For Clinical Reasoning Cases in Nursing 8th Edition
by Test Banks 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 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 sis sthe scorrect sanswer, sbecause swith sinternal sbleeding, sthe snurse sshould smonitor svital
Signs sto sbe ssure sperfusion sis shappening. sMental salertness, spain, sand smedication sreactions
sareimportant sbut snot sthe sprimary sconcern.
5. sA spatients sserum selectrolytes sare sbeing smonitored. sThe snurse snotices sthat sthe spotassium
slevel sis slow. sThe snurse sknows sthat sthe spatient sshould sbe sobserved sfor
a. Tissue sischemia.
b. Brain smalformations.
c. Intestinal sblockage.
d.
Cardia
c sdysthymia.
ANSWER: sD
Cardiac sdysthymia sis sa spossibility swhen sserum spotassium sis shigh sor slow. sTissue sischemia, sbrain
sMalformations, sor sintestinal sblockage sdo snot shave sa sdirect scorrelation sto spotassium sirregularities.
6. sA snurse sis sexplaining sto sa sstudent snurse sabout sperfusion. sThe snurse sknows sthe sstudent
sunderstands sthe sconcept sof sperfusion swhen sthe sstudent sstates, sPerfusion
a. Is sa snormal sfunction sof sthe sbody, sand sI sdont shave sto sbe sconcerned sabout sit.
b. Is smonitored sby sthe sphysician, sand sI sjust sfollow sorders.
c. Is smonitored sby svital ssigns sand scapillary srefill.
d. Varies sas sa sperson sages, sso sI swould sexpect schanges sin
sthe sbody.
ANSWER: sC
The sbest smethod sto smonitor sperfusion sis sto smonitor svital ssigns sand scapillary srefill. sThis
sallows sThe snurse sto sknow sif sperfusion sis sadequate sto smaintain svital sorgans. sThe snurse sdoes
shave sto sbe sconcerned sabout sperfusion. sPerfusion sis snot sonly smonitored sby sthe sphysician sbut
sthe snurse stoo. sPerfusion sdoes snot salways schange sas sthe sperson sages.
7. sThe snurse sis sconducting sa spatient sassessment. sThe spatient stells sthe snurse sthat she shas
ssmoked stwo spacks sof scigarettes sper sday sfor s27 syears. sThe snurse smay sfind swhich sdata
supon sassessment?
a. Blood spressure sabove sthe snormal srange
b. Bounding spedal spulses
c. Night sblindness
by Test Banks 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 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 sis sthe scorrect sanswer, sbecause swith sinternal sbleeding, sthe snurse sshould smonitor svital
Signs sto sbe ssure sperfusion sis shappening. sMental salertness, spain, sand smedication sreactions
sareimportant sbut snot sthe sprimary sconcern.
5. sA spatients sserum selectrolytes sare sbeing smonitored. sThe snurse snotices sthat sthe spotassium
slevel sis slow. sThe snurse sknows sthat sthe spatient sshould sbe sobserved sfor
a. Tissue sischemia.
b. Brain smalformations.
c. Intestinal sblockage.
d.
Cardia
c sdysthymia.
ANSWER: sD
Cardiac sdysthymia sis sa spossibility swhen sserum spotassium sis shigh sor slow. sTissue sischemia, sbrain
sMalformations, sor sintestinal sblockage sdo snot shave sa sdirect scorrelation sto spotassium sirregularities.
6. sA snurse sis sexplaining sto sa sstudent snurse sabout sperfusion. sThe snurse sknows sthe sstudent
sunderstands sthe sconcept sof sperfusion swhen sthe sstudent sstates, sPerfusion
a. Is sa snormal sfunction sof sthe sbody, sand sI sdont shave sto sbe sconcerned sabout sit.
b. Is smonitored sby sthe sphysician, sand sI sjust sfollow sorders.
c. Is smonitored sby svital ssigns sand scapillary srefill.
d. Varies sas sa sperson sages, sso sI swould sexpect schanges sin
sthe sbody.
ANSWER: sC
The sbest smethod sto smonitor sperfusion sis sto smonitor svital ssigns sand scapillary srefill. sThis
sallows sThe snurse sto sknow sif sperfusion sis sadequate sto smaintain svital sorgans. sThe snurse sdoes
shave sto sbe sconcerned sabout sperfusion. sPerfusion sis snot sonly smonitored sby sthe sphysician sbut
sthe snurse stoo. sPerfusion sdoes snot salways schange sas sthe sperson sages.
7. sThe snurse sis sconducting sa spatient sassessment. sThe spatient stells sthe snurse sthat she shas
ssmoked stwo spacks sof scigarettes sper sday sfor s27 syears. sThe snurse smay sfind swhich sdata
supon sassessment?
a. Blood spressure sabove sthe snormal srange
b. Bounding spedal spulses
c. Night sblindness
