Test Banks For Clinical Reasoning Cases in Nursing 8t
m m m m m m m m
h Edition by Mariann M. Harding;
m m m m m m
Chapter 1 - 15
m m m
,ClinicalmReasoningmCasesminmNursingm8thmEditionmHardingmSnydermTestmBank
Contents:
Chapterm1.mPerfusion
Chapterm2.mGasmExchange
Chapterm3.mMobility
Chapterm4.mDigestion
Chapterm5.mUrinarymElimination
Chapterm6.mIntracranialmRegulation
Chapterm7.mMetabolismmandmGlucosemRegulation
Chapterm8.mImmunity
Chapterm9.mCellularmRegulation
Chapterm10.mTissuemIntegrity
Chapterm11.mCognition
Chapterm12.mInfectionmandmInflammation
Chapterm13.mDevelopmental
Chapterm14.mReproductive
Chapterm15.mMood,mStress,mandmAddiction
,Chapterm1.mPerfusion
ClinicalmReasoningmCasesminmNursingm8thmEditionmHardingmSnydermTestmBank
MULTIPLEmCHOICE
1.mThemnursemismexplainingmtomamstudentmnursemaboutmimpairedmcentralmperfusion.mThemnursemkn
owsmthemstudentmunderstandsmthismproblemmwhenmthemstudentmstates,mCentralmperfusion
a. Ismmonitoredmonlymbymthemphysician.
b. Involvesmthementirembody.
c. Ismdecreasedmwithmhypertension.
d. Ismtoxicmtomthemcardiacmsystem.
ANSWER:mB
Centralmperfusionmdoesminvolvemthementirembodymasmallmorgansmaremsuppliedmwithmoxygenmandmvit
almNutrients.mThemphysicianmdoesmnotmcontrolmthembodysmabilitymformperfusion.mCentralmperfusio
nmismnotdecreasedmwithmhypertension.mCentralmperfusionmismnotmtoxicmtomthemcardiacmsystem.
2.mAmpatientmwasmdiagnosedmwithmhypertension.mThempatientmasksmthemnursemhowmthismdiseasemc
ouldmhavemhappenedmtomthem.mThemnursesmbestmresponsemismHypertension
a. Happensmtomeveryonemsoonermormlater.mDontmbemconcernedmaboutmit.
b. Canmhappenmfrommeatingmampoormdiet,msomchangemwhatmyoumaremeating.
c. Canmhappenmfrommarterialmchangesmthatmimpedemthembloodmflow.
d.
Happensmwhenmpeoplemdomnotmexercise,msomyoumshouldmwalkmev
erymday.
ANSWER:mC
Hardeningmofmthemarteriesmfrommatherosclerosismcanmcausemhypertensionminmthempatient.mHypert
ensionmdoesmnotmhappenmtomeveryone.mChangingmthempatientsmdietmandmexercisingmmaymbemampo
sitivemlifemchange,mbutmthesemanswersmdomnotmexplainmtomthempatientmhowmthemdiseasemcouldmha
vemhappened.
3.mThempatientmasksmthemnursemtomexplainmthemsinoatrialmnodeminmthemheart.mThemnursesmbestmres
ponsemwouldmbe,mThemsinoatrialmnode
a. Providesmthemheartmwithmthemstimulationmtombeatminmamnormalmrhythm.
b. Protectsmthemheartmfrommatheroscleroticmchanges.
c. Providesmthemheartmwithmoxygenatedmblood.
d.
Protectsmthemheartmfro
mminfection.
ANSWER:mA
Themsinoatrialmnodemismthemnaturalmpacemakermofmthemheart,mandmitmassistsmthemheartmtombeatminm
amNormalmrhythm.mThemsinoatrialmnodemdoesmnotmprotectmfrommatheroscleroticmchangesmorminfe
ction,andmitmdoesmnotmdirectlymprovidemthemheartmwithmoxygenatedmblood.
, 4.mThempatientmismbroughtmtomthememergencymdepartmentmaftermammotormvehiclemaccident.mThem
patientmismdiagnosedmwithminternalmbleeding.mThemnursesmprimarymconcernmismtommonitormfor
a. Mentalmalertness.
b. Perfusion.
c. Pain.
d.
Reactionmt
ommedications.
ANSWER:mB
Perfusionmismthemcorrectmanswer,mbecausemwithminternalmbleeding,mthemnursemshouldmmonitormvital
Signsmtombemsuremperfusionmismhappening.mMentalmalertness,mpain,mandmmedicationmreactionsmar
eimportantmbutmnotmthemprimarymconcern.
5.mAmpatientsmserummelectrolytesmarembeingmmonitored.mThemnursemnoticesmthatmthempotassium
mlevelmismlow.mThemnursemknowsmthatmthempatientmshouldmbemobservedmfor
a. Tissuemischemia.
b. Brainmmalformations.
c. Intestinalmblockage.
d.
Cardiac
mdysthymia.
ANSWER:mD
Cardiacmdysthymiamismampossibilitymwhenmserummpotassiummismhighmormlow.mTissuemischemia,mbrainmMalfor
mations,mormintestinalmblockagemdomnotmhavemamdirectmcorrelationmtompotassiummirregularities.
