Contents:
ChapterG1.GPerfusion
ChapterG2.GGasGExchange
ChapterG3.GMobility
ChapterG4.GDigestion
ChapterG5.GUrinaryGElimination
ChapterG6.GIntracranialGRegulation
ChapterG7.GMetabolismGandGGlucoseGRegulation
ChapterG8.GImmunity
ChapterG9.GCellularGRegulation
ChapterG10.GTissueGIntegrity
ChapterG11.GCognition
ChapterG12.GInfectionGandGInflammation
ChapterG13.GDevelopmental
ChapterG14.GReproductive
ChapterG15.GMood,GStress,GandGAddiction
,ChapterG1.GPerfusions3ClinicalGReasoningGCasesGinGNursingG8thGEditionGHardingGSnyderGTestGBa
nk
MULTIPLEGCHOICE
1.GTheGnurseGisGexplainingGtoGaGstudentGnurseGaboutGimpairedGcentralGperfusion.GTheGnurseGknowsGts 3
s 3 heGstudentGunderstandsGthisGproblemGwhenGtheGstudentGstates,GCentralGperfusion
a. IsGmonitoredGonlyGbyGtheGphysician.
b. InvolvesGtheGentireGbody.
c. IsGdecreasedGwithGhypertension.
d. IsGtoxicGtoGtheGcardiacGsystem.
ANSWER:GB
CentralGperfusionGdoesGinvolveGtheGentireGbodyGasGallGorgansGareGsuppliedGwithGoxygenGandGvitalGs 3
Nutrients.GTheGphysicianGdoesGnotGcontrolGtheGbodysGabilityGforGperfusion.GCentralGperfusionGisGnots3
decreasedGwithGhypertension.GCentralGperfusionGisGnotGtoxicGtoGtheGcardiacGsystem.
2.GAGpatientGwasGdiagnosedGwithGhypertension.GTheGpatientGasksGtheGnurseGhowGthisGdiseaseGcouldGs 3
s 3 s 3 haveGhappenedGtoGthem.GTheGnursesGbestGresponseGisGHypertension
a. HappensGtoGeveryoneGsoonerGorGlater.GDontGbeGconcernedGaboutGit.
b. CanGhappenGfromGeatingGaGpoorGdiet,GsoGchangeGwhatGyouGareGeating.
c. CanGhappenGfromGarterialGchangesGthatGimpedeGtheGbloodGflow.
d.
HappensGwhenGpeopleGdoGnotGexercise,GsoGyouGshouldGwalkGever
yGday.
ANSWER:GC
HardeningGofGtheGarteriesGfromGatherosclerosisGcanGcauseGhypertensionGinGtheGpatient.GHypertensis3
onGdoesGnotGhappenGtoGeveryone.GChangingGtheGpatientsGdietGandGexercisingGmayGbeGaGpositiveGlis
3 feGchange,GbutGtheseGanswersGdoGnotGexplainGtoGtheGpatientGhowGtheGdiseaseGcouldGhaveGhappene
s3d.
3.GTheGpatientGasksGtheGnurseGtoGexplainGtheGsinoatrialGnodeGinGtheGheart.GTheGnursesGbestGresponse
GwouldGbe,GTheGsinoatrialGnode
a. ProvidesGtheGheartGwithGtheGstimulationGtoGbeatGinGaGnormalGrhythm.
b. ProtectsGtheGheartGfromGatheroscleroticGchanges.
c. ProvidesGtheGheartGwithGoxygenatedGblood.
d.
ProtectsGtheGheartGfrom
infection.
G
ANSWER:GA
TheGsinoatrialGnodeGisGtheGnaturalGpacemakerGofGtheGheart,GandGitGassistsGtheGheartGtoGbeatGinGaGNs3
ormalGrhythm.GTheGsinoatrialGnodeGdoesGnotGprotectGfromGatheroscleroticGchangesGorGinfection,andGs 3
s 3 s 3 s 3 itGdoesGnotGdirectlyGprovideGtheGheartGwithGoxygenatedGblood.
4.GTheGpatientGisGbroughtGtoGtheGemergencyGdepartmentGafterGaGmotorGvehicleGaccident.GTheGpaties3
ntGisGdiagnosedGwithGinternalGbleeding.GTheGnursesGprimaryGconcernGisGtoGmonitorGfor
a. MentalGalertness.
, b. Perfusion.
c. Pain.
d.
ReactionGto
Gmedications.
ANSWER:GB
PerfusionGisGtheGcorrectGanswer,GbecauseGwithGinternalGbleeding,GtheGnurseGshouldGmonitorGvitals3Si
gnsGtoGbeGsureGperfusionGisGhappening.GMentalGalertness,Gpain,GandGmedicationGreactionsGareimps 3 s 3
s 3 ortantGbutGnotGtheGprimaryGconcern.
5.GAGpatientsGserumGelectrolytesGareGbeingGmonitored.GTheGnurseGnoticesGthatGtheGpotassiumGlevelGs 3 s
3 s 3 isGlow.GTheGnurseGknowsGthatGtheGpatientGshouldGbeGobservedGfor
a. TissueGischemia.
b. BrainGmalformations.
c. IntestinalGblockage.
d.
Cardia
s3cGdysthymia.
