Test Banks For Clinical Reasoning Cases in Nursing 8
g g g g g g g g
h Edition by Mariann M. Harding;
g g g g g g
Chapter 1 - 15
g g g
,ClinicalgReasoninggCasesgingNursingg8thgEditiongHardinggSnydergTestgBank
Contents:
Chapterg1.gPerfusion
Chapterg2.gGasgExchange
Chapterg3.gMobility
Chapterg4.gDigestion
Chapterg5.gUrinarygElimination
Chapterg6.gIntracranialgRegulation
Chapterg7.gMetabolismgandgGlucosegRegulation
Chapterg8.gImmunity
Chapterg9.gCellulargRegulation
Chapterg10.gTissuegIntegrity
Chapterg11.gCognition
Chapterg12.gInfectiongandg Inflammation
Chapterg13.gDevelopmental
Chapterg14.gReproductive
Chapterg15.gMood,gStress,gandgAddiction
,Chapterg1.g Perfusion
ClinicalgReasoninggCasesgingNursingg8thgEditiongHardinggSnydergTestgBank
MULTIPLEgCHOICE
1.gThegnursegisgexplaininggtogagstudentgnursegaboutgimpairedgcentralgperfusion.gThegnursegknows
thegstudentgunderstandsgthisgproblemgwhengthegstudentgstates,gCentralgperfusion
a. Isgmonitoredgonlygbygthegphysician.
b. Involvesgthegentiregbody.
c. Isgdecreasedgwithghypertension.
d. Isgtoxicgtogthegcardiacgsystem.
ANSWER:gB
Centralgperfusiongdoesginvolvegthegentiregbodygasgallgorgansgaregsuppliedgwithgoxygengandgvit
algNutrients.gThegphysiciangdoesgnotgcontrolgthegbodysgabilitygforgperfusion.gCentralgperfusio
ngisgnotdecreasedgwithghypertension.gCentralgperfusiongisgnotgtoxicgtogthegcardiacgsystem.
2.gAgpatientgwasgdiagnosedgwithghypertension.gThegpatientgasksgthegnurseghowgthisgdiseasegcould
ghaveghappenedgtogthem.gThegnursesgbestgresponsegisgHypertension
a. Happensgtogeveryonegsoonergorglater.gDontgbegconcernedgaboutgit.
b. Canghappengfromgeatinggagpoorgdiet,gsogchangegwhatgyougaregeating.
c. Canghappengfromgarterialgchangesgthatgimpedegthegbloodgflow.
d.
Happensgwhengpeoplegdognotgexercise,gsogyougshouldgwalkgever
ygday.
ANSWER:gC
Hardeninggofgthegarteriesgfromgatherosclerosisgcangcauseghypertensiongingthegpatient.gHypertensi
ongdoesgnotghappengtogeveryone.gChanginggthegpatientsgdietgandgexercisinggmaygbegagpositiveglif
egchange,gbutgtheseganswersgdognotgexplaingtogthegpatientghowgthegdiseasegcouldghaveghappened.
3.gThegpatientgasksgthegnursegtogexplaingthegsinoatrialgnodegingthegheart.gThegnursesgbestgrespons
egwouldgbe,gThegsinoatrialgnode
a. Providesgthegheartgwithgthegstimulationgtogbeatgingagnormalgrhythm.
b. Protectsgthegheartgfromgatheroscleroticgchanges.
c. Providesgthegheartgwithgoxygenatedgblood.
d.
Protectsgthegheartgfrom
infection.
g
ANSWER:gA
Thegsinoatrialgnodegisgthegnaturalgpacemakergofgthegheart,gandgitgassistsgthegheartgtogbeatgingagNor
malgrhythm.gThegsinoatrialgnodegdoesgnotgprotectgfromgatheroscleroticgchangesgorginfection,andg
itgdoesgnotgdirectlygprovidegthegheartgwithgoxygenatedgblood.
4.gThegpatientgisgbroughtgtogthegemergencygdepartmentgaftergagmotorgvehiclegaccident.gThegpatie
ntgisgdiagnosedgwithginternalgbleeding.gThegnursesgprimarygconcerngisgtogmonitorgfor
a. Mentalgalertness.
, b. Perfusion.
c. Pain.
d.
Reactiongto
gmedications.
ANSWER:gB
Perfusiongisgthegcorrectganswer,gbecausegwithginternalgbleeding,gthegnursegshouldgmonitorgvitalgS
ignsgtogbegsuregperfusiongisghappening.gMentalgalertness,gpain,gandgmedicationgreactionsgareimp
ortantgbutgnotgthegprimarygconcern.
