Test Banks For Clinical Reasoning Cases in Nursin
8th 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
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 Uto
Umedications.
ANSWER: UB
Perfusion Uis Uthe Ucorrect Uanswer, Ubecause Uwith Uinternal Ubleeding, Uthe Unurse Ushould Umonitor Uvital
Signs Uto Ube Usure Uperfusion Uis Uhappening. UMental Ualertness, Upain, Uand Umedication Ureactions
Uareimportant Ubut Unot Uthe Uprimary Uconcern.
5. UA Upatients Userum Uelectrolytes Uare Ubeing Umonitored. UThe Unurse Unotices Uthat Uthe Upotassium
Ulevel Uis Ulow. UThe Unurse Uknows Uthat Uthe Upatient Ushould Ube Uobserved Ufor
a. Tissue Uischemia.
b. Brain Umalformations.
c. Intestinal Ublockage.
d. Cardiac
Udysthymia.
ANSWER: UD
Cardiac Udysthymia Uis Ua Upossibility Uwhen Userum Upotassium Uis Uhigh Uor Ulow. UTissue Uischemia, Ubrain
UMalformations, Uor Uintestinal Ublockage Udo Unot Uhave Ua Udirect Ucorrelation Uto Upotassium Uirregularities.
6. UA Unurse Uis Uexplaining Uto Ua Ustudent Unurse Uabout Uperfusion. UThe Unurse Uknows Uthe Ustudent
Uunderstands Uthe Uconcept Uof Uperfusion Uwhen Uthe Ustudent Ustates, UPerfusion
a. Is Ua Unormal Ufunction Uof Uthe Ubody, Uand UI Udont Uhave Uto Ube Uconcerned Uabout Uit.
b. Is Umonitored Uby Uthe Uphysician, Uand UI Ujust Ufollow Uorders.
c. Is Umonitored Uby Uvital Usigns Uand Ucapillary Urefill.
d. Varies Uas Ua Uperson Uages, Uso UI Uwould Uexpect Uchanges Uin
Uthe Ubody.
ANSWER: UC
The Ubest Umethod Uto Umonitor Uperfusion Uis Uto Umonitor Uvital Usigns Uand Ucapillary Urefill. UThis
Uallows UThe Unurse Uto Uknow Uif Uperfusion Uis Uadequate Uto Umaintain Uvital Uorgans. UThe Unurse
Udoes Uhave Uto Ube Uconcerned Uabout Uperfusion. UPerfusion Uis Unot Uonly Umonitored Uby Uthe
Uphysician Ubut Uthe Unurse Utoo. UPerfusion Udoes Unot Ualways Uchange Uas Uthe Uperson Uages.
7. UThe Unurse Uis Uconducting Ua Upatient Uassessment. UThe Upatient Utells Uthe Unurse Uthat Uhe Uhas
Usmoked Utwo Upacks Uof Ucigarettes Uper Uday Ufor U27 Uyears. UThe Unurse Umay Ufind Uwhich Udata
Uupon Uassessment?
a. Blood Upressure Uabove Uthe Unormal Urange
b. Bounding Upedal Upulses
c. Night Ublindness
8th 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
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 Uto
Umedications.
ANSWER: UB
Perfusion Uis Uthe Ucorrect Uanswer, Ubecause Uwith Uinternal Ubleeding, Uthe Unurse Ushould Umonitor Uvital
Signs Uto Ube Usure Uperfusion Uis Uhappening. UMental Ualertness, Upain, Uand Umedication Ureactions
Uareimportant Ubut Unot Uthe Uprimary Uconcern.
5. UA Upatients Userum Uelectrolytes Uare Ubeing Umonitored. UThe Unurse Unotices Uthat Uthe Upotassium
Ulevel Uis Ulow. UThe Unurse Uknows Uthat Uthe Upatient Ushould Ube Uobserved Ufor
a. Tissue Uischemia.
b. Brain Umalformations.
c. Intestinal Ublockage.
d. Cardiac
Udysthymia.
ANSWER: UD
Cardiac Udysthymia Uis Ua Upossibility Uwhen Userum Upotassium Uis Uhigh Uor Ulow. UTissue Uischemia, Ubrain
UMalformations, Uor Uintestinal Ublockage Udo Unot Uhave Ua Udirect Ucorrelation Uto Upotassium Uirregularities.
6. UA Unurse Uis Uexplaining Uto Ua Ustudent Unurse Uabout Uperfusion. UThe Unurse Uknows Uthe Ustudent
Uunderstands Uthe Uconcept Uof Uperfusion Uwhen Uthe Ustudent Ustates, UPerfusion
a. Is Ua Unormal Ufunction Uof Uthe Ubody, Uand UI Udont Uhave Uto Ube Uconcerned Uabout Uit.
b. Is Umonitored Uby Uthe Uphysician, Uand UI Ujust Ufollow Uorders.
c. Is Umonitored Uby Uvital Usigns Uand Ucapillary Urefill.
d. Varies Uas Ua Uperson Uages, Uso UI Uwould Uexpect Uchanges Uin
Uthe Ubody.
ANSWER: UC
The Ubest Umethod Uto Umonitor Uperfusion Uis Uto Umonitor Uvital Usigns Uand Ucapillary Urefill. UThis
Uallows UThe Unurse Uto Uknow Uif Uperfusion Uis Uadequate Uto Umaintain Uvital Uorgans. UThe Unurse
Udoes Uhave Uto Ube Uconcerned Uabout Uperfusion. UPerfusion Uis Unot Uonly Umonitored Uby Uthe
Uphysician Ubut Uthe Unurse Utoo. UPerfusion Udoes Unot Ualways Uchange Uas Uthe Uperson Uages.
7. UThe Unurse Uis Uconducting Ua Upatient Uassessment. UThe Upatient Utells Uthe Unurse Uthat Uhe Uhas
Usmoked Utwo Upacks Uof Ucigarettes Uper Uday Ufor U27 Uyears. UThe Unurse Umay Ufind Uwhich Udata
Uupon Uassessment?
a. Blood Upressure Uabove Uthe Unormal Urange
b. Bounding Upedal Upulses
c. Night Ublindness
