Test Banks For Clinical Reasoning Cases in Nursing
x x x x x x x
8th Edition by Mariann M. Harding;
x x x x x x x
Chapter 1 - 15
x x x
,Clinical xReasoning xCases xin xNursing x8th xEdition xHarding xSnyder xTest xBank
Contents:
Chapter x1. xPerfusion
Chapter x2. xGas xExchange
Chapter x3. xMobility
Chapter x4. xDigestion
Chapter x5. xUrinary xElimination
Chapter x6. xIntracranial xRegulation
Chapter x7. xMetabolism xand xGlucose xRegulation
Chapter x8. xImmunity
Chapter x9. xCellular xRegulation
Chapter x10. xTissue xIntegrity
Chapter x11. xCognition
Chapter x12. xInfection xand xInflammation
Chapter x13. xDevelopmental
Chapter x14. xReproductive
Chapter x15. xMood, xStress, xand xAddiction
,Chapter x1. xPerfusion
Clinical xReasoning xCases xin xNursing x8th xEdition xHarding xSnyder xTest xBank
MULTIPLE xCHOICE
1. xThe xnurse xis xexplaining xto xa xstudent xnurse xabout ximpaired xcentral xperfusion. xThe xnurse
xknows xthe xstudent xunderstands xthis xproblem xwhen xthe xstudent xstates, xCentral xperfusion
a. Is xmonitored xonly xby xthe xphysician.
b. Involves xthe xentire xbody.
c. Is xdecreased xwith xhypertension.
d. Is xtoxic xto xthe xcardiac xsystem.
ANSWER: xB
Central xperfusion xdoes xinvolve xthe xentire xbody xas xall xorgans xare xsupplied xwith xoxygen xand
xvital xNutrients. xThe xphysician xdoes xnot xcontrol xthe xbodys xability xfor xperfusion. xCentral
xperfusion xis xnotdecreased xwith xhypertension. xCentral xperfusion xis xnot xtoxic xto xthe xcardiac
xsystem.
2. xA xpatient xwas xdiagnosed xwith xhypertension. xThe xpatient xasks xthe xnurse xhow xthis
xdisease xcould xhave xhappened xto xthem. xThe xnurses xbest xresponse xis xHypertension
a. Happens xto xeveryone xsooner xor xlater. xDont xbe xconcerned xabout xit.
b. Can xhappen xfrom xeating xa xpoor xdiet, xso xchange xwhat xyou xare xeating.
c. Can xhappen xfrom xarterial xchanges xthat ximpede xthe xblood xflow.
d. Happens xwhen xpeople xdo xnot xexercise, xso xyou xshould xwalk
xevery xday.
ANSWER: xC
Hardening xof xthe xarteries xfrom xatherosclerosis xcan xcause xhypertension xin xthe xpatient.
xHypertension xdoes xnot xhappen xto xeveryone. xChanging xthe xpatients xdiet xand xexercising
xmay xbe xa xpositive xlife xchange, xbut xthese xanswers xdo xnot xexplain xto xthe xpatient xhow xthe
xdisease xcould xhave xhappened.
3. xThe xpatient xasks xthe xnurse xto xexplain xthe xsinoatrial xnode xin xthe xheart. xThe xnurses xbest
xresponse xwould xbe, xThe xsinoatrial xnode
a. Provides xthe xheart xwith xthe xstimulation xto xbeat xin xa xnormal xrhythm.
b. Protects xthe xheart xfrom xatherosclerotic xchanges.
c. Provides xthe xheart xwith xoxygenated xblood.
d. Protects xthe xheart
xfrom xinfection.
ANSWER: xA
The xsinoatrial xnode xis xthe xnatural xpacemaker xof xthe xheart, xand xit xassists xthe xheart xto xbeat
xin xa xNormal xrhythm. xThe xsinoatrial xnode xdoes xnot xprotect xfrom xatherosclerotic xchanges
xor xinfection,and xit xdoes xnot xdirectly xprovide xthe xheart xwith xoxygenated xblood.
4. xThe xpatient xis xbrought xto xthe xemergency xdepartment xafter xa xmotor xvehicle xaccident.
xThe xpatient xis xdiagnosed xwith xinternal xbleeding. xThe xnurses xprimary xconcern xis xto
xmonitor xfor
, a. Mental xalertness.
b. Perfusion.
c. Pain.
d. Reaction
xto xmedications.
ANSWER: xB
Perfusion xis xthe xcorrect xanswer, xbecause xwith xinternal xbleeding, xthe xnurse xshould xmonitor xvital
Signs xto xbe xsure xperfusion xis xhappening. xMental xalertness, xpain, xand xmedication xreactions
xareimportant xbut xnot xthe xprimary xconcern.
