Test Banks For Clinical Reasoning Cases in Nursing
ss ss ss ss ss ss ss
8th Edition by Mariann M. Harding;
ss ss ss ss ss ss ss
Chapter 1 - 15 ss ss ss
,Clinical ssReasoning ssCases ssin ssNursing ss8th ssEdition ssHarding ssSnyder ssTest ssBank
Contents:
Chapter ss1. ssPerfusion
Chapter ss2. ssGas ssExchange
Chapter ss3. ssMobility
Chapter ss4. ssDigestion
Chapter ss5. ssUrinary ssElimination
Chapter ss6. ssIntracranial ssRegulation
Chapter ss7. ssMetabolism ssand ssGlucose ssRegulation
Chapter ss8. ssImmunity
Chapter ss9. ssCellular ssRegulation
Chapter ss10. ssTissue ssIntegrity
Chapter ss11. ssCognition
Chapter ss12. ssInfection ssand ssInflammation
Chapter ss13. ssDevelopmental
Chapter ss14. ssReproductive
Chapter ss15. ssMood, ssStress, ssand ssAddiction
,Chapter ss1. ssPerfusion
Clinical ssReasoning ssCases ssin ssNursing ss8th ssEdition ssHarding ssSnyder ssTest ssBank
MULTIPLE ssCHOICE
1. ssThe ssnurse ssis ssexplaining ssto ssa ssstudent ssnurse ssabout ssimpaired sscentral ssperfusion. ssThe ssnurse
ssknows ssthe ssstudent ssunderstands ssthis ssproblem sswhen ssthe ssstudent ssstates, ssCentral ssperfusion
a. Is ssmonitored ssonly ssby ssthe ssphysician.
b. Involves ssthe ssentire ssbody.
c. Is ssdecreased sswith sshypertension.
d. Is sstoxic ssto ssthe sscardiac sssystem.
ANSWER: ssB
Central ssperfusion ssdoes ssinvolve ssthe ssentire ssbody ssas ssall ssorgans ssare sssupplied sswith ssoxygen ssand
ssvital ssNutrients. ssThe ssphysician ssdoes ssnot sscontrol ssthe ssbodys ssability ssfor ssperfusion. ssCentral
ssperfusion ssis ssnotdecreased sswith sshypertension. ssCentral ssperfusion ssis ssnot sstoxic ssto ssthe sscardiac
sssystem.
2. ssA sspatient sswas ssdiagnosed sswith sshypertension. ssThe sspatient ssasks ssthe ssnurse sshow ssthis ssdisease
sscould sshave sshappened ssto ssthem. ssThe ssnurses ssbest ssresponse ssis ssHypertension
a. Happens ssto sseveryone sssooner ssor sslater. ssDont ssbe ssconcerned ssabout ssit.
b. Can sshappen ssfrom sseating ssa sspoor ssdiet, ssso sschange sswhat ssyou ssare sseating.
c. Can sshappen ssfrom ssarterial sschanges ssthat ssimpede ssthe ssblood ssflow.
d. Happens sswhen sspeople ssdo ssnot ssexercise, ssso ssyou ssshould sswalk
ssevery ssday.
ANSWER: ssC
Hardening ssof ssthe ssarteries ssfrom ssatherosclerosis sscan sscause sshypertension ssin ssthe sspatient.
ssHypertension ssdoes ssnot sshappen ssto sseveryone. ssChanging ssthe sspatients ssdiet ssand ssexercising ssmay
ssbe ssa sspositive sslife sschange, ssbut ssthese ssanswers ssdo ssnot ssexplain ssto ssthe sspatient sshow ssthe ssdisease
sscould sshave sshappened.
3. ssThe sspatient ssasks ssthe ssnurse ssto ssexplain ssthe sssinoatrial ssnode ssin ssthe ssheart. ssThe ssnurses ssbest
ssresponse sswould ssbe, ssThe sssinoatrial ssnode
a. Provides ssthe ssheart sswith ssthe ssstimulation ssto ssbeat ssin ssa ssnormal ssrhythm.
b. Protects ssthe ssheart ssfrom ssatherosclerotic sschanges.
c. Provides ssthe ssheart sswith ssoxygenated ssblood.
d. Protects ssthe ssheart
ssfrom ssinfection.
ANSWER: ssA
The sssinoatrial ssnode ssis ssthe ssnatural sspacemaker ssof ssthe ssheart, ssand ssit ssassists ssthe ssheart ssto ssbeat ssin ssa
ssNormal ssrhythm. ssThe sssinoatrial ssnode ssdoes ssnot ssprotect ssfrom ssatherosclerotic sschanges ssor
ssinfection,and ssit ssdoes ssnot ssdirectly ssprovide ssthe ssheart sswith ssoxygenated ssblood.
4. ssThe sspatient ssis ssbrought ssto ssthe ssemergency ssdepartment ssafter ssa ssmotor ssvehicle ssaccident. ssThe
sspatient ssis ssdiagnosed sswith ssinternal ssbleeding. ssThe ssnurses ssprimary ssconcern ssis ssto ssmonitor ssfor
a. Mental ssalertness.
