Test Banks ForClinicalReasoning CasesinNursing 8th
* * * * * * * *
*Edition byMariannM.Harding;
* * * * *
Chapter1- 15
* * *
,Clinical Reasoning Cases in Nursing 8th Edition HardingSnyder Test Bank
* * * * * * * * * *
Contents:
Chapter 1. Perfusion
* *
Chapter 2. Gas Exchange
* * *
Chapter 3. Mobility
* *
Chapter 4. Digestion
* *
Chapter 5. UrinaryElimination
* * *
Chapter6. Intracranial Regulation
* * *
Chapter7. 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 * *
ClinicalReasoning Cases in Nursing 8th EditionHarding SnyderTestBank
* * * * * * * * * *
MULTIPLE CHOICE *
1. Thenurseis explainingto a student nurseabout impaired central perfusion. Thenurseknows the
* * * * * * * * * * * * * * * *
student understands this problem when the student states, Central perfusion
* * * * * * * * * *
a. Is monitored onlybythe physician. * * * * *
b. Involves the entirebody. * * *
c. Isdecreased withhypertension.
* * *
d. Is toxicto thecardiacsystem.
* * * * *
ANSWER:B *
Centralperfusiondoes involvetheentirebody as all organs aresuppliedwith oxygen andvital 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 patientwas diagnosed withhypertension. Thepatientasks thenursehow this diseasecould have
* * * * * * * * * * * * * * * *
happened to them. The nurses best response is Hypertension
* * * * * * * * *
a. Happens to everyonesooner or later. Dont beconcerned about it. * * * * * * * * * *
b. Canhappen from eating apoor diet, so change what you areeating.
* * * * * * * * * * * *
c. Canhappen fromarterial changes thatimpede the blood flow.
* * * * * * * * *
d. Happenswhenpeopledonotexercise,so youshouldwalkevery 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 exercisingmaybe a positive lifechange, but
* * * * * * * * * * * * * * * * *
these answers do not explain to the patient how the disease could have happened.
* * * * * * * * * * * * * *
3. Thepatient asks the nurse to explain the sinoatrial node in the heart. Thenurses best response would be,
* * * * * * * * * * * * * * * * * * *
The sinoatrial node
* * *
a. Provides theheart with thestimulation to beat in anormal rhythm. * * * * * * * * * * *
b. Protectstheheartfromatherosclerotic changes. * * * * *
c. Provides theheart with oxygenated blood. * * * * *
d. Protectstheheartfrom * * *
*infection.
ANSWER:A *
Thesinoatrialnodeis thenaturalpacemaker of theheart, and it assists theheart tobeat 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. Thepatient is brought to the emergencydepartment aftera motor vehicle accident. Thepatient is
* * * * * * * * * * * * * * * *
diagnosed with internal bleeding. The nurses primary concern is to monitor for
* * * * * * * * * * * *
a. Mentalalertness. *
b. Perfusion.
, c. Pain.
d. Reactionto *
medications.
*
ANSWER: B *
Perfusion is thecorrect answer, because with internal bleeding, thenurseshould monitor vital
* * * * * * * * * * * * *
Signstobesureperfusionis happening. Mental alertness,pain, and medication reactions areimportant
* * * * * * * * * * * * *
but not the primary concern.
* * * * *
5. A patients serum electrolytes arebeingmonitored. Thenursenotices that thepotassium level is low.
* * * * * * * * * * * * * * * *
The nurse knows that the patient should be observed for
* * * * * * * * * *
a. Tissueischemia. *
b. Brainmalformations. *
c. Intestinalblockage. *
d. Cardiac
dysthymia.
*
ANSWER:D *
Cardiac dysthymia is a possibilitywhen serum potassium is high or low. Tissue ischemia, brain Malformations,or
* * * * * * * * * * * * * * * *
intestinalblockagedonothaveadirect correlationtopotassium irregularities.
* * * * * * * * * * *
6. A nurseis explaining toastudentnurseaboutperfusion. Thenurseknows thestudent understands the
* * * * * * * * * * * * * * * * *
concept of perfusion when the student states, Perfusion
* * * * * * * *
a. Is anormal function of thebody, and Idont have to be concerned about it. * * * * * * * * * * * * * * *
b. Is monitored bythephysician, and Ijust follow orders.
* * * * * * * * *
c. Is monitored byvital signs and capillaryrefill.
* * * * * * *
d. Varies as apersonages, so Iwouldexpectchanges in the body. * * * * * * * * * * * *
ANSWER:C *
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
* * * * * * * * * * * * * * * *
nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned
* * * * * * * * * * * * * * * * * *
about perfusion. Perfusion is not onlymonitored bythe physician but the nursetoo. Perfusion does not
* * * * * * * * * * * * * * * * *
always change as the person ages.
* * * * * *
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
* * * * * * * * * * * * * * * * *
packs of cigarettes per dayfor 27 years. The nursemayfind which data upon assessment?