5. xA xpatients xserum xelectrolytes xare xbeing xmonitored. xThe xnurse xnotices xthat xthe
xpotassium xlevel xis xlow. xThe xnurse xknows xthat xthe xpatient xshould xbe xobserved xfor
a. Tissue xischemia.
b. Brain xmalformations.
c. Intestinal xblockage.
d. Cardiac
xdysthymia.
ANSWER: xD
Cardiac xdysthymia xis xa xpossibility xwhen xserum xpotassium xis xhigh xor xlow. xTissue xischemia, xbrain
xMalformations, xor xintestinal xblockage xdo xnot xhave xa xdirect xcorrelation xto xpotassium xirregularities.
6. xA xnurse xis xexplaining xto xa xstudent xnurse xabout xperfusion. xThe xnurse xknows xthe xstudent
xunderstands xthe xconcept xof xperfusion xwhen xthe xstudent xstates, xPerfusion
a. Is xa xnormal xfunction xof xthe xbody, xand xI xdont xhave xto xbe xconcerned xabout xit.
b. Is xmonitored xby xthe xphysician, xand xI xjust xfollow xorders.
c. Is xmonitored xby xvital xsigns xand xcapillary xrefill.
d. Varies xas xa xperson xages, xso xI xwould xexpect xchanges
xin xthe xbody.
ANSWER: xC
The xbest xmethod xto xmonitor xperfusion xis xto xmonitor xvital xsigns xand xcapillary xrefill.
xThis xallows xThe xnurse xto xknow xif xperfusion xis xadequate xto xmaintain xvital xorgans. xThe
xnurse xdoes xhave xto xbe xconcerned xabout xperfusion. xPerfusion xis xnot xonly xmonitored xby
xthe xphysician xbut xthe xnurse xtoo. xPerfusion xdoes xnot xalways xchange xas xthe xperson xages.
7. xThe xnurse xis xconducting xa xpatient xassessment. xThe xpatient xtells xthe xnurse xthat xhe
xhas xsmoked xtwo xpacks xof xcigarettes xper xday xfor x27 x years. xThe xnurse xmay xfind xwhich
xdata xupon xassessment?
a. Blood xpressure xabove xthe xnormal xrange
b. Bounding xpedal xpulses
c. Night xblindness
x x x x x x x
8th Edition by Mariann M. Harding;
x x x x x x x
Chapter 1 - 15
x x x
,Clinical xReasoning xCases xin xNursing x8th xEdition xHarding xSnyder xTest xBank
Contents:
Chapter x1. xPerfusion
Chapter x2. xGas xExchange
Chapter x3. xMobility
Chapter x4. xDigestion
Chapter x5. xUrinary xElimination
Chapter x6. xIntracranial xRegulation
Chapter x7. xMetabolism xand xGlucose xRegulation
Chapter x8. xImmunity
Chapter x9. xCellular xRegulation
Chapter x10. xTissue xIntegrity
Chapter x11. xCognition
Chapter x12. xInfection xand xInflammation
Chapter x13. xDevelopmental
Chapter x14. xReproductive
Chapter x15. xMood, xStress, xand xAddiction
,Chapter x1. xPerfusion
Clinical xReasoning xCases xin xNursing x8th xEdition xHarding xSnyder xTest xBank
MULTIPLE xCHOICE
1. xThe xnurse xis xexplaining xto xa xstudent xnurse xabout ximpaired xcentral xperfusion. xThe xnurse
xknows xthe xstudent xunderstands xthis xproblem xwhen xthe xstudent xstates, xCentral xperfusion
a. Is xmonitored xonly xby xthe xphysician.
b. Involves xthe xentire xbody.
c. Is xdecreased xwith xhypertension.
d. Is xtoxic xto xthe xcardiac xsystem.
ANSWER: xB
Central xperfusion xdoes xinvolve xthe xentire xbody xas xall xorgans xare xsupplied xwith xoxygen xand
xvital xNutrients. xThe xphysician xdoes xnot xcontrol xthe xbodys xability xfor xperfusion. xCentral
xperfusion xis xnotdecreased xwith xhypertension. xCentral xperfusion xis xnot xtoxic xto xthe xcardiac
xsystem.
2. xA xpatient xwas xdiagnosed xwith xhypertension. xThe xpatient xasks xthe xnurse xhow xthis
xdisease xcould xhave xhappened xto xthem. xThe xnurses xbest xresponse xis xHypertension
a. Happens xto xeveryone xsooner xor xlater. xDont xbe xconcerned xabout xit.
b. Can xhappen xfrom xeating xa xpoor xdiet, xso xchange xwhat xyou xare xeating.
c. Can xhappen xfrom xarterial xchanges xthat ximpede xthe xblood xflow.
d. Happens xwhen xpeople xdo xnot xexercise, xso xyou xshould xwalk
xevery xday.
