TestBanksForClinicalReasoning CasesinNursing8th
c c c c c c c c
c EditionbyMariannM.Harding;
c c c c c
Chapter1-15
c c c
,Clinical Reasoning Cases in Nursing 8th Edition HardingSnyder Test Bank
c c c c c c c c c c
Contents:
Chapter 1. Perfusion
c c
Chapter 2. Gas Exchange
c c c
Chapter 3. Mobility
c c
Chapter 4. Digestion
c c
Chapter 5. UrinaryElimination
c c c
Chapter6. Intracranial Regulation
c c c
Chapter7. Metabolism and Glucose Regulation
c c c c c
Chapter 8. Immunity
c c
Chapter 9. Cellular Regulation
c c c
Chapter 10. Tissue Integrity
c c c
Chapter 11. Cognition
c c
Chapter 12. Infection and Inflammation
c c c c
Chapter 13. Developmental
c c
Chapter 14. Reproductive
c c
Chapter 15. Mood, Stress, and Addiction
c c c c c
,Chapter 1. Perfusion c c
ClinicalReasoning Cases in Nursing 8th EditionHarding SnyderTestBank
c c c c c c c c c c
MULTIPLE CHOICE c
1. Thenurseis explainingto a student nurseabout impaired central perfusion. Thenurseknows the
c c c c c c c c c c c c c c c c
student understands this problem when the student states, Central perfusion
c c c c c c c c c c
a. Is monitored onlybythe physician. c c c c c
b. Involves the entirebody. c c c
c. Isdecreasedwithhypertension.
c c c
d. Is toxicto thecardiacsystem.
c c c c c
ANSWER:B c
Centralperfusiondoes involvetheentirebody as all organs aresuppliedwith oxygen andvital Nutrients.
c c c c c c c c c c c c c c c c
The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased with
c c c c c c c c c c c c c c c
hypertension. Central perfusion is not toxic to the cardiac system.
c c c c c c c c c c
2. A patientwas diagnosed withhypertension. Thepatientasks thenursehow this diseasecould have
c c c c c c c c c c c c c c c c
happened to them. The nurses best response is Hypertension
c c c c c c c c c
a. Happens to everyonesooner or later. Dont beconcerned about it. c c c c c c c c c c
b. Canhappen from eating apoor diet, so change what you areeating.
c c c c c c c c c c c c
c. Canhappen fromarterial changes thatimpede the blood flow.
c c c c c c c c c
d. Happenswhenpeopledonotexercise,soyoushouldwalkevery day. c c c c c c c c c c c
ANSWER:C c
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension does
c c c c c c c c c c c c c
not happen to everyone. Changing the patients diet and exercisingmaybe a positive lifechange, but these
c c c c c c c c c c c c c c c c c c
answers do not explain to the patient how the disease could have happened.
c c c c c c c c c c c c c
3. Thepatient asks the nurse to explain the sinoatrial node in the heart. Thenurses best response would be,
c c c c c c c c c c c c c c c c c c c
The sinoatrial node
c c c
a. Provides theheart with thestimulation to beat in anormal rhythm. c c c c c c c c c c c
b. Protectstheheartfromatherosclerotic changes. c c c c c
c. Provides theheart with oxygenated blood. c c c c c
d. Protectstheheartfrom c c c
c infection.
ANSWER:A c
Thesinoatrialnodeis thenaturalpacemaker of theheart, and itassists theheart tobeat in a Normal rhythm.
c c c c c c c c c c c c c c c c c c c c
The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not directly
c c c c c c c c c c c c c c c
provide the heart with oxygenated blood.
c c c c c c
4. Thepatient is brought to the emergencydepartment aftera motor vehicle accident. Thepatient is
c c c c c c c c c c c c c c c c
diagnosed with internal bleeding. The nurses primary concern is to monitor for
c c c c c c c c c c c c
a. Mentalalertness. c
b. Perfusion.
