1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
TEST BANK
CLINICAL REASONING
CASES IN NURSING,
7TH EDITION
BY HARDING| SNYDER
TEST BANK
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,1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
Clinical Reasoning Cases in Nursing 7th 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
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,1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
Chapter 1. Perfusion
Clinical Reasoning Cases in Nursing 7th 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.
ANS: 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.
ANS: 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.
ANS: 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.
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, 1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
c. Pain.
d. Reaction to
medications.ANS: sB
Perfusion sis sthe scorrect sanswer, sbecause swith sinternal sbleeding, sthe s nurse sshould s monitor svital
Signs sto sbe ssure sperfusion sis shappening. sMental salertness, spain, sand smedication
sreactions s areimportant sbut snot sthe sprimary sconcern.
5. A spatients sserum selectrolytes sare sbeing smonitored. sThe snurse snotices sthat sthe spotassium
slevel s is slow. sThe snurse sknows sthat sthe spatient sshould sbe sobserved sfor
a. Tissue sischemia.
b. Brain smalformations.
c. Intestinal sblockage.
d. Cardiac
s dysthymia.
ANS: sD
Cardiac sdysthymia sis sa spossibility swhen sserum spotassium sis shigh sor slow. sTissue sischemia,
sbrain s Malformations, sor sintestinal sblockage sdo snot shave sa sdirect scorrelation sto spotassium
sirregularities.
6. A snurse sis sexplaining sto sa sstudent snurse sabout sperfusion. s The snurse sknows sthe sstudent
understands sthe sconcept sof sperfusion swhen sthe sstudent sstates, sPerfusion
a. Is sa snormal sfunction sof sthe s body, sand sI sdont shave sto sbe sconcerned sabout sit.
b. Is smonitored sby sthe sphysician, sand sI s just sfollow sorders.
c. Is smonitored sby svital ssigns sand scapillary srefill.
d. Varies sas sa sperson sages, sso sI swould sexpect
schanges sin s the sbody.
ANS: sC
The sbest smethod sto smonitor sperfusion sis sto smonitor svital ssigns sand scapillary srefill. sThis
sallows s The snurse sto sknow sif sperfusion sis sadequate sto smaintain svital sorgans. sThe snurse
sdoes shave sto sbe s concerned sabout sperfusion. sPerfusion sis snot sonly smonitored sby sthe
sphysician sbut sthe snurse stoo. s Perfusion sdoes snot salways schange sas sthe sperson sages.
7. The snurse sis sconducting sa spatient sassessment. sThe spatient stells sthe snurse sthat she shas
ssmoked s two s packs s of s cigarettes s per s day s for s 27 s years. s The s nurse s may
s find s which s data s upon s assessment?
a. Blood spressure sabove sthe snormal srange
b. Bounding s pedal spulses
c. Night sblindness
d. Reflux sdisease
e. ANS: sA
Smokers shave sa sconstriction sof sthe sblood svessels sdue sto sthe star sand snicotine sin scigarettes.
sThis s Constriction smay slead sto shypertension. sBounding spulses, snight sblindness, sand
sreflux sdisease s donot shave sa sdirect slink sto ssmoking.
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TEST BANK
CLINICAL REASONING
CASES IN NURSING,
7TH EDITION
BY HARDING| SNYDER
TEST BANK
about:blank 1/65
,1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
Clinical Reasoning Cases in Nursing 7th 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
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,1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
Chapter 1. Perfusion
Clinical Reasoning Cases in Nursing 7th 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.
ANS: 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.
ANS: 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.
ANS: 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.
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, 1/9/25, 1:22 PM Clinical Reasoning Cases in Nursing 7th Edition Harding Snyder Test Bank
c. Pain.
d. Reaction to
medications.ANS: sB
Perfusion sis sthe scorrect sanswer, sbecause swith sinternal sbleeding, sthe s nurse sshould s monitor svital
Signs sto sbe ssure sperfusion sis shappening. sMental salertness, spain, sand smedication
sreactions s areimportant sbut snot sthe sprimary sconcern.
5. A spatients sserum selectrolytes sare sbeing smonitored. sThe snurse snotices sthat sthe spotassium
slevel s is slow. sThe snurse sknows sthat sthe spatient sshould sbe sobserved sfor
a. Tissue sischemia.
b. Brain smalformations.
c. Intestinal sblockage.
d. Cardiac
s dysthymia.
ANS: sD
Cardiac sdysthymia sis sa spossibility swhen sserum spotassium sis shigh sor slow. sTissue sischemia,
sbrain s Malformations, sor sintestinal sblockage sdo snot shave sa sdirect scorrelation sto spotassium
sirregularities.
6. A snurse sis sexplaining sto sa sstudent snurse sabout sperfusion. s The snurse sknows sthe sstudent
understands sthe sconcept sof sperfusion swhen sthe sstudent sstates, sPerfusion
a. Is sa snormal sfunction sof sthe s body, sand sI sdont shave sto sbe sconcerned sabout sit.
b. Is smonitored sby sthe sphysician, sand sI s just sfollow sorders.
c. Is smonitored sby svital ssigns sand scapillary srefill.
d. Varies sas sa sperson sages, sso sI swould sexpect
schanges sin s the sbody.
ANS: sC
The sbest smethod sto smonitor sperfusion sis sto smonitor svital ssigns sand scapillary srefill. sThis
sallows s The snurse sto sknow sif sperfusion sis sadequate sto smaintain svital sorgans. sThe snurse
sdoes shave sto sbe s concerned sabout sperfusion. sPerfusion sis snot sonly smonitored sby sthe
sphysician sbut sthe snurse stoo. s Perfusion sdoes snot salways schange sas sthe sperson sages.
7. The snurse sis sconducting sa spatient sassessment. sThe spatient stells sthe snurse sthat she shas
ssmoked s two s packs s of s cigarettes s per s day s for s 27 s years. s The s nurse s may
s find s which s data s upon s assessment?
a. Blood spressure sabove sthe snormal srange
b. Bounding s pedal spulses
c. Night sblindness
d. Reflux sdisease
e. ANS: sA
Smokers shave sa sconstriction sof sthe sblood svessels sdue sto sthe star sand snicotine sin scigarettes.
sThis s Constriction smay slead sto shypertension. sBounding spulses, snight sblindness, sand
sreflux sdisease s donot shave sa sdirect slink sto ssmoking.
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