Test Banks For Clinical Reasoning Cases in Nursing
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
NYto NYmedications.
ANSWER: NYB
Perfusion NYis NYthe NYcorrect NYanswer, NYbecause NYwith NYinternal NYbleeding, NYthe NYnurse NYshould NYmonitor
NYvital
Signs NYto NYbe NYsure NYperfusion NYis NYhappening. NYMental NYalertness, NYpain, NYand NYmedication
NYreactions NYareimportant NYbut NYnot NYthe NYprimary NYconcern.
5. NYA NYpatients NYserum NYelectrolytes NYare NYbeing NYmonitored. NYThe NYnurse NYnotices NYthat NYthe
NYpotassium NYlevel NYis NYlow. NYThe NYnurse NYknows NYthat NYthe NYpatient NYshould NYbe NYobserved
NYfor
a. Tissue NYischemia.
b. Brain NYmalformations.
c. Intestinal NYblockage.
d. Cardiac
NYdysthymia.
ANSWER: NYD
Cardiac NYdysthymia NYis NYa NYpossibility NYwhen NYserum NYpotassium NYis NYhigh NYor NYlow. NYTissue NYischemia,
NYbrain NYMalformations, NYor NYintestinal NYblockage NYdo NYnot NYhave NYa NYdirect NYcorrelation NYto NYpotassium
NYirregularities.
6. NYA NYnurse NYis NYexplaining NYto NYa NYstudent NYnurse NYabout NYperfusion. NYThe NYnurse NYknows NYthe
NYstudent NYunderstands NYthe NYconcept NYof NYperfusion NYwhen NYthe NYstudent NYstates, NYPerfusion
a. Is NYa NYnormal NYfunction NYof NYthe NYbody, NYand NYI NYdont NYhave NYto NYbe NYconcerned NYabout NYit.
b. Is NYmonitored NYby NYthe NYphysician, NYand NYI NYjust NYfollow NYorders.
c. Is NYmonitored NYby NYvital NYsigns NYand NYcapillary NYrefill.
d. Varies NYas NYa NYperson NYages, NYso NYI NYwould NYexpect
NYchanges NYin NYthe NYbody.
ANSWER: NYC
The NYbest NYmethod NYto NYmonitor NYperfusion NYis NYto NYmonitor NYvital NYsigns NYand NYcapillary
NYrefill. NYThis NYallows NYThe NYnurse NYto NYknow NYif NYperfusion NYis NYadequate NYto NYmaintain NYvital
NYorgans. NYThe NYnurse NYdoes NYhave NYto NYbe NYconcerned NYabout NYperfusion. NYPerfusion NYis NYnot
NYonly NYmonitored NYby NYthe NYphysician NYbut NYthe NYnurse NYtoo. NYPerfusion NYdoes NYnot NYalways
NYchange NYas NYthe NYperson NYages.
7. NYThe NYnurse NYis NYconducting NYa NYpatient NYassessment. NYThe NYpatient NYtells NYthe NYnurse
NYthat NYhe NYhas NYsmoked NYtwo NYpacks NYof NYcigarettes NYper NYday NYfor NY27 NYyears. NYThe NYnurse
NYmay NYfind NYwhich NYdata NYupon NYassessment?
a. Blood NYpressure NYabove NYthe NYnormal NYrange
b. Bounding NYpedal NYpulses
c. Night NYblindness
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
NYto NYmedications.
ANSWER: NYB
Perfusion NYis NYthe NYcorrect NYanswer, NYbecause NYwith NYinternal NYbleeding, NYthe NYnurse NYshould NYmonitor
NYvital
Signs NYto NYbe NYsure NYperfusion NYis NYhappening. NYMental NYalertness, NYpain, NYand NYmedication
NYreactions NYareimportant NYbut NYnot NYthe NYprimary NYconcern.
5. NYA NYpatients NYserum NYelectrolytes NYare NYbeing NYmonitored. NYThe NYnurse NYnotices NYthat NYthe
NYpotassium NYlevel NYis NYlow. NYThe NYnurse NYknows NYthat NYthe NYpatient NYshould NYbe NYobserved
NYfor
a. Tissue NYischemia.
b. Brain NYmalformations.
c. Intestinal NYblockage.
d. Cardiac
NYdysthymia.
ANSWER: NYD
Cardiac NYdysthymia NYis NYa NYpossibility NYwhen NYserum NYpotassium NYis NYhigh NYor NYlow. NYTissue NYischemia,
NYbrain NYMalformations, NYor NYintestinal NYblockage NYdo NYnot NYhave NYa NYdirect NYcorrelation NYto NYpotassium
NYirregularities.
6. NYA NYnurse NYis NYexplaining NYto NYa NYstudent NYnurse NYabout NYperfusion. NYThe NYnurse NYknows NYthe
NYstudent NYunderstands NYthe NYconcept NYof NYperfusion NYwhen NYthe NYstudent NYstates, NYPerfusion
a. Is NYa NYnormal NYfunction NYof NYthe NYbody, NYand NYI NYdont NYhave NYto NYbe NYconcerned NYabout NYit.
b. Is NYmonitored NYby NYthe NYphysician, NYand NYI NYjust NYfollow NYorders.
c. Is NYmonitored NYby NYvital NYsigns NYand NYcapillary NYrefill.
d. Varies NYas NYa NYperson NYages, NYso NYI NYwould NYexpect
NYchanges NYin NYthe NYbody.
ANSWER: NYC
The NYbest NYmethod NYto NYmonitor NYperfusion NYis NYto NYmonitor NYvital NYsigns NYand NYcapillary
NYrefill. NYThis NYallows NYThe NYnurse NYto NYknow NYif NYperfusion NYis NYadequate NYto NYmaintain NYvital
NYorgans. NYThe NYnurse NYdoes NYhave NYto NYbe NYconcerned NYabout NYperfusion. NYPerfusion NYis NYnot
NYonly NYmonitored NYby NYthe NYphysician NYbut NYthe NYnurse NYtoo. NYPerfusion NYdoes NYnot NYalways
NYchange NYas NYthe NYperson NYages.
7. NYThe NYnurse NYis NYconducting NYa NYpatient NYassessment. NYThe NYpatient NYtells NYthe NYnurse
NYthat NYhe NYhas NYsmoked NYtwo NYpacks NYof NYcigarettes NYper NYday NYfor NY27 NYyears. NYThe NYnurse
NYmay NYfind NYwhich NYdata NYupon NYassessment?
a. Blood NYpressure NYabove NYthe NYnormal NYrange
b. Bounding NYpedal NYpulses
c. Night NYblindness