, c. Pain.
d. Reactionto c
medications.
c
ANSWER: B c
Perfusion is thecorrect answer, because with internalbleeding, thenurseshould monitor vital
c c c c c c c c c c c c c
Signstobesureperfusionis happening.Mentalalertness,pain,and medicationreactions areimportant
c c c c c c c c c c c c c
but not the primary concern.
c c c c c
5. A patients serum electrolytes arebeingmonitored. Thenursenotices that thepotassium level is low.
c c c c c c c c c c c c c c c c
The nurse knows that the patient should be observed for
c c c c c c c c c c
a. Tissueischemia. c
b. Brainmalformations. c
c. Intestinalblockage. c
d. Cardiac
dysthymia.
c
ANSWER:D c
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformations,or
c c c c c c c c c c c c c c c c
intestinalblockagedonothaveadirect correlationtopotassium irregularities.
c c c c c c c c c c c
6. A nurseis explaining toastudentnurseaboutperfusion. Thenurseknows thestudent understands the
c c c c c c c c c c c c c c c c c
concept of perfusion when the student states, Perfusion
c c c c c c c c
a. Is anormal function of thebody, and Idont have to be concerned about it. c c c c c c c c c c c c c c c
b. Is monitored by thephysician, and Ijust follow orders.
c c c c c c c c c
c. Is monitored byvital signs and capillaryrefill.
c c c c c c c
d. Varies as apersonages, soIwouldexpectchanges in the body. c c c c c c c c c c c c
ANSWER:C c
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
c c c c c c c c c c c c c c c c
nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned
c c c c c c c c c c c c c c c c c c
about perfusion. Perfusion is not onlymonitored bythe physician but the nursetoo. Perfusion does not
c c c c c c c c c c c c c c c c c
always change as the person ages.
c c c c c c
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
c c c c c c c c c c c c c c c c c
packs of cigarettes per dayfor 27 years. The nursemayfind which data upon assessment?
c c c c c c c c c c c c c c c c
a. Blood pressure abovethe normal range c c c c c
b. Boundingpedal pulses c c
c. Nightblindness c
c c c c c c c c
c EditionbyMariannM.Harding;
c c c c c
Chapter1-15
c c c
,Clinical Reasoning Cases in Nursing 8th Edition HardingSnyder Test Bank
c c c c c c c c c c
Contents:
Chapter 1. Perfusion
c c
Chapter 2. Gas Exchange
c c c
Chapter 3. Mobility
c c
Chapter 4. Digestion
c c
Chapter 5. UrinaryElimination
c c c
Chapter6. Intracranial Regulation
c c c
Chapter7. Metabolism and Glucose Regulation
c c c c c
Chapter 8. Immunity
c c
Chapter 9. Cellular Regulation
c c c
Chapter 10. Tissue Integrity
c c c
Chapter 11. Cognition
c c
Chapter 12. Infection and Inflammation
c c c c
Chapter 13. Developmental
c c
Chapter 14. Reproductive
c c
Chapter 15. Mood, Stress, and Addiction
c c c c c
,Chapter 1. Perfusion c c
ClinicalReasoning Cases in Nursing 8th EditionHarding SnyderTestBank
c c c c c c c c c c
MULTIPLE CHOICE c
1. Thenurseis explainingto a student nurseabout impaired central perfusion. Thenurseknows the
c c c c c c c c c c c c c c c c
student understands this problem when the student states, Central perfusion
c c c c c c c c c c
a. Is monitored onlybythe physician. c c c c c
b. Involves the entirebody. c c c
c. Isdecreasedwithhypertension.
c c c
d. Is toxicto thecardiacsystem.
c c c c c
ANSWER:B c
Centralperfusiondoes involvetheentirebody as all organs aresuppliedwith oxygen andvital Nutrients.
c c c c c c c c c c c c c c c c
The physician does not control the bodys ability for perfusion. Central perfusion is notdecreased with
c c c c c c c c c c c c c c c
hypertension. Central perfusion is not toxic to the cardiac system.
