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