TEST BANKS FOR CLINICAL REASONING CASES IN NURSING
8TH EDITION BY MARIANN M. HARDING/ALL CHAPTERS 1-15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
CH 1. Perfusion
CH 2. Gas Exchange
CH 3. Mobility
CH 4. Digestion
CH 5. Urinary Elimination
CH 6. Intracranial Regulation
CH 7. Metabolism and Glucose Regulation
CH 8. Immunity
CH 9. Cellular Regulation
CH 10. Tissue Integrity
CH 11. Cognition
CH 12. Infection and Inflammation
CH 13. Developmental
CH 14. Reproductive
CH 15: Mood, Stress and Addiction
,CH 1. Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
1. The professional nurse is explaining to a learner professional nurse about impaired central perfusion. The
professional nurse knows
the learner understands this problem when the learner 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.
CORRECT CHOICE:- 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 client was diagnosed with hypertension. The client asks the professional professional nurse
how this disease could have happened to them. The professional professional 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 everyday.
CORRECT CHOICE:- C
Hardening of the arteries from atherosclerosis can cause hypertension in the client. Hypertension
does not happen to everyone. Changing the clients diet and exercising may be apositive life
change, but these answers do not explain to the client how the disease could have happened.
3. The client asks the professional professional nurse to explain the sinoatrial node in the heart. The
professional professional nurses best responsewould 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.
CORRECT CHOICE:- 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 client is brought to the emergency department after a motor vehicle accident. The client is
diagnosed with internal bleeding. The professional professional nurses primary concern is to monitor
for
, a. Mental alertness.
b. Perfusion.
c. Pain.
d. Reaction to
medications.
CORRECT CHOICE:- B
Perfusion is the correct answer, because with internal bleeding, the professional professional
nurse should monitor vitalSigns to be sure perfusion is happening. Mental alertness, pain,
and medication reactions areimportant but not the primary concern.
5. A clients serum electrolytes are being monitored. The professional professional nurse notices that the
potassium level
is low. The professional professional nurse knows that the client should be observed for
a. Tissue ischemia.
b. Brain malformations.
c. Intestinal blockage.
d. Cardiac
dysthymia.
CORRECT CHOICE:- D
Cardiac dysthymia is a possibility when serum potassium is high or low. Tissue ischemia, brain
Malformations, or intestinal blockage do not have a direct correlation to potassium irregularities.
6. A professional professional nurse is explaining to a learner professional professional nurse about
perfusion. The professional professional nurse knows the learner
understands the concept of perfusion when the learner states, Perfusion
a. Is a normal function of the body, and I dont have to be concerned about it.
b. Is monitored by the physician, and I just follow orders.
c. Is monitored by vital signs and capillary refill.
d. Varies as a person ages, so I would expect changes in the
body.
CORRECT CHOICE:- C
The best method to monitor perfusion is to monitor vital signs and capillary refill. This allows
The professional professional nurse to know if perfusion is adequate to maintain vital organs.
The professional professional nurse does have to be concerned about perfusion. Perfusion is
not only monitored by the physician but the professional professional nurse too. Perfusion
does not always change as the person ages.
7. The professional professional nurse is conducting a client assessment. The client tells the
professional professional nurse that he has smoked two packs of cigarettes per day for 27
years. The professional professional nurse may find which data upon assessment?
a. Blood pressure above the normal range
b. Bounding pedal pulses
c. Night blindness
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