c c c c c c c c c c
2. A patientwas diagnosed withhypertension. Thepatientasks thenursehow this diseasecould have
c c c c c c c c c c c c c c c c
happened to them. The nurses best response is Hypertension
c c c c c c c c c
a. Happens to everyonesooner or later. Dont beconcerned about it. c c c c c c c c c c
b. Canhappen from eating apoor diet, so change what you areeating.
c c c c c c c c c c c c
c. Canhappen fromarterial changes thatimpede the blood flow.
c c c c c c c c c
d. Happenswhenpeopledonotexercise,soyoushouldwalkevery day. c c c c c c c c c c c
ANSWER:C c
Hardening of the arteries from atherosclerosis can cause hypertension in the patient. Hypertension does
c c c c c c c c c c c c c
not happen to everyone. Changing the patients diet and exercisingmaybe a positive lifechange, but these
c c c c c c c c c c c c c c c c c c
answers do not explain to the patient how the disease could have happened.
c c c c c c c c c c c c c
3. Thepatient asks the nurse to explain the sinoatrial node in the heart. Thenurses best response would be,
c c c c c c c c c c c c c c c c c c c
The sinoatrial node
c c c
a. Provides theheart with thestimulation to beat in anormal rhythm. c c c c c c c c c c c
b. Protectstheheartfromatherosclerotic changes. c c c c c
c. Provides theheart with oxygenated blood. c c c c c
d. Protectstheheartfrom c c c
c infection.
ANSWER:A c
Thesinoatrialnodeis thenaturalpacemaker of theheart, and itassists theheart tobeat in a Normal rhythm.
c c c c c c c c c c c c c c c c c c c c
The sinoatrial node does not protect from atherosclerotic changes or infection,and it does not directly
c c c c c c c c c c c c c c c
provide the heart with oxygenated blood.
c c c c c c
4. Thepatient is brought to the emergencydepartment aftera motor vehicle accident. Thepatient is
c c c c c c c c c c c c c c c c
diagnosed with internal bleeding. The nurses primary concern is to monitor for
c c c c c c c c c c c c
a. Mentalalertness. c
b. Perfusion.
, c. Pain.
d. Reactionto c
medications.
c
ANSWER: B c
Perfusion is thecorrect answer, because with internalbleeding, thenurseshould monitor vital
c c c c c c c c c c c c c
Signstobesureperfusionis happening.Mentalalertness,pain,and medicationreactions areimportant
c c c c c c c c c c c c c
but not the primary concern.
c c c c c
5. A patients serum electrolytes arebeingmonitored. Thenursenotices that thepotassium level is low.
c c c c c c c c c c c c c c c c
The nurse knows that the patient should be observed for
c c c c c c c c c c
a. Tissueischemia. c
b. Brainmalformations. c
c. Intestinalblockage. c
d. Cardiac
dysthymia.
c
ANSWER:D c
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain Malformations,or
c c c c c c c c c c c c c c c c
intestinalblockagedonothaveadirect correlationtopotassium irregularities.
c c c c c c c c c c c
6. A nurseis explaining toastudentnurseaboutperfusion. Thenurseknows thestudent understands the
c c c c c c c c c c c c c c c c c
concept of perfusion when the student states, Perfusion
c c c c c c c c
a. Is anormal function of thebody, and Idont have to be concerned about it. c c c c c c c c c c c c c c c
b. Is monitored by thephysician, and Ijust follow orders.
c c c c c c c c c
c. Is monitored byvital signs and capillaryrefill.
c c c c c c c
d. Varies as apersonages, soIwouldexpectchanges in the body. c c c c c c c c c c c c
ANSWER:C c
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
c c c c c c c c c c c c c c c c
nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned
c c c c c c c c c c c c c c c c c c
about perfusion. Perfusion is not onlymonitored bythe physician but the nursetoo. Perfusion does not
c c c c c c c c c c c c c c c c c
always change as the person ages.
c c c c c c
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
c c c c c c c c c c c c c c c c c
packs of cigarettes per dayfor 27 years. The nursemayfind which data upon assessment?
c c c c c c c c c c c c c c c c
a. Blood pressure abovethe normal range c c c c c
b. Boundingpedal pulses c c
c. Nightblindness c