5.gAgpatientsgserumgelectrolytesgaregbeinggmonitored.gThegnursegnoticesgthatgthegpotassiumglev
elgisglow.gThegnursegknowsgthatgthegpatientgshouldgbegobservedgfor
a. Tissuegischemia.
b. Braingmalformations.
c. Intestinalgblockage.
d.
Cardiac
gdysthymia.
ANSWER:gD
Cardiacgdysthymiagisgagpossibilitygwhengserumgpotassiumgisghighgorglow.gTissuegischemia,gbraingMalform
ations,gorgintestinalgblockagegdognotghavegagdirectgcorrelationgtogpotassiumgirregularities.
6.gAgnursegisgexplaininggtogagstudentgnursegaboutgperfusion.gThegnursegknowsgthegstudentgunderst
andsgthegconceptgofgperfusiongwhengthegstudentgstates,gPerfusion
a. Isgagnormalgfunctiongofgthegbody,gandgIgdontghavegtogbegconcernedgaboutgit.
b. Isgmonitoredgbygthegphysician,gandgIgjustgfollowgorders.
c. Isgmonitoredgbygvitalgsignsgandgcapillarygrefill.
d.
Variesgasgagpersongages,gsogIgwouldgexpectgchangesgingth
egbody.
ANSWER:gC
Thegbestgmethodgtogmonitorgperfusiongisgtogmonitorgvitalgsignsgandgcapillarygrefill.gThisgallow
sgThegnursegtogknowgifgperfusiongisgadequategtogmaintaingvitalgorgans.gThegnursegdoesghavegto
gbegconcernedgaboutgperfusion.gPerfusiongisgnotgonlygmonitoredgbygthegphysiciangbutgthegnurs
egtoo.gPerfusiongdoesgnotgalwaysgchangegasgthegpersongages.
7.gThegnursegisgconductinggagpatientgassessment.gThegpatientgtellsgthegnursegthatgheghasgsmoke
dgtwogpacksgofgcigarettesgpergdaygforg27gyears.gThegnursegmaygfindgwhichgdatagupongassessm
ent?
a. Bloodgpressuregabovegthegnormalgrange
b. Boundinggpedalgpulses
c. Nightgblindness
g g g g g g g g
h Edition by Mariann M. Harding;
g g g g g g
Chapter 1 - 15
g g g
,ClinicalgReasoninggCasesgingNursingg8thgEditiongHardinggSnydergTestgBank
Contents:
Chapterg1.gPerfusion
Chapterg2.gGasgExchange
Chapterg3.gMobility
Chapterg4.gDigestion
Chapterg5.gUrinarygElimination
Chapterg6.gIntracranialgRegulation
Chapterg7.gMetabolismgandgGlucosegRegulation
Chapterg8.gImmunity
Chapterg9.gCellulargRegulation
Chapterg10.gTissuegIntegrity
Chapterg11.gCognition
Chapterg12.gInfectiongandg Inflammation
Chapterg13.gDevelopmental
Chapterg14.gReproductive
Chapterg15.gMood,gStress,gandgAddiction
,Chapterg1.g Perfusion
ClinicalgReasoninggCasesgingNursingg8thgEditiongHardinggSnydergTestgBank
MULTIPLEgCHOICE
1.gThegnursegisgexplaininggtogagstudentgnursegaboutgimpairedgcentralgperfusion.gThegnursegknows
thegstudentgunderstandsgthisgproblemgwhengthegstudentgstates,gCentralgperfusion
a. Isgmonitoredgonlygbygthegphysician.
b. Involvesgthegentiregbody.
c. Isgdecreasedgwithghypertension.
d. Isgtoxicgtogthegcardiacgsystem.
ANSWER:gB
Centralgperfusiongdoesginvolvegthegentiregbodygasgallgorgansgaregsuppliedgwithgoxygengandgvit
algNutrients.gThegphysiciangdoesgnotgcontrolgthegbodysgabilitygforgperfusion.gCentralgperfusio
ngisgnotdecreasedgwithghypertension.gCentralgperfusiongisgnotgtoxicgtogthegcardiacgsystem.
2.gAgpatientgwasgdiagnosedgwithghypertension.gThegpatientgasksgthegnurseghowgthisgdiseasegcould
ghaveghappenedgtogthem.gThegnursesgbestgresponsegisgHypertension
a. Happensgtogeveryonegsoonergorglater.gDontgbegconcernedgaboutgit.
b. Canghappengfromgeatinggagpoorgdiet,gsogchangegwhatgyougaregeating.
c. Canghappengfromgarterialgchangesgthatgimpedegthegbloodgflow.
d.
