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