, b. Perfusion.
c. Pain.
d. Reaction ssto
ssmedications.
ANSWER: ssB
Perfusion ssis ssthe sscorrect ssanswer, ssbecause sswith ssinternal ssbleeding, ssthe ssnurse ssshould ssmonitor ssvital
Signs ssto ssbe sssure ssperfusion ssis sshappening. ssMental ssalertness, sspain, ssand ssmedication ssreactions
ssareimportant ssbut ssnot ssthe ssprimary ssconcern.
5. ssA sspatients ssserum sselectrolytes ssare ssbeing ssmonitored. ssThe ssnurse ssnotices ssthat ssthe sspotassium
sslevel ssis sslow. ssThe ssnurse ssknows ssthat ssthe sspatient ssshould ssbe ssobserved ssfor
a. Tissue ssischemia.
b. Brain ssmalformations.
c. Intestinal ssblockage.
d. Cardiac
ssdysthymia.
ANSWER: ssD
Cardiac ssdysthymia ssis ssa sspossibility sswhen ssserum sspotassium ssis sshigh ssor sslow. ssTissue ssischemia, ssbrain
ssMalformations, ssor ssintestinal ssblockage ssdo ssnot sshave ssa ssdirect sscorrelation ssto sspotassium ssirregularities.
6. ssA ssnurse ssis ssexplaining ssto ssa ssstudent ssnurse ssabout ssperfusion. ssThe ssnurse ssknows ssthe ssstudent
ssunderstands ssthe ssconcept ssof ssperfusion sswhen ssthe ssstudent ssstates, ssPerfusion
a. Is ssa ssnormal ssfunction ssof ssthe ssbody, ssand ssI ssdont sshave ssto ssbe ssconcerned ssabout ssit.
b. Is ssmonitored ssby ssthe ssphysician, ssand ssI ssjust ssfollow ssorders.
c. Is ssmonitored ssby ssvital sssigns ssand sscapillary ssrefill.
d. Varies ssas ssa ssperson ssages, ssso ssI sswould ssexpect sschanges ssin
ssthe ssbody.
ANSWER: ssC
The ssbest ssmethod ssto ssmonitor ssperfusion ssis ssto ssmonitor ssvital sssigns ssand sscapillary ssrefill. ssThis
ssallows ssThe ssnurse ssto ssknow ssif ssperfusion ssis ssadequate ssto ssmaintain ssvital ssorgans. ssThe ssnurse
ssdoes sshave ssto ssbe ssconcerned ssabout ssperfusion. ssPerfusion ssis ssnot ssonly ssmonitored ssby ssthe
ssphysician ssbut ssthe ssnurse sstoo. ssPerfusion ssdoes ssnot ssalways sschange ssas ssthe ssperson ssages.
7. ssThe ssnurse ssis ssconducting ssa sspatient ssassessment. ssThe sspatient sstells ssthe ssnurse ssthat sshe sshas
sssmoked sstwo sspacks ssof sscigarettes ssper ssday ssfor ss27 ss years. ssThe ssnurse ssmay ssfind sswhich ssdata
ssupon ssassessment?
a. Blood sspressure ssabove ssthe ssnormal ssrange
b. Bounding sspedal sspulses
c. Night ssblindness
ss ss ss ss ss ss ss
8th Edition by Mariann M. Harding;
ss ss ss ss ss ss ss
Chapter 1 - 15 ss ss ss
,Clinical ssReasoning ssCases ssin ssNursing ss8th ssEdition ssHarding ssSnyder ssTest ssBank
Contents:
Chapter ss1. ssPerfusion
Chapter ss2. ssGas ssExchange
Chapter ss3. ssMobility
Chapter ss4. ssDigestion
Chapter ss5. ssUrinary ssElimination
Chapter ss6. ssIntracranial ssRegulation
Chapter ss7. ssMetabolism ssand ssGlucose ssRegulation
Chapter ss8. ssImmunity
Chapter ss9. ssCellular ssRegulation
Chapter ss10. ssTissue ssIntegrity
Chapter ss11. ssCognition
Chapter ss12. ssInfection ssand ssInflammation
Chapter ss13. ssDevelopmental
Chapter ss14. ssReproductive
Chapter ss15. ssMood, ssStress, ssand ssAddiction
,Chapter ss1. ssPerfusion
Clinical ssReasoning ssCases ssin ssNursing ss8th ssEdition ssHarding ssSnyder ssTest ssBank
MULTIPLE ssCHOICE
1. ssThe ssnurse ssis ssexplaining ssto ssa ssstudent ssnurse ssabout ssimpaired sscentral ssperfusion. ssThe ssnurse
ssknows ssthe ssstudent ssunderstands ssthis ssproblem sswhen ssthe ssstudent ssstates, ssCentral ssperfusion
a. Is ssmonitored ssonly ssby ssthe ssphysician.
b. Involves ssthe ssentire ssbody.
c. Is ssdecreased sswith sshypertension.
d. Is sstoxic ssto ssthe sscardiac sssystem.
