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 dis dthe dcorrect danswer, dbecause dwith dinternal dbleeding, dthe dnurse dshould dmonitor dvital
Signs dto dbe dsure dperfusion dis dhappening. dMental dalertness, dpain, dand dmedication dreactions
dareimportant dbut dnot dthe dprimary dconcern.
5. dA dpatients dserum delectrolytes dare dbeing dmonitored. dThe dnurse dnotices dthat dthe
dpotassium dlevel dis dlow. dThe dnurse dknows dthat dthe dpatient dshould dbe dobserved dfor
a. Tissue dischemia.
b. Brain dmalformations.
c. Intestinal dblockage.
d.
Cardia
c ddysthymia.
ANSWER: dD
Cardiac ddysthymia dis da dpossibility dwhen dserum dpotassium dis dhigh dor dlow. dTissue dischemia, dbrain
dMalformations, dor dintestinal dblockage ddo dnot dhave da ddirect dcorrelation dto dpotassium dirregularities.
6. dA dnurse dis dexplaining dto da dstudent dnurse dabout dperfusion. dThe dnurse dknows dthe dstudent
dunderstands dthe dconcept dof dperfusion dwhen dthe dstudent dstates, dPerfusion
a. Is da dnormal dfunction dof dthe dbody, dand dI ddont dhave dto dbe dconcerned dabout dit.
b. Is dmonitored dby dthe dphysician, dand dI djust dfollow dorders.
c. Is dmonitored dby dvital dsigns dand dcapillary drefill.
d. Varies das da dperson dages, dso dI dwould dexpect dchanges
din dthe dbody.
ANSWER: dC
The dbest dmethod dto dmonitor dperfusion dis dto dmonitor dvital dsigns dand dcapillary drefill. dThis
dallows dThe dnurse dto dknow dif dperfusion dis dadequate dto dmaintain dvital dorgans. dThe dnurse
ddoes dhave dto dbe dconcerned dabout dperfusion. dPerfusion dis dnot donly dmonitored dby dthe
dphysician dbut dthe dnurse dtoo. dPerfusion ddoes dnot dalways dchange das dthe dperson dages.
7. dThe dnurse dis dconducting da dpatient dassessment. dThe dpatient dtells dthe dnurse dthat dhe dhas
dsmoked dtwo dpacks dof dcigarettes dper dday dfor d27 dyears. dThe dnurse dmay dfind dwhich
ddata dupon dassessment?
a. Blood dpressure dabove dthe dnormal drange
b. Bounding dpedal dpulses
c. Night dblindness
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 dis dthe dcorrect danswer, dbecause dwith dinternal dbleeding, dthe dnurse dshould dmonitor dvital
Signs dto dbe dsure dperfusion dis dhappening. dMental dalertness, dpain, dand dmedication dreactions
dareimportant dbut dnot dthe dprimary dconcern.
5. dA dpatients dserum delectrolytes dare dbeing dmonitored. dThe dnurse dnotices dthat dthe
dpotassium dlevel dis dlow. dThe dnurse dknows dthat dthe dpatient dshould dbe dobserved dfor
a. Tissue dischemia.
b. Brain dmalformations.
c. Intestinal dblockage.
d.
Cardia
c ddysthymia.
ANSWER: dD
Cardiac ddysthymia dis da dpossibility dwhen dserum dpotassium dis dhigh dor dlow. dTissue dischemia, dbrain
dMalformations, dor dintestinal dblockage ddo dnot dhave da ddirect dcorrelation dto dpotassium dirregularities.
6. dA dnurse dis dexplaining dto da dstudent dnurse dabout dperfusion. dThe dnurse dknows dthe dstudent
dunderstands dthe dconcept dof dperfusion dwhen dthe dstudent dstates, dPerfusion
a. Is da dnormal dfunction dof dthe dbody, dand dI ddont dhave dto dbe dconcerned dabout dit.
b. Is dmonitored dby dthe dphysician, dand dI djust dfollow dorders.
c. Is dmonitored dby dvital dsigns dand dcapillary drefill.
d. Varies das da dperson dages, dso dI dwould dexpect dchanges
din dthe dbody.
ANSWER: dC
The dbest dmethod dto dmonitor dperfusion dis dto dmonitor dvital dsigns dand dcapillary drefill. dThis
dallows dThe dnurse dto dknow dif dperfusion dis dadequate dto dmaintain dvital dorgans. dThe dnurse
ddoes dhave dto dbe dconcerned dabout dperfusion. dPerfusion dis dnot donly dmonitored dby dthe
dphysician dbut dthe dnurse dtoo. dPerfusion ddoes dnot dalways dchange das dthe dperson dages.
7. dThe dnurse dis dconducting da dpatient dassessment. dThe dpatient dtells dthe dnurse dthat dhe dhas
dsmoked dtwo dpacks dof dcigarettes dper dday dfor d27 dyears. dThe dnurse dmay dfind dwhich
ddata dupon dassessment?
a. Blood dpressure dabove dthe dnormal drange
b. Bounding dpedal dpulses
c. Night dblindness