6.mAmnursemismexplainingmtomamstudentmnursemaboutmperfusion.mThemnursemknowsmthemstudentmun
derstandsmthemconceptmofmperfusionmwhenmthemstudentmstates,mPerfusion
a. Ismamnormalmfunctionmofmthembody,mandmImdontmhavemtombemconcernedmaboutmit.
b. Ismmonitoredmbymthemphysician,mandmImjustmfollowmorders.
c. Ismmonitoredmbymvitalmsignsmandmcapillarymrefill.
m m m m m m m m
h Edition by Mariann M. Harding;
m m m m m m
Chapter 1 - 15
m m m
,ClinicalmReasoningmCasesminmNursingm8thmEditionmHardingmSnydermTestmBank
Contents:
Chapterm1.mPerfusion
Chapterm2.mGasmExchange
Chapterm3.mMobility
Chapterm4.mDigestion
Chapterm5.mUrinarymElimination
Chapterm6.mIntracranialmRegulation
Chapterm7.mMetabolismmandmGlucosemRegulation
Chapterm8.mImmunity
Chapterm9.mCellularmRegulation
Chapterm10.mTissuemIntegrity
Chapterm11.mCognition
Chapterm12.mInfectionmandmInflammation
Chapterm13.mDevelopmental
Chapterm14.mReproductive
Chapterm15.mMood,mStress,mandmAddiction
,Chapterm1.mPerfusion
ClinicalmReasoningmCasesminmNursingm8thmEditionmHardingmSnydermTestmBank
MULTIPLEmCHOICE
1.mThemnursemismexplainingmtomamstudentmnursemaboutmimpairedmcentralmperfusion.mThemnursemkn
owsmthemstudentmunderstandsmthismproblemmwhenmthemstudentmstates,mCentralmperfusion
a. Ismmonitoredmonlymbymthemphysician.
b. Involvesmthementirembody.
c. Ismdecreasedmwithmhypertension.
d. Ismtoxicmtomthemcardiacmsystem.
ANSWER:mB
Centralmperfusionmdoesminvolvemthementirembodymasmallmorgansmaremsuppliedmwithmoxygenmandmvit
almNutrients.mThemphysicianmdoesmnotmcontrolmthembodysmabilitymformperfusion.mCentralmperfusio
nmismnotdecreasedmwithmhypertension.mCentralmperfusionmismnotmtoxicmtomthemcardiacmsystem.
2.mAmpatientmwasmdiagnosedmwithmhypertension.mThempatientmasksmthemnursemhowmthismdiseasemc
ouldmhavemhappenedmtomthem.mThemnursesmbestmresponsemismHypertension
a. Happensmtomeveryonemsoonermormlater.mDontmbemconcernedmaboutmit.
b. Canmhappenmfrommeatingmampoormdiet,msomchangemwhatmyoumaremeating.
c. Canmhappenmfrommarterialmchangesmthatmimpedemthembloodmflow.
d.
Happensmwhenmpeoplemdomnotmexercise,msomyoumshouldmwalkmev
erymday.
ANSWER:mC
Hardeningmofmthemarteriesmfrommatherosclerosismcanmcausemhypertensionminmthempatient.mHypert
ensionmdoesmnotmhappenmtomeveryone.mChangingmthempatientsmdietmandmexercisingmmaymbemampo
sitivemlifemchange,mbutmthesemanswersmdomnotmexplainmtomthempatientmhowmthemdiseasemcouldmha
vemhappened.
3.mThempatientmasksmthemnursemtomexplainmthemsinoatrialmnodeminmthemheart.mThemnursesmbestmres
ponsemwouldmbe,mThemsinoatrialmnode
a. Providesmthemheartmwithmthemstimulationmtombeatminmamnormalmrhythm.
b. Protectsmthemheartmfrommatheroscleroticmchanges.
c. Providesmthemheartmwithmoxygenatedmblood.
d.
Protectsmthemheartmfro
mminfection.
ANSWER:mA
Themsinoatrialmnodemismthemnaturalmpacemakermofmthemheart,mandmitmassistsmthemheartmtombeatminm
amNormalmrhythm.mThemsinoatrialmnodemdoesmnotmprotectmfrommatheroscleroticmchangesmorminfe
ction,andmitmdoesmnotmdirectlymprovidemthemheartmwithmoxygenatedmblood.
, 4.mThempatientmismbroughtmtomthememergencymdepartmentmaftermammotormvehiclemaccident.mThem
patientmismdiagnosedmwithminternalmbleeding.mThemnursesmprimarymconcernmismtommonitormfor
a. Mentalmalertness.
b. Perfusion.
c. Pain.
d.
Reactionmt
ommedications.
ANSWER:mB
Perfusionmismthemcorrectmanswer,mbecausemwithminternalmbleeding,mthemnursemshouldmmonitormvital
Signsmtombemsuremperfusionmismhappening.mMentalmalertness,mpain,mandmmedicationmreactionsmar
eimportantmbutmnotmthemprimarymconcern.
5.mAmpatientsmserummelectrolytesmarembeingmmonitored.mThemnursemnoticesmthatmthempotassium
mlevelmismlow.mThemnursemknowsmthatmthempatientmshouldmbemobservedmfor
a. Tissuemischemia.
b. Brainmmalformations.
c. Intestinalmblockage.
d.
Cardiac
mdysthymia.
ANSWER:mD
Cardiacmdysthymiamismampossibilitymwhenmserummpotassiummismhighmormlow.mTissuemischemia,mbrainmMalfor
mations,mormintestinalmblockagemdomnotmhavemamdirectmcorrelationmtompotassiummirregularities.
6.mAmnursemismexplainingmtomamstudentmnursemaboutmperfusion.mThemnursemknowsmthemstudentmun
derstandsmthemconceptmofmperfusionmwhenmthemstudentmstates,mPerfusion
a. Ismamnormalmfunctionmofmthembody,mandmImdontmhavemtombemconcernedmaboutmit.
b. Ismmonitoredmbymthemphysician,mandmImjustmfollowmorders.
c. Ismmonitoredmbymvitalmsignsmandmcapillarymrefill.
