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
pmto pmmedications.
ANSWER: pmB
Perfusion pmis pmthe pmcorrect pmanswer, pmbecause pmwith pminternal pmbleeding, pmthe pmnurse pmshould
pmmonitor pmvital
Signs pmto pmbe pmsure pmperfusion pmis pmhappening. pmMental pmalertness, pmpain, pmand
pmmedication pmreactions pmareimportant pmbut pmnot pmthe pmprimary pmconcern.
5. pmA pmpatients pmserum pmelectrolytes pmare pmbeing pmmonitored. pmThe pmnurse pmnotices pmthat
pmthe pmpotassium pmlevel pmis pmlow. pmThe pmnurse pmknows pmthat pmthe pmpatient pmshould pmbe
pmobserved pmfor
a. Tissue pmischemia.
b. Brain pmmalformations.
c. Intestinal pmblockage.
d. Cardiac
pmdysthymia.
ANSWER: pmD
Cardiac pmdysthymia pmis pma pmpossibility pmwhen pmserum pmpotassium pmis pmhigh pmor pmlow. pmTissue
pmischemia, pmbrain pmMalformations, pmor pmintestinal pmblockage pmdo pmnot pmhave pma pmdirect pmcorrelation
pmto pmpotassium pmirregularities.
6. pmA pmnurse pmis pmexplaining pmto pma pmstudent pmnurse pmabout pmperfusion. pmThe pmnurse
pmknows pmthe pmstudent pmunderstands pmthe pmconcept pmof pmperfusion pmwhen pmthe pmstudent
pmstates, pmPerfusion
a. Is pma pmnormal pmfunction pmof pmthe pmbody, pmand pmI pmdont pmhave pmto pmbe pmconcerned
pmabout pmit.
b. Is pmmonitored pmby pmthe pmphysician, pmand pmI pmjust pmfollow pmorders.
c. Is pmmonitored pmby pmvital pmsigns pmand pmcapillary pmrefill.
d. Varies pmas pma pmperson pmages, pmso pmI pmwould pmexpect
pmchanges pmin pmthe pmbody.
ANSWER: pmC
The pmbest pmmethod pmto pmmonitor pmperfusion pmis pmto pmmonitor pmvital pmsigns pmand
pmcapillary pmrefill. pmThis pmallows pmThe pmnurse pmto pmknow pmif pmperfusion pmis pmadequate
pmto pmmaintain pmvital pmorgans. pmThe pmnurse pmdoes pmhave pmto pmbe pmconcerned pmabout
pmperfusion. pmPerfusion pmis pmnot pmonly pmmonitored pmby pmthe pmphysician pmbut pmthe
pmnurse pmtoo. pmPerfusion pmdoes pmnot pmalways pmchange pmas pmthe pmperson pmages.
7. pmThe pmnurse pmis pmconducting pma pmpatient pmassessment. pmThe pmpatient pmtells pmthe
pmnurse pmthat pmhe pmhas pmsmoked pmtwo pmpacks pmof pmcigarettes pmper pmday pmfor pm27
pmyears. pmThe pmnurse pmmay pmfind pmwhich pmdata pmupon pmassessment?
a. Blood pmpressure pmabove pmthe pmnormal pmrange
b. Bounding pmpedal pmpulses
c. Night pmblindness
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
pmto pmmedications.
ANSWER: pmB
Perfusion pmis pmthe pmcorrect pmanswer, pmbecause pmwith pminternal pmbleeding, pmthe pmnurse pmshould
pmmonitor pmvital
Signs pmto pmbe pmsure pmperfusion pmis pmhappening. pmMental pmalertness, pmpain, pmand
pmmedication pmreactions pmareimportant pmbut pmnot pmthe pmprimary pmconcern.
5. pmA pmpatients pmserum pmelectrolytes pmare pmbeing pmmonitored. pmThe pmnurse pmnotices pmthat
pmthe pmpotassium pmlevel pmis pmlow. pmThe pmnurse pmknows pmthat pmthe pmpatient pmshould pmbe
pmobserved pmfor
a. Tissue pmischemia.
b. Brain pmmalformations.
c. Intestinal pmblockage.
d. Cardiac
pmdysthymia.
ANSWER: pmD
Cardiac pmdysthymia pmis pma pmpossibility pmwhen pmserum pmpotassium pmis pmhigh pmor pmlow. pmTissue
pmischemia, pmbrain pmMalformations, pmor pmintestinal pmblockage pmdo pmnot pmhave pma pmdirect pmcorrelation
pmto pmpotassium pmirregularities.
6. pmA pmnurse pmis pmexplaining pmto pma pmstudent pmnurse pmabout pmperfusion. pmThe pmnurse
pmknows pmthe pmstudent pmunderstands pmthe pmconcept pmof pmperfusion pmwhen pmthe pmstudent
pmstates, pmPerfusion
a. Is pma pmnormal pmfunction pmof pmthe pmbody, pmand pmI pmdont pmhave pmto pmbe pmconcerned
pmabout pmit.
b. Is pmmonitored pmby pmthe pmphysician, pmand pmI pmjust pmfollow pmorders.
c. Is pmmonitored pmby pmvital pmsigns pmand pmcapillary pmrefill.
d. Varies pmas pma pmperson pmages, pmso pmI pmwould pmexpect
pmchanges pmin pmthe pmbody.
ANSWER: pmC
The pmbest pmmethod pmto pmmonitor pmperfusion pmis pmto pmmonitor pmvital pmsigns pmand
pmcapillary pmrefill. pmThis pmallows pmThe pmnurse pmto pmknow pmif pmperfusion pmis pmadequate
pmto pmmaintain pmvital pmorgans. pmThe pmnurse pmdoes pmhave pmto pmbe pmconcerned pmabout
pmperfusion. pmPerfusion pmis pmnot pmonly pmmonitored pmby pmthe pmphysician pmbut pmthe
pmnurse pmtoo. pmPerfusion pmdoes pmnot pmalways pmchange pmas pmthe pmperson pmages.
7. pmThe pmnurse pmis pmconducting pma pmpatient pmassessment. pmThe pmpatient pmtells pmthe
pmnurse pmthat pmhe pmhas pmsmoked pmtwo pmpacks pmof pmcigarettes pmper pmday pmfor pm27
pmyears. pmThe pmnurse pmmay pmfind pmwhich pmdata pmupon pmassessment?
a. Blood pmpressure pmabove pmthe pmnormal pmrange
b. Bounding pmpedal pmpulses
c. Night pmblindness