ANSWER: xC
Hardening xof xthe xarteries xfrom xatherosclerosis xcan xcause xhypertension xin xthe xpatient.
xHypertension xdoes xnot xhappen xto xeveryone. xChanging xthe xpatients xdiet xand xexercising
xmay xbe xa xpositive xlife xchange, xbut xthese xanswers xdo xnot xexplain xto xthe xpatient xhow xthe
xdisease xcould xhave xhappened.
3. xThe xpatient xasks xthe xnurse xto xexplain xthe xsinoatrial xnode xin xthe xheart. xThe xnurses xbest
xresponse xwould xbe, xThe xsinoatrial xnode
a. Provides xthe xheart xwith xthe xstimulation xto xbeat xin xa xnormal xrhythm.
b. Protects xthe xheart xfrom xatherosclerotic xchanges.
c. Provides xthe xheart xwith xoxygenated xblood.
d. Protects xthe xheart
xfrom xinfection.
ANSWER: xA
The xsinoatrial xnode xis xthe xnatural xpacemaker xof xthe xheart, xand xit xassists xthe xheart xto xbeat
xin xa xNormal xrhythm. xThe xsinoatrial xnode xdoes xnot xprotect xfrom xatherosclerotic xchanges
xor xinfection,and xit xdoes xnot xdirectly xprovide xthe xheart xwith xoxygenated xblood.
4. xThe xpatient xis xbrought xto xthe xemergency xdepartment xafter xa xmotor xvehicle xaccident.
xThe xpatient xis xdiagnosed xwith xinternal xbleeding. xThe xnurses xprimary xconcern xis xto
xmonitor xfor
, a. Mental xalertness.
b. Perfusion.
c. Pain.
d. Reaction
xto xmedications.
ANSWER: xB
Perfusion xis xthe xcorrect xanswer, xbecause xwith xinternal xbleeding, xthe xnurse xshould xmonitor xvital
Signs xto xbe xsure xperfusion xis xhappening. xMental xalertness, xpain, xand xmedication xreactions
xareimportant xbut xnot xthe xprimary xconcern.
5. xA xpatients xserum xelectrolytes xare xbeing xmonitored. xThe xnurse xnotices xthat xthe
xpotassium xlevel xis xlow. xThe xnurse xknows xthat xthe xpatient xshould xbe xobserved xfor
a. Tissue xischemia.
b. Brain xmalformations.
c. Intestinal xblockage.
d. Cardiac
xdysthymia.
ANSWER: xD
Cardiac xdysthymia xis xa xpossibility xwhen xserum xpotassium xis xhigh xor xlow. xTissue xischemia, xbrain
xMalformations, xor xintestinal xblockage xdo xnot xhave xa xdirect xcorrelation xto xpotassium xirregularities.
6. xA xnurse xis xexplaining xto xa xstudent xnurse xabout xperfusion. xThe xnurse xknows xthe xstudent
xunderstands xthe xconcept xof xperfusion xwhen xthe xstudent xstates, xPerfusion
a. Is xa xnormal xfunction xof xthe xbody, xand xI xdont xhave xto xbe xconcerned xabout xit.
b. Is xmonitored xby xthe xphysician, xand xI xjust xfollow xorders.
c. Is xmonitored xby xvital xsigns xand xcapillary xrefill.
d. Varies xas xa xperson xages, xso xI xwould xexpect xchanges
xin xthe xbody.
ANSWER: xC
The xbest xmethod xto xmonitor xperfusion xis xto xmonitor xvital xsigns xand xcapillary xrefill.
xThis xallows xThe xnurse xto xknow xif xperfusion xis xadequate xto xmaintain xvital xorgans. xThe
xnurse xdoes xhave xto xbe xconcerned xabout xperfusion. xPerfusion xis xnot xonly xmonitored xby
xthe xphysician xbut xthe xnurse xtoo. xPerfusion xdoes xnot xalways xchange xas xthe xperson xages.
7. xThe xnurse xis xconducting xa xpatient xassessment. xThe xpatient xtells xthe xnurse xthat xhe
xhas xsmoked xtwo xpacks xof xcigarettes xper xday xfor x27 x years. xThe xnurse xmay xfind xwhich
xdata xupon xassessment?
a. Blood xpressure xabove xthe xnormal xrange
b. Bounding xpedal xpulses
c. Night xblindness
