Test Banks For Clinical Reasoning Cases in Nursing
8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 1. Perfusion
Chapter 2. Gas Exchange
Chapter 3. Mobility
Chapter 4. Digestion
Chapter 5. Urinary Elimination
Chapter 6. Intracranial Regulation
Chapter 7. 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
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands this problem when the student states, Central perfusion
a. Is monitored only by the physician.
b. Involves the entire body.
c. Is decreased with hypertension.
d. Is toxic to the cardiac system.
ANSWER: B
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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 patient was diagnosed with hypertension. The patient asks the nurse how this disease could
have happened to them. The nurses best response is Hypertension
a. Happens to everyone sooner or later. Dont be concerned about it.
b. Can happen from eating a poor diet, so change what you are eating.
c. Can happen from arterial changes that impede the blood flow.
d. Happens when people do not exercise, so you should walk
every 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 exercising may be a
positive life change, but these answers do not explain to the patient how the disease could have
happened.
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
response would be, The sinoatrial node
a. Provides the heart with the stimulation to beat in a normal rhythm.
b. Protects the heart from atherosclerotic changes.
c. Provides the heart with oxygenated blood.
d. Protects the heart
from infection.
ANSWER: A
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat 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. The patient is brought to the emergency department after a motor vehicle accident. The
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
, a. Mental alertness.
b. Perfusion.
c. Pain.
d. Reaction
dto dmedications.
ANSWER: dB
Perfusion dis dthe dcorrect danswer, dbecause dwith dinternal dbleeding, dthe dnurse dshould dmonitor dvital
Signs dto dbe dsure dperfusion dis dhappening. dMental dalertness, dpain, dand dmedication
dreactions dareimportant dbut dnot dthe dprimary dconcern.
5. dA dpatients dserum delectrolytes dare dbeing dmonitored. dThe dnurse dnotices dthat dthe
dpotassium dlevel dis dlow. dThe dnurse dknows dthat dthe dpatient dshould dbe dobserved dfor
a. Tissue dischemia.
b. Brain dmalformations.
c. Intestinal dblockage.
d. Cardiac
ddysthymia.
ANSWER: dD
Cardiac ddysthymia dis da dpossibility dwhen dserum dpotassium dis dhigh dor dlow. dTissue dischemia, dbrain
dMalformations, dor dintestinal dblockage ddo dnot dhave da ddirect dcorrelation dto dpotassium dirregularities.
6. dA dnurse dis dexplaining dto da dstudent dnurse dabout dperfusion. dThe dnurse dknows dthe
dstudent dunderstands dthe dconcept dof dperfusion dwhen dthe dstudent dstates, dPerfusion
a. Is da dnormal dfunction dof dthe dbody, dand dI ddont dhave dto dbe dconcerned dabout dit.
b. Is dmonitored dby dthe dphysician, dand dI djust dfollow dorders.
c. Is dmonitored dby dvital dsigns dand dcapillary drefill.
d. Varies das da dperson dages, dso dI dwould dexpect dchanges
din dthe dbody.
ANSWER: dC
The dbest dmethod dto dmonitor dperfusion dis dto dmonitor dvital dsigns dand dcapillary drefill.
dThis dallows dThe dnurse dto dknow dif dperfusion dis dadequate dto dmaintain dvital dorgans.
dThe dnurse ddoes dhave dto dbe dconcerned dabout dperfusion. dPerfusion dis dnot donly
dmonitored dby dthe dphysician dbut dthe dnurse dtoo. dPerfusion ddoes dnot dalways dchange das
dthe dperson dages.
7. dThe dnurse dis dconducting da dpatient dassessment. dThe dpatient dtells dthe dnurse dthat dhe
dhas dsmoked dtwo dpacks dof dcigarettes dper dday dfor d27 dyears. dThe dnurse dmay dfind
dwhich ddata dupon dassessment?
a. Blood dpressure dabove dthe dnormal drange
b. Bounding dpedal dpulses
c. Night dblindness
8th Edition by Mariann M. Harding;
Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 1. Perfusion
Chapter 2. Gas Exchange
Chapter 3. Mobility
Chapter 4. Digestion
Chapter 5. Urinary Elimination
Chapter 6. Intracranial Regulation
Chapter 7. 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
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands this problem when the student states, Central perfusion
a. Is monitored only by the physician.
b. Involves the entire body.
c. Is decreased with hypertension.
d. Is toxic to the cardiac system.
