Test Banks For Clinical Reasoning Cases in Nursing
b b b b b b b
8th Edition by Mariann M. Harding;
b b b b b b b
Chapter 1 - 15
b b b
,Clinical bReasoning bCases bin bNursing b8th bEdition bHarding bSnyder bTest bBank
Contents:
Chapter b1. bPerfusion
Chapter b2. bGas bExchange
Chapter b3. bMobility
Chapter b4. bDigestion
Chapter b5. bUrinary bElimination
Chapter b6. bIntracranial bRegulation
Chapter b7. bMetabolism band bGlucose bRegulation
Chapter b8. bImmunity
Chapter b9. bCellular bRegulation
Chapter b10. bTissue bIntegrity
Chapter b11. bCognition
Chapter b12. bInfection band bInflammation
Chapter b13. bDevelopmental
Chapter b14. bReproductive
Chapter b15. bMood, bStress, band bAddiction
,Chapter b1. bPerfusion
Clinical bReasoning bCases bin bNursing b8th bEdition bHarding bSnyder bTest bBank
MULTIPLE bCHOICE
1. bThe bnurse bis bexplaining bto ba bstudent bnurse babout bimpaired bcentral bperfusion. bThe bnurse
bknows bthe bstudent bunderstands bthis bproblem bwhen bthe bstudent bstates, bCentral bperfusion
a. Is bmonitored bonly bby bthe bphysician.
b. Involves bthe bentire bbody.
c. Is bdecreased bwith bhypertension.
d. Is btoxic bto bthe bcardiac bsystem.
ANSWER: bB
Central bperfusion bdoes binvolve bthe bentire bbody bas ball borgans bare bsupplied bwith boxygen band
bvital bNutrients. bThe bphysician bdoes bnot bcontrol bthe bbodys bability bfor bperfusion. bCentral
bperfusion bis bnotdecreased bwith bhypertension. bCentral bperfusion bis bnot btoxic bto bthe bcardiac
bsystem.
2. bA bpatient bwas bdiagnosed bwith bhypertension. bThe bpatient basks bthe bnurse bhow bthis bdisease
bcould bhave bhappened bto bthem. bThe bnurses bbest bresponse bis bHypertension
a. Happens bto beveryone bsooner bor blater. bDont bbe bconcerned babout bit.
b. Can bhappen bfrom beating ba bpoor bdiet, bso bchange bwhat byou bare beating.
c. Can bhappen bfrom barterial bchanges bthat bimpede bthe bblood bflow.
d. Happens bwhen bpeople bdo bnot bexercise, bso byou bshould bwalk
bevery bday.
ANSWER: bC
Hardening bof bthe barteries bfrom batherosclerosis bcan bcause bhypertension bin bthe bpatient.
bHypertension bdoes bnot bhappen bto beveryone. bChanging bthe bpatients bdiet band bexercising bmay
bbe ba bpositive blife bchange, bbut bthese banswers bdo bnot bexplain bto bthe bpatient bhow bthe bdisease
bcould bhave bhappened.
3. bThe bpatient basks bthe bnurse bto bexplain bthe bsinoatrial bnode bin bthe bheart. bThe bnurses bbest
bresponse bwould bbe, bThe bsinoatrial bnode
a. Provides bthe bheart bwith bthe bstimulation bto bbeat bin ba bnormal brhythm.
b. Protects bthe bheart bfrom batherosclerotic bchanges.
c. Provides bthe bheart bwith boxygenated bblood.
d. Protects bthe bheart
bfrom binfection.
ANSWER: bA
The bsinoatrial bnode bis bthe bnatural bpacemaker bof bthe bheart, band bit bassists bthe bheart bto bbeat bin ba
bNormal brhythm. bThe bsinoatrial bnode bdoes bnot bprotect bfrom batherosclerotic bchanges bor
binfection,and bit bdoes bnot bdirectly bprovide bthe bheart bwith boxygenated bblood.
4. bThe bpatient bis bbrought bto bthe bemergency bdepartment bafter ba bmotor bvehicle baccident. bThe
bpatient bis bdiagnosed bwith binternal bbleeding. bThe bnurses bprimary bconcern bis bto bmonitor bfor
a. Mental balertness.
, b. Perfusion.
c. Pain.
d. Reaction bto
bmedications.
ANSWER: bB
Perfusion bis bthe bcorrect banswer, bbecause bwith binternal bbleeding, bthe bnurse bshould bmonitor bvital
Signs bto bbe bsure bperfusion bis bhappening. bMental balertness, bpain, band bmedication breactions
bareimportant bbut bnot bthe bprimary bconcern.