Happensgwhengpeoplegdognotgexercise,gsogyougshouldgwalkgever
ygday.
ANSWER:gC
Hardeninggofgthegarteriesgfromgatherosclerosisgcangcauseghypertensiongingthegpatient.gHypertensi
ongdoesgnotghappengtogeveryone.gChanginggthegpatientsgdietgandgexercisinggmaygbegagpositiveglif
egchange,gbutgtheseganswersgdognotgexplaingtogthegpatientghowgthegdiseasegcouldghaveghappened.
3.gThegpatientgasksgthegnursegtogexplaingthegsinoatrialgnodegingthegheart.gThegnursesgbestgrespons
egwouldgbe,gThegsinoatrialgnode
a. Providesgthegheartgwithgthegstimulationgtogbeatgingagnormalgrhythm.
b. Protectsgthegheartgfromgatheroscleroticgchanges.
c. Providesgthegheartgwithgoxygenatedgblood.
d.
Protectsgthegheartgfrom
infection.
g
ANSWER:gA
Thegsinoatrialgnodegisgthegnaturalgpacemakergofgthegheart,gandgitgassistsgthegheartgtogbeatgingagNor
malgrhythm.gThegsinoatrialgnodegdoesgnotgprotectgfromgatheroscleroticgchangesgorginfection,andg
itgdoesgnotgdirectlygprovidegthegheartgwithgoxygenatedgblood.
4.gThegpatientgisgbroughtgtogthegemergencygdepartmentgaftergagmotorgvehiclegaccident.gThegpatie
ntgisgdiagnosedgwithginternalgbleeding.gThegnursesgprimarygconcerngisgtogmonitorgfor
a. Mentalgalertness.
, b. Perfusion.
c. Pain.
d.
Reactiongto
gmedications.
ANSWER:gB
Perfusiongisgthegcorrectganswer,gbecausegwithginternalgbleeding,gthegnursegshouldgmonitorgvitalgS
ignsgtogbegsuregperfusiongisghappening.gMentalgalertness,gpain,gandgmedicationgreactionsgareimp
ortantgbutgnotgthegprimarygconcern.
5.gAgpatientsgserumgelectrolytesgaregbeinggmonitored.gThegnursegnoticesgthatgthegpotassiumglev
elgisglow.gThegnursegknowsgthatgthegpatientgshouldgbegobservedgfor
a. Tissuegischemia.
b. Braingmalformations.
c. Intestinalgblockage.
d.
Cardiac
gdysthymia.
ANSWER:gD
Cardiacgdysthymiagisgagpossibilitygwhengserumgpotassiumgisghighgorglow.gTissuegischemia,gbraingMalform
ations,gorgintestinalgblockagegdognotghavegagdirectgcorrelationgtogpotassiumgirregularities.
6.gAgnursegisgexplaininggtogagstudentgnursegaboutgperfusion.gThegnursegknowsgthegstudentgunderst
andsgthegconceptgofgperfusiongwhengthegstudentgstates,gPerfusion
a. Isgagnormalgfunctiongofgthegbody,gandgIgdontghavegtogbegconcernedgaboutgit.
b. Isgmonitoredgbygthegphysician,gandgIgjustgfollowgorders.
c. Isgmonitoredgbygvitalgsignsgandgcapillarygrefill.
d.
Variesgasgagpersongages,gsogIgwouldgexpectgchangesgingth
egbody.
ANSWER:gC
Thegbestgmethodgtogmonitorgperfusiongisgtogmonitorgvitalgsignsgandgcapillarygrefill.gThisgallow
sgThegnursegtogknowgifgperfusiongisgadequategtogmaintaingvitalgorgans.gThegnursegdoesghavegto
gbegconcernedgaboutgperfusion.gPerfusiongisgnotgonlygmonitoredgbygthegphysiciangbutgthegnurs
egtoo.gPerfusiongdoesgnotgalwaysgchangegasgthegpersongages.
7.gThegnursegisgconductinggagpatientgassessment.gThegpatientgtellsgthegnursegthatgheghasgsmoke
dgtwogpacksgofgcigarettesgpergdaygforg27gyears.gThegnursegmaygfindgwhichgdatagupongassessm
ent?
a. Bloodgpressuregabovegthegnormalgrange
b. Boundinggpedalgpulses
c. Nightgblindness