ANSWER: B
Central perfusion does involve the entire body as all organs are supplied with oxygen and vital
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 patient was diagnosed with hypertension. The patient asks the nurse how this disease could
have happened to them. The nurses best response is Hypertension
a. Happens to everyone sooner or later. Dont be concerned about it.
b. Can happen from eating a poor diet, so change what you are eating.
c. Can happen from arterial changes that impede the blood flow.
d. Happens when people do not exercise, so you should walk
every 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 exercising may be a
positive life change, but these answers do not explain to the patient how the disease could have
happened.
3. The patient asks the nurse to explain the sinoatrial node in the heart. The nurses best
response would be, The sinoatrial node
a. Provides the heart with the stimulation to beat in a normal rhythm.
b. Protects the heart from atherosclerotic changes.
c. Provides the heart with oxygenated blood.
d. Protects the heart
from infection.
ANSWER: A
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart to beat 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. The patient is brought to the emergency department after a motor vehicle accident. The
patient is diagnosed with internal bleeding. The nurses primary concern is to monitor for
, a. Mental alertness.
b. Perfusion.
c. Pain.
d. Reaction
dto dmedications.
ANSWER: dB
Perfusion dis dthe dcorrect danswer, dbecause dwith dinternal dbleeding, dthe dnurse dshould dmonitor dvital
Signs dto dbe dsure dperfusion dis dhappening. dMental dalertness, dpain, dand dmedication
dreactions dareimportant dbut dnot dthe dprimary dconcern.
5. dA dpatients dserum delectrolytes dare dbeing dmonitored. dThe dnurse dnotices dthat dthe
dpotassium dlevel dis dlow. dThe dnurse dknows dthat dthe dpatient dshould dbe dobserved dfor
a. Tissue dischemia.
b. Brain dmalformations.
c. Intestinal dblockage.
d. Cardiac
ddysthymia.
ANSWER: dD
Cardiac ddysthymia dis da dpossibility dwhen dserum dpotassium dis dhigh dor dlow. dTissue dischemia, dbrain
dMalformations, dor dintestinal dblockage ddo dnot dhave da ddirect dcorrelation dto dpotassium dirregularities.
6. dA dnurse dis dexplaining dto da dstudent dnurse dabout dperfusion. dThe dnurse dknows dthe
dstudent dunderstands dthe dconcept dof dperfusion dwhen dthe dstudent dstates, dPerfusion
a. Is da dnormal dfunction dof dthe dbody, dand dI ddont dhave dto dbe dconcerned dabout dit.
b. Is dmonitored dby dthe dphysician, dand dI djust dfollow dorders.
c. Is dmonitored dby dvital dsigns dand dcapillary drefill.
d. Varies das da dperson dages, dso dI dwould dexpect dchanges
din dthe dbody.
ANSWER: dC
The dbest dmethod dto dmonitor dperfusion dis dto dmonitor dvital dsigns dand dcapillary drefill.
dThis dallows dThe dnurse dto dknow dif dperfusion dis dadequate dto dmaintain dvital dorgans.
dThe dnurse ddoes dhave dto dbe dconcerned dabout dperfusion. dPerfusion dis dnot donly
dmonitored dby dthe dphysician dbut dthe dnurse dtoo. dPerfusion ddoes dnot dalways dchange das
dthe dperson dages.
7. dThe dnurse dis dconducting da dpatient dassessment. dThe dpatient dtells dthe dnurse dthat dhe
dhas dsmoked dtwo dpacks dof dcigarettes dper dday dfor d27 dyears. dThe dnurse dmay dfind
dwhich ddata dupon dassessment?
a. Blood dpressure dabove dthe dnormal drange
b. Bounding dpedal dpulses
c. Night dblindness
