassium
level is low. The nurse knows that the patient should be observed for
a. Tissue ischemia.
b. Brain malformations.
c. Intestinal blockage.
d. Cardiac
dysthymia.
ANSWER: D
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
understands the concept of perfusion when the student 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.