5. bA bpatients bserum belectrolytes bare bbeing bmonitored. bThe bnurse bnotices bthat bthe bpotassium
blevel bis blow. bThe bnurse bknows bthat bthe bpatient bshould bbe bobserved bfor
a. Tissue bischemia.
b. Brain bmalformations.
c. Intestinal bblockage.
d. Cardiac
bdysthymia.
ANSWER: bD
Cardiac bdysthymia bis ba bpossibility bwhen bserum bpotassium bis bhigh bor blow. bTissue bischemia, bbrain
bMalformations, bor bintestinal bblockage bdo bnot bhave ba bdirect bcorrelation bto bpotassium birregularities.
6. bA bnurse bis bexplaining bto ba bstudent bnurse babout bperfusion. bThe bnurse bknows bthe bstudent
bunderstands bthe bconcept bof bperfusion bwhen bthe bstudent bstates, bPerfusion
a. Is ba bnormal bfunction bof bthe bbody, band bI bdont bhave bto bbe bconcerned babout bit.
b. Is bmonitored bby bthe bphysician, band bI bjust bfollow borders.
c. Is bmonitored bby bvital bsigns band bcapillary brefill.
d. Varies bas ba bperson bages, bso bI bwould bexpect bchanges bin
bthe bbody.
ANSWER: bC
The bbest bmethod bto bmonitor bperfusion bis bto bmonitor bvital bsigns band bcapillary brefill. bThis
ballows bThe bnurse bto bknow bif bperfusion bis badequate bto bmaintain bvital borgans. bThe bnurse
bdoes bhave bto bbe bconcerned babout bperfusion. bPerfusion bis bnot bonly bmonitored bby bthe
bphysician bbut bthe bnurse btoo. bPerfusion bdoes bnot balways bchange bas bthe bperson bages.
7. bThe bnurse bis bconducting ba bpatient bassessment. bThe bpatient btells bthe bnurse bthat bhe bhas
bsmoked btwo bpacks bof bcigarettes bper bday bfor b27 b years. bThe bnurse bmay bfind bwhich bdata
bupon bassessment?
a. Blood bpressure babove bthe bnormal brange
b. Bounding bpedal bpulses
c. Night bblindness
b b b b b b b
8th Edition by Mariann M. Harding;
b b b b b b b
Chapter 1 - 15
b b b
,Clinical bReasoning bCases bin bNursing b8th bEdition bHarding bSnyder bTest bBank
Contents:
Chapter b1. bPerfusion
Chapter b2. bGas bExchange
Chapter b3. bMobility
Chapter b4. bDigestion
Chapter b5. bUrinary bElimination
Chapter b6. bIntracranial bRegulation
Chapter b7. bMetabolism band bGlucose bRegulation
Chapter b8. bImmunity
Chapter b9. bCellular bRegulation
Chapter b10. bTissue bIntegrity
Chapter b11. bCognition
Chapter b12. bInfection band bInflammation
Chapter b13. bDevelopmental
Chapter b14. bReproductive
Chapter b15. bMood, bStress, band bAddiction
,Chapter b1. bPerfusion
Clinical bReasoning bCases bin bNursing b8th bEdition bHarding bSnyder bTest bBank
MULTIPLE bCHOICE
1. bThe bnurse bis bexplaining bto ba bstudent bnurse babout bimpaired bcentral bperfusion. bThe bnurse
bknows bthe bstudent bunderstands bthis bproblem bwhen bthe bstudent bstates, bCentral bperfusion
a. Is bmonitored bonly bby bthe bphysician.
b. Involves bthe bentire bbody.
c. Is bdecreased bwith bhypertension.
d. Is btoxic bto bthe bcardiac bsystem.
ANSWER: bB
Central bperfusion bdoes binvolve bthe bentire bbody bas ball borgans bare bsupplied bwith boxygen band
bvital bNutrients. bThe bphysician bdoes bnot bcontrol bthe bbodys bability bfor bperfusion. bCentral
bperfusion bis bnotdecreased bwith bhypertension. bCentral bperfusion bis bnot btoxic bto bthe bcardiac
bsystem.
2. bA bpatient bwas bdiagnosed bwith bhypertension. bThe bpatient basks bthe bnurse bhow bthis bdisease
bcould bhave bhappened bto bthem. bThe bnurses bbest bresponse bis bHypertension
a. Happens bto beveryone bsooner bor blater. bDont bbe bconcerned babout bit.
b. Can bhappen bfrom beating ba bpoor bdiet, bso bchange bwhat byou bare beating.
c. Can bhappen bfrom barterial bchanges bthat bimpede bthe bblood bflow.
d. Happens bwhen bpeople bdo bnot bexercise, bso byou bshould bwalk
bevery bday.