ANSWER: ssB
Central ssperfusion ssdoes ssinvolve ssthe ssentire ssbody ssas ssall ssorgans ssare sssupplied sswith ssoxygen ssand
ssvital ssNutrients. ssThe ssphysician ssdoes ssnot sscontrol ssthe ssbodys ssability ssfor ssperfusion. ssCentral
ssperfusion ssis ssnotdecreased sswith sshypertension. ssCentral ssperfusion ssis ssnot sstoxic ssto ssthe sscardiac
sssystem.
2. ssA sspatient sswas ssdiagnosed sswith sshypertension. ssThe sspatient ssasks ssthe ssnurse sshow ssthis ssdisease
sscould sshave sshappened ssto ssthem. ssThe ssnurses ssbest ssresponse ssis ssHypertension
a. Happens ssto sseveryone sssooner ssor sslater. ssDont ssbe ssconcerned ssabout ssit.
b. Can sshappen ssfrom sseating ssa sspoor ssdiet, ssso sschange sswhat ssyou ssare sseating.
c. Can sshappen ssfrom ssarterial sschanges ssthat ssimpede ssthe ssblood ssflow.
d. Happens sswhen sspeople ssdo ssnot ssexercise, ssso ssyou ssshould sswalk
ssevery ssday.
ANSWER: ssC
Hardening ssof ssthe ssarteries ssfrom ssatherosclerosis sscan sscause sshypertension ssin ssthe sspatient.
ssHypertension ssdoes ssnot sshappen ssto sseveryone. ssChanging ssthe sspatients ssdiet ssand ssexercising ssmay
ssbe ssa sspositive sslife sschange, ssbut ssthese ssanswers ssdo ssnot ssexplain ssto ssthe sspatient sshow ssthe ssdisease
sscould sshave sshappened.
3. ssThe sspatient ssasks ssthe ssnurse ssto ssexplain ssthe sssinoatrial ssnode ssin ssthe ssheart. ssThe ssnurses ssbest
ssresponse sswould ssbe, ssThe sssinoatrial ssnode
a. Provides ssthe ssheart sswith ssthe ssstimulation ssto ssbeat ssin ssa ssnormal ssrhythm.
b. Protects ssthe ssheart ssfrom ssatherosclerotic sschanges.
c. Provides ssthe ssheart sswith ssoxygenated ssblood.
d. Protects ssthe ssheart
ssfrom ssinfection.
ANSWER: ssA
The sssinoatrial ssnode ssis ssthe ssnatural sspacemaker ssof ssthe ssheart, ssand ssit ssassists ssthe ssheart ssto ssbeat ssin ssa
ssNormal ssrhythm. ssThe sssinoatrial ssnode ssdoes ssnot ssprotect ssfrom ssatherosclerotic sschanges ssor
ssinfection,and ssit ssdoes ssnot ssdirectly ssprovide ssthe ssheart sswith ssoxygenated ssblood.
4. ssThe sspatient ssis ssbrought ssto ssthe ssemergency ssdepartment ssafter ssa ssmotor ssvehicle ssaccident. ssThe
sspatient ssis ssdiagnosed sswith ssinternal ssbleeding. ssThe ssnurses ssprimary ssconcern ssis ssto ssmonitor ssfor
a. Mental ssalertness.
, b. Perfusion.
c. Pain.
d. Reaction ssto
ssmedications.
ANSWER: ssB
Perfusion ssis ssthe sscorrect ssanswer, ssbecause sswith ssinternal ssbleeding, ssthe ssnurse ssshould ssmonitor ssvital
Signs ssto ssbe sssure ssperfusion ssis sshappening. ssMental ssalertness, sspain, ssand ssmedication ssreactions
ssareimportant ssbut ssnot ssthe ssprimary ssconcern.
5. ssA sspatients ssserum sselectrolytes ssare ssbeing ssmonitored. ssThe ssnurse ssnotices ssthat ssthe sspotassium
sslevel ssis sslow. ssThe ssnurse ssknows ssthat ssthe sspatient ssshould ssbe ssobserved ssfor
a. Tissue ssischemia.
b. Brain ssmalformations.
c. Intestinal ssblockage.
d. Cardiac
ssdysthymia.
ANSWER: ssD
Cardiac ssdysthymia ssis ssa sspossibility sswhen ssserum sspotassium ssis sshigh ssor sslow. ssTissue ssischemia, ssbrain
ssMalformations, ssor ssintestinal ssblockage ssdo ssnot sshave ssa ssdirect sscorrelation ssto sspotassium ssirregularities.
6. ssA ssnurse ssis ssexplaining ssto ssa ssstudent ssnurse ssabout ssperfusion. ssThe ssnurse ssknows ssthe ssstudent
ssunderstands ssthe ssