Test Banks For Clinical Reasoning Cases in Nursing 8t
IIll IIll IIll IIll IIll IIll IIll IIll
IIll Edition by Mariann M. Harding;
IIll IIll IIll IIll IIll
Chapter 1 - 15 IIll IIll IIll
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Contents:
Chapter 1. Perfusion
IIll IIll
Chapter 2. Gas Exchange
IIll IIll IIll
Chapter 3. Mobility
IIll IIll
Chapter 4. Digestion
IIll IIll
Chapter 5. Urinary Elimination
IIll IIll IIll
Chapter 6. Intracranial Regulation
IIll IIll IIll
Chapter 7. Metabolism and Glucose Regulation
IIll IIll IIll IIll IIll
Chapter 8. Immunity
IIll IIll
Chapter 9. Cellular Regulation
IIll IIll IIll
Chapter 10. Tissue Integrity
IIll IIll IIll
Chapter 11. Cognition
IIll IIll
Chapter 12. Infection and Inflammation
IIll IIll IIll IIll
Chapter 13. Developmental
IIll IIll
Chapter 14. Reproductive
IIll IIll
Chapter 15. Mood, Stress, and Addiction
IIll IIll IIll IIll IIll
,Chapter 1. Perfusion IIll IIll
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
MULTIPLE CHOICE IIll
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
knows the student understands this problem when the student states, Central perfusion
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Is monitored only by the physician. IIll IIll IIll IIll IIll
b. Involves the entire body. IIll IIll IIll
c. Is decreased with hypertension.
IIll IIll IIll
d. Is toxic to the cardiac system.
IIll IIll IIll Il IIll
ANSWER: B IIll
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
IIll IIll IIll IIll Il IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
IIll IIll IIll IIll IIll IIll IIll Il IIll IIll Il IIll IIll IIll IIll
have happened to them. The nurses best response is Hypertension
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Happens to everyone sooner or later. Dont be concerned about it. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Can happen from eating a poor diet, so change what you are eating.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
c. Can happen from arterial changes that impede the blood flow.
IIll IIll IIll IIll IIll IIll IIll IIll IIll
d. Happens when people do not exercise, so you should walk every IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll day.
ANSWER: C IIll
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Hypertension does not happen to everyone. Changing the patients diet and exercising may be
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIl
a positive life change, but these answers do not explain to the patient how the disease could
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have happened.
IIll IIll
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
response would be, The sinoatrial node
IIll IIll IIll IIll IIll IIll
a. Provides the heart with the stimulation to beat in a normal rhythm. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Protects the heart from atherosclerotic changes. IIll IIll IIll IIll IIll
c. Provides the heart with oxygenated blood. IIll IIll IIll IIll IIll
d. Protectstheheartfrom Il Il Il
IIll infection.
ANSWER: A IIll
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
infection,and it does not directly provide the heart with oxygenated blood.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
4. The patient is brought to the emergency department after a motor vehicle accident. The
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
, a. Mental alertness. IIll
b. Perfusion.
c. Pain.
d. Reactionto Il
medications.
IIll
ANSWER: B IIll
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
areimportant but not the primary concern.
IIll IIll IIll IIll IIll IIll
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
level is low. The nurse knows that the patient should be observed for
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Tissue ischemia. IIll
b. Brain malformations. IIll
c. Intestinal blockage. Il
d. Cardiac
dysthymia.
IIll
ANSWER: D IIll
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
IIll IIll IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIl IIll IIll IIll
understands the concept of perfusion when the student states, Perfusion
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Is a normal function of the body, and I dont have to be concerned about it. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Is monitored by the physician, and I just follow orders.
IIll IIll IIll IIll IIll IIll IIll IIll IIll
c. Is monitored by vital signs and capillary refill.
IIll IIll IIll IIll IIll IIll IIll
d. Varies as a person ages, so I would expect changes in the IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
IIll body.
ANSWER: C IIll
The best method to monitor perfusion is to monitor vital signs and capillary refill. This
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
allows The nurse to know if perfusion is adequate to maintain vital organs. The nurse does
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have to be concerned about perfusion. Perfusion is not only monitored by the physician but
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
the nurse too. Perfusion does not always change as the person ages.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
assessment?
