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