* * * * * * * * * * * * * * * *
a. Blood pressure abovethe normal range * * * * *
b. Boundingpedal pulses * *
c. Nightblindness *
* * * * * * * *
*Edition byMariannM.Harding;
* * * * *
Chapter1- 15
* * *
,Clinical Reasoning Cases in Nursing 8th Edition HardingSnyder Test Bank
* * * * * * * * * *
Contents:
Chapter 1. Perfusion
* *
Chapter 2. Gas Exchange
* * *
Chapter 3. Mobility
* *
Chapter 4. Digestion
* *
Chapter 5. UrinaryElimination
* * *
Chapter6. Intracranial Regulation
* * *
Chapter7. 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 * *
ClinicalReasoning Cases in Nursing 8th EditionHarding SnyderTestBank
* * * * * * * * * *
MULTIPLE CHOICE *
1. Thenurseis explainingto a student nurseabout impaired central perfusion. Thenurseknows the
* * * * * * * * * * * * * * * *
student understands this problem when the student states, Central perfusion
* * * * * * * * * *
a. Is monitored onlybythe physician. * * * * *
b. Involves the entirebody. * * *
c. Isdecreased withhypertension.
* * *
d. Is toxicto thecardiacsystem.
* * * * *
ANSWER:B *
Centralperfusiondoes involvetheentirebody as all organs aresuppliedwith oxygen andvital 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 patientwas diagnosed withhypertension. Thepatientasks thenursehow this diseasecould have
* * * * * * * * * * * * * * * *
happened to them. The nurses best response is Hypertension
* * * * * * * * *
a. Happens to everyonesooner or later. Dont beconcerned about it. * * * * * * * * * *
b. Canhappen from eating apoor diet, so change what you areeating.
* * * * * * * * * * * *
c. Canhappen fromarterial changes thatimpede the blood flow.
* * * * * * * * *
d. Happenswhenpeopledonotexercise,so youshouldwalkevery 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 exercisingmaybe a positive lifechange, but
* * * * * * * * * * * * * * * * *
these answers do not explain to the patient how the disease could have happened.
* * * * * * * * * * * * * *
3. Thepatient asks the nurse to explain the sinoatrial node in the heart. Thenurses best response would be,
* * * * * * * * * * * * * * * * * * *
The sinoatrial node
* * *
a. Provides theheart with thestimulation to beat in anormal rhythm. * * * * * * * * * * *
b. Protectstheheartfromatherosclerotic changes. * * * * *
c. Provides theheart with oxygenated blood. * * * * *
d. Protectstheheartfrom * * *
*infection.
ANSWER:A *
Thesinoatrialnodeis thenaturalpacemaker of theheart, and it assists theheart tobeat 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. Thepatient is brought to the emergencydepartment aftera motor vehicle accident. Thepatient is
* * * * * * * * * * * * * * * *
diagnosed with internal bleeding. The nurses primary concern is to monitor for
* * * * * * * * * * * *
a. Mentalalertness. *
b. Perfusion.
, c. Pain.
d. Reactionto *
medications.
*
ANSWER: B *
Perfusion is thecorrect answer, because with internal bleeding, thenurseshould monitor vital
* * * * * * * * * * * * *
Signstobesureperfusionis happening. Mental alertness,pain, and medication reactions areimportant
* * * * * * * * * * * * *
but not the primary concern.
* * * * *
5. A patients serum electrolytes arebeingmonitored. Thenursenotices that thepotassium level is low.
* * * * * * * * * * * * * * * *
The nurse knows that the patient should be observed for
* * * * * * * * * *
a. Tissueischemia. *
b. Brainmalformations. *
c. Intestinalblockage. *
d. Cardiac
dysthymia.
*
ANSWER:D *
Cardiac dysthymia is a possibilitywhen serum potassium is high or low. Tissue ischemia, brain Malformations,or
* * * * * * * * * * * * * * * *
intestinalblockagedonothaveadirect correlationtopotassium irregularities.
* * * * * * * * * * *
6. A nurseis explaining toastudentnurseaboutperfusion. Thenurseknows thestudent understands the
* * * * * * * * * * * * * * * * *
concept of perfusion when the student states, Perfusion
* * * * * * * *
a. Is anormal function of thebody, and Idont have to be concerned about it. * * * * * * * * * * * * * * *
b. Is monitored bythephysician, and Ijust follow orders.
* * * * * * * * *
c. Is monitored byvital signs and capillaryrefill.
* * * * * * *
d. Varies as apersonages, so Iwouldexpectchanges in the body. * * * * * * * * * * * *
ANSWER:C *
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows The
* * * * * * * * * * * * * * * *
nurse to know if perfusion is adequate to maintain vital organs. The nurse does have to be concerned
* * * * * * * * * * * * * * * * * *
about perfusion. Perfusion is not onlymonitored bythe physician but the nursetoo. Perfusion does not
* * * * * * * * * * * * * * * * *
always change as the person ages.
* * * * * *
7. The nurse is conducting a patient assessment. The patient tells the nurse that he has smoked two
* * * * * * * * * * * * * * * * *
packs of cigarettes per dayfor 27 years. The nursemayfind which data upon assessment?
* * * * * * * * * * * * * * * *
a. Blood pressure abovethe normal range * * * * *
b. Boundingpedal pulses * *
c. Nightblindness *