IIll
a. Blood pressure above the normal range IIll IIll IIll IIll IIll
b. Bounding pedal pulses IIll IIll
c. Night blindness IIll
IIll IIll IIll IIll IIll IIll IIll IIll
IIll Edition by Mariann M. Harding;
IIll IIll IIll IIll IIll
Chapter 1 - 15 IIll IIll IIll
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Contents:
Chapter 1. Perfusion
IIll IIll
Chapter 2. Gas Exchange
IIll IIll IIll
Chapter 3. Mobility
IIll IIll
Chapter 4. Digestion
IIll IIll
Chapter 5. Urinary Elimination
IIll IIll IIll
Chapter 6. Intracranial Regulation
IIll IIll IIll
Chapter 7. Metabolism and Glucose Regulation
IIll IIll IIll IIll IIll
Chapter 8. Immunity
IIll IIll
Chapter 9. Cellular Regulation
IIll IIll IIll
Chapter 10. Tissue Integrity
IIll IIll IIll
Chapter 11. Cognition
IIll IIll
Chapter 12. Infection and Inflammation
IIll IIll IIll IIll
Chapter 13. Developmental
IIll IIll
Chapter 14. Reproductive
IIll IIll
Chapter 15. Mood, Stress, and Addiction
IIll IIll IIll IIll IIll
,Chapter 1. Perfusion IIll IIll
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
MULTIPLE CHOICE IIll
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
knows the student understands this problem when the student states, Central perfusion
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Is monitored only by the physician. IIll IIll IIll IIll IIll
b. Involves the entire body. IIll IIll IIll
c. Is decreased with hypertension.
IIll IIll IIll
d. Is toxic to the cardiac system.
IIll IIll IIll Il IIll
ANSWER: B IIll
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
IIll IIll IIll IIll Il IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
Nutrients. The physician does not control the bodys ability for perfusion. Central perfusion is
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
notdecreased with hypertension. Central perfusion is not toxic to the cardiac system.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
2. A patient was diagnosed with hypertension. The patient asks the nurse how this disease could
IIll IIll IIll IIll IIll IIll IIll Il IIll IIll Il IIll IIll IIll IIll
have happened to them. The nurses best response is Hypertension
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Happens to everyone sooner or later. Dont be concerned about it. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Can happen from eating a poor diet, so change what you are eating.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
c. Can happen from arterial changes that impede the blood flow.
IIll IIll IIll IIll IIll IIll IIll IIll IIll
d. Happens when people do not exercise, so you should walk every IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll day.
ANSWER: C IIll
Hardening of the arteries from atherosclerosis can cause hypertension in the patient.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Hypertension does not happen to everyone. Changing the patients diet and exercising may be
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIl
a positive life change, but these answers do not explain to the patient how the disease could
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have happened.
IIll IIll
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
response would be, The sinoatrial node
IIll IIll IIll IIll IIll IIll
a. Provides the heart with the stimulation to beat in a normal rhythm. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Protects the heart from atherosclerotic changes. IIll IIll IIll IIll IIll
c. Provides the heart with oxygenated blood. IIll IIll IIll IIll IIll
d. Protectstheheartfrom Il Il Il
IIll infection.
ANSWER: A IIll
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat in a
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Normal rhythm. The sinoatrial node does not protect from atherosclerotic changes or
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
infection,and it does not directly provide the heart with oxygenated blood.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
4. The patient is brought to the emergency department after a motor vehicle accident. The
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
, a. Mental alertness. IIll
b. Perfusion.
c. Pain.
d. Reactionto Il
medications.
IIll
ANSWER: B IIll
Perfusion is the correct answer, because with internal bleeding, the nurse should monitor vital
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Signs to be sure perfusion is happening. Mental alertness, pain, and medication reactions
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
areimportant but not the primary concern.
IIll IIll IIll IIll IIll IIll
5. A patients serum electrolytes are being monitored. The nurse notices that the potassium
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
level is low. The nurse knows that the patient should be observed for
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Tissue ischemia. IIll
b. Brain malformations. IIll
c. Intestinal blockage. Il
d. Cardiac
dysthymia.
IIll
ANSWER: D IIll
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
IIll IIll IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
6. A nurse is explaining to a student nurse about perfusion. The nurse knows the student
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIl IIll IIll IIll
understands the concept of perfusion when the student states, Perfusion
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. Is a normal function of the body, and I dont have to be concerned about it. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
b. Is monitored by the physician, and I just follow orders.
IIll IIll IIll IIll IIll IIll IIll IIll IIll
c. Is monitored by vital signs and capillary refill.
IIll IIll IIll IIll IIll IIll IIll
d. Varies as a person ages, so I would expect changes in the IIll IIll IIll IIll IIll IIll Il IIll IIll IIll IIll
IIll body.
ANSWER: C IIll
The best method to monitor perfusion is to monitor vital signs and capillary refill. This
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
allows The nurse to know if perfusion is adequate to maintain vital organs. The nurse does
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have to be concerned about perfusion. Perfusion is not only monitored by the physician but
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
the nurse too. Perfusion does not always change as the person ages.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
smoked two packs of cigarettes per day for 27 years. The nurse may find which data upon
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
assessment?
IIll
a. Blood pressure above the normal range IIll IIll IIll IIll IIll
b. Bounding pedal pulses IIll IIll
c. Night blindness IIll
