Test Banks For Clinical Reasoning Cases in
Nursing
8th Edition by Mariann M7
Harding; Chapter 1 - 15
,Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
Contents:
Chapter 17 Perfusion
Chapter 27 Gas Exchange
Chapter 37 Mobility
Chapter 47 Digestion
Chapter 57 Urinary Elimination
Chapter 67 Intracranial Regulation
Chapter 77 Metabolism and Glucose Regulation
Chapter 87 Immunity
Chapter 97 Cellular Regulation
Chapter 107 Tissue Integrity
Chapter 117 Cognition
Chapter 127 Infection and Inflammation
Chapter 137 Developmental
Chapter 147 Reproductive
Chapter 157 Mood, Stress, and Addiction
,Chapter 17 Perfusion
Clinical Reasoning Cases in Nursing 8th Edition Harding Snyder Test Bank
MULTIPLE CHOICE
17 The nurse is explaining to a student nurse about impaired central perfusion7 The nurse
knows
the student understands this problem when the student states, Central perfusion
a7 Is monitored only by the physician7
b7 Involves the entire body7
c7 Is decreased with hypertension7
d7 Is toxic to the cardiac system7
ANSWER: B
Central perfusion does involve the entire body as all organs are supplied with
oxygen and vital Nutrients7 The physician does not control the bodys ability
for perfusion7 Central perfusion is notdecreased with hypertension7 Central
perfusion is not toxic to the cardiac system7
27 A patient was diagnosed with hypertension7 The patient asks the nurse how
this disease could have happened to them7 The nurses best response is
Hypertension
a7 Happens to everyone sooner or later7 Dont be concerned about it7
b7 Can happen from eating a poor diet, so change what you are eating7
c7 Can happen from arterial changes that impede the blood flow7
d7 Happens when people do not exercise, so you should
walk every day7
ANSWER: C
Hardening of the arteries from atherosclerosis can cause hypertension in the
patient7 Hypertension does not happen to everyone7 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 happened7
37 The patient asks the nurse to explain the sinoatrial node in the heart7 The
nurses best response would be, The sinoatrial node
a7 Provides the heart with the stimulation to beat in a normal rhythm7
b7 Protects the heart from atherosclerotic changes7
c7 Provides the heart with oxygenated blood7
d7 Protects the heart
from infection7
ANSWER: A
The sinoatrial node is the natural pacemaker of the heart, and it assists the heart
to beat in a Normal rhythm7 The sinoatrial node does not protect from
atherosclerotic changes or infection,and it does not directly provide the heart
with oxygenated blood7
47 The patient is brought to the emergency department after a motor vehicle
, accident7 The patient is diagnosed with internal bleeding7 The nurses primary
concern is to monitor for
a7 Mental alertness7
b7 Perfusion7
c7 Pain7
d7 Reaction
to medications7
ANSWER: B
Perfusion is the correct answer, because with internal bleeding, the nurse should
monitor vital Signs to be sure perfusion is happening7 Mental alertness, pain,
and medication reactions areimportant but not the primary concern7
57 A patients serum electrolytes are being monitored7 The nurse notices that
the potassium level is low7 The nurse knows that the patient should be
observed for
a7 Tissue ischemia7
b7 Brain malformations7
c7 Intestinal blockage7
d7
Cardia
c dysthymia7
ANSWER: D
Cardiac dysthymia is a possibility when serum potassium is high or low7 Tissue
ischemia, brain Malformations, or intestinal blockage do not have a direct correlation to
potassium irregularities7
67 A nurse is explaining to a student nurse about perfusion7 The nurse knows the
student understands the concept of perfusion when the student states, Perfusion
a7 Is a normal function of the body, and I dont have to be concerned about it7
b7 Is monitored by the physician, and I just follow orders7
c7 Is monitored by vital signs and capillary refill7