ANSWER:GD
CardiacGdysthymiaGisGaGpossibilityGwhenGserumGpotassiumGisGhighGorGlow.GTissueGischemia,GbrainGMalformatios 3 s
3 s 3 ns,GorGintestinalGblockageGdoGnotGhaveGaGdirectGcorrelationGtoGpotassiumGirregularities.
6.GAGnurseGisGexplainingGtoGaGstudentGnurseGaboutGperfusion.GTheGnurseGknowsGtheGstudentGunderstas 3
s 3 ndsGtheGconceptGofGperfusionGwhenGtheGstudentGstates,GPerfusion
a. IsGaGnormalGfunctionGofGtheGbody,GandGIGdontGhaveGtoGbeGconcernedGaboutGit.
b. IsGmonitoredGbyGtheGphysician,GandGIGjustGfollowGorders.
c. IsGmonitoredGbyGvitalGsignsGandGcapillaryGrefill.
d.
VariesGasGaGpersonGages,GsoGIGwouldGexpectGchangesGinGth
eGbody.
ANSWER:GC
TheGbestGmethodGtoGmonitorGperfusionGisGtoGmonitorGvitalGsignsGandGcapillaryGrefill.GThisGallowsGTs3h
eGnurseGtoGknowGifGperfusionGisGadequateGtoGmaintainGvitalGorgans.GTheGnurseGdoesGhaveGtoGbe
GconcernedGaboutGperfusion.GPerfusionGisGnotGonlyGmonitoredGbyGtheGphysicianGbutGtheGnurseGtoo.s 3 s
3 GPerfusionGdoesGnotGalwaysGchangeGasGtheGpersonGages.
7.GTheGnurseGisGconductingGaGpatientGassessment.GTheGpatientGtellsGtheGnurseGthatGheGhasGsmoked
GtwoGpacksGofGcigarettesGperGdayGforG27Gyears.GTheGnurseGmayGfindGwhichGdataGuponGassessme
nt?
a. BloodGpressureGaboveGtheGnormalGrange
b. BoundingGpedalGpulses
c. NightGblindness
, d. RefluxGdisease
ANSWER:GA
SmokersGhaveGaGconstrictionGofGtheGbloodGvesselsGdueGtoGtheGtarGandGnicotineGinGcigarettes.GThisGCos3nstri
ctionGmayGleadGtoGhypertension.GBoundingGpulses,GnightGblindness,GandGrefluxGdiseaseGdonotGhs3aveGaGdi
rectGlinkGtoGsmoking.
ChapterG2.GasGExchangeGMULTIPs3LEG
CHOICE
1.GTheGnurseGisGassignedGaGgroupGofGpatients.GWhichGpatientGwouldGtheGnurseGidentifyGasGbeingGatGs
3 increasedGriskGforGimpairedGgasGexchange?GAGpatient
a. WithGaGbloodGglucoseGofG350Gmg/dl
b. WhoGhasGbeenGonGanticoagulantsGforG10Gdays
c. WithGaGhemoglobinGofG8.5Gg/dl
d.
WithGaGheartGrateGofG100Gbeats/minGandGbloodGpressurs 3
eGofG100/60
ANSWER:GC
TheGhemoglobinGisGlowG(anemia),GthereforeGtheGabilityGofGtheGbloodGtoGcarryGoxygenGisGdecreased
.GHighGbloodGglucoseGand/orGanticoagulantsGdoGnotGalterGtheGoxygenGcarryingGcapacityGofGtheGbls3oo
d.GAGheartGrateGofG100Gbeats/minGandGbloodGpressureGofG100/60GareGnotGindicativeGofGoxyges3nG
carryingGcapacityGofGtheGblood.
2.GTheGnurseGisGreviewingGtheGpatientsGarterialGbloodGgasGresults.GTheGpao2GisG96GmmGHg,GphGisG7.s3
20,Gpaco2GisG55GmmGHg,GandGHCO3GisG25Gmeq/L.GWhatGwouldGtheGnurseGexpectGtoGobserveGonGas3s
sessmentGofGthisGpatient?
a. DisorientationGandGtremors
b. TachycardiaGandGdecreasedGbloodGpressure
c. IncreasedGanxietyGandGirritability
d. HyperventilationGandGlethargy
ANSWER:GA
TheGpatientGisGexperiencingGrespiratoryGacidosisG(Gs3ph,GandGs3paco2G)GwhichGmayGbeGmanifested
Gbs3yGdisorientation,Gtremors,GpossibleGseizures,GandGdecreasedGlevelGofGconsciousness.GTachycardiaGs
3 andGdecreasedGbloodGpressureGareGnotGcharacteristicGofGaGproblemGofGrespiratoryGacidosis.
IncreasedGanxietyGandGhyperventilationGwillGcauseGrespiratoryGalkalosis,GwhichGisGmanifestedGbyGs 3
anGincreaseGinGphGandGaGdecreaseGinGpaco2.
3.GTheGnurseGwouldGidentifyGwhichGpatientGasGhavingGaGproblemGofGimpairedGgasGexchangeGsecons3
daryGtoGaGperfusionGproblem?GAGpatientGwith
a. PeripheralGarterialGdiseaseGofGtheGlowerGextremities
b. ChronicGobstructiveGpulmonaryGdiseaseG(COPD)
c. ChronicGasthma