ANSWER: bC
Hardening bof bthe barteries bfrom batherosclerosis bcan bcause bhypertension bin bthe bpatient.
bHypertension bdoes bnot bhappen bto beveryone. bChanging bthe bpatients bdiet band bexercising bmay
bbe ba bpositive blife bchange, bbut bthese banswers bdo bnot bexplain bto bthe bpatient bhow bthe bdisease
bcould bhave bhappened.
3. bThe bpatient basks bthe bnurse bto bexplain bthe bsinoatrial bnode bin bthe bheart. bThe bnurses bbest
bresponse bwould bbe, bThe bsinoatrial bnode
a. Provides bthe bheart bwith bthe bstimulation bto bbeat bin ba bnormal brhythm.
b. Protects bthe bheart bfrom batherosclerotic bchanges.
c. Provides bthe bheart bwith boxygenated bblood.
d. Protects bthe bheart
bfrom binfection.
ANSWER: bA
The bsinoatrial bnode bis bthe bnatural bpacemaker bof bthe bheart, band bit bassists bthe bheart bto bbeat bin ba
bNormal brhythm. bThe bsinoatrial bnode bdoes bnot bprotect bfrom batherosclerotic bchanges bor
binfection,and bit bdoes bnot bdirectly bprovide bthe bheart bwith boxygenated bblood.
4. bThe bpatient bis bbrought bto bthe bemergency bdepartment bafter ba bmotor bvehicle baccident. bThe
bpatient bis bdiagnosed bwith binternal bbleeding. bThe bnurses bprimary bconcern bis bto bmonitor bfor
a. Mental balertness.
, b. Perfusion.
c. Pain.
d. Reaction bto
bmedications.
ANSWER: bB
Perfusion bis bthe bcorrect banswer, bbecause bwith binternal bbleeding, bthe bnurse bshould bmonitor bvital
Signs bto bbe bsure bperfusion bis bhappening. bMental balertness, bpain, band bmedication breactions
bareimportant bbut bnot bthe bprimary bconcern.
5. bA bpatients bserum belectrolytes bare bbeing bmonitored. bThe bnurse bnotices bthat bthe bpotassium
blevel bis blow. bThe bnurse bknows bthat bthe bpatient bshould bbe bobserved bfor
a. Tissue bischemia.
b. Brain bmalformations.
c. Intestinal bblockage.
d. Cardiac
bdysthymia.
ANSWER: bD
Cardiac bdysthymia bis ba bpossibility bwhen bserum bpotassium bis bhigh bor blow. bTissue bischemia, bbrain
bMalformations, bor bintestinal bblockage bdo bnot bhave ba bdirect bcorrelation bto bpotassium birregularities.
6. bA bnurse bis bexplaining bto ba bstudent bnurse babout bperfusion. bThe bnurse bknows bthe bstudent
bunderstands bthe bconcept bof bperfusion bwhen bthe bstudent bstates, bPerfusion
a. Is ba bnormal bfunction bof bthe bbody, band bI bdont bhave bto bbe bconcerned babout bit.
b. Is bmonitored bby bthe bphysician, band bI bjust bfollow borders.
c. Is bmonitored bby bvital bsigns band bcapillary brefill.
d. Varies bas ba bperson bages, bso bI bwould bexpect bchanges bin
bthe bbody.
ANSWER: bC
The bbest bmethod bto bmonitor bperfusion bis bto bmonitor bvital bsigns band bcapillary brefill. bThis
ballows bThe bnurse bto bknow bif bperfusion bis badequate bto bmaintain bvital borgans. bThe bnurse
bdoes bhave bto bbe bconcerned babout bperfusion. bPerfusion bis bnot bonly bmonitored bby bthe
bphysician bbut bthe bnurse btoo. bPerfusion bdoes bnot balways bchange bas bthe bperson bages.
7. bThe bnurse bis bconducting ba bpatient bassessment. bThe bpatient btells bthe bnurse bthat bhe bhas
bsmoked btwo bpacks bof bcigarettes bper bday bfor b27 b years. bThe bnurse bmay bfind bwhich bdata
bupon bassessment?
a. Blood bpressure babove bthe bnormal brange
b. Bounding bpedal bpulses
c. Night bblindness
