Test Banks For Clinical Reasoning Cases in Nursing 8
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h Edition by Mariann M. Harding;
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Chapter 1 - 15
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,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,th
e,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,Nu
trients.,The,physician,does,not,control,the,bodys,ability,for,perfusion.,Central,perfusion,is,notdec
reased,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,h
ave,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.,Hypertensio
n,does,not,happen,to,everyone.,Changing,the,patients,diet,and,exercising,may,be,a,positive,life,ch
ange,,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,w
ould,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,Norma
l,rhythm.,The,sinoatrial,node,does,not,protect,from,atherosclerotic,changes,or,infection,and,it,doe
s,not,directly,provide,the,heart,with,oxygenated,blood.
4.,The,patient,is,brought,to,the,emergency,department,after,a,motor,vehicle,accident.,The,patient,i
s,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,areimpo
rtant,but,not,the,primary,concern.
5.,A,patients,serum,electrolytes,are,being,monitored.,The,nurse,notices,that,the,potassium,level,i
s,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,Malformati
ons,,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,understan
ds,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.
d.
Varies,as,a,person,ages,,so,I,would,expect,changes,in,the,
body.
ANSWER:,C
The,best,method,to,monitor,perfusion,is,to,monitor,vital,signs,and,capillary,refill.,This,allows,
The,nurse,to,know,if,perfusion,is,adequate,to,maintain,vital,organs.,The,nurse,does,have,to,be,
concerned,about,perfusion.,Perfusion,is,not,only,monitored,by,the,physician,but,the,nurse,too.,
Perfusion,does,not,always,change,as,the,person,ages.
7.,The,nurse,is,conducting,a,patient,assessment.,The,patient,tells,the,nurse,that,he,has,smoked,t
wo,packs,of,cigarettes,per,day,for,27, years.,The,nurse,may,find,which,data,upon,assessment?
a. Blood,pressure,above,the,normal,range
b. Bounding,pedal,pulses
c. Night,blindness
, , , , , , , ,
h Edition by Mariann M. Harding;
, , , , , ,
Chapter 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,th
e,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,Nu
trients.,The,physician,does,not,control,the,bodys,ability,for,perfusion.,Central,perfusion,is,notdec
reased,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,h
ave,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.,Hypertensio
n,does,not,happen,to,everyone.,Changing,the,patients,diet,and,exercising,may,be,a,positive,life,ch
ange,,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,w
ould,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,Norma
l,rhythm.,The,sinoatrial,node,does,not,protect,from,atherosclerotic,changes,or,infection,and,it,doe
s,not,directly,provide,the,heart,with,oxygenated,blood.
4.,The,patient,is,brought,to,the,emergency,department,after,a,motor,vehicle,accident.,The,patient,i
s,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,areimpo
rtant,but,not,the,primary,concern.
5.,A,patients,serum,electrolytes,are,being,monitored.,The,nurse,notices,that,the,potassium,level,i
s,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,Malformati
ons,,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,understan
ds,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.
d.
Varies,as,a,person,ages,,so,I,would,expect,changes,in,the,
body.
ANSWER:,C
The,best,method,to,monitor,perfusion,is,to,monitor,vital,signs,and,capillary,refill.,This,allows,
The,nurse,to,know,if,perfusion,is,adequate,to,maintain,vital,organs.,The,nurse,does,have,to,be,
concerned,about,perfusion.,Perfusion,is,not,only,monitored,by,the,physician,but,the,nurse,too.,
Perfusion,does,not,always,change,as,the,person,ages.
7.,The,nurse,is,conducting,a,patient,assessment.,The,patient,tells,the,nurse,that,he,has,smoked,t
wo,packs,of,cigarettes,per,day,for,27, years.,The,nurse,may,find,which,data,upon,assessment?
a. Blood,pressure,above,the,normal,range
b. Bounding,pedal,pulses
c. Night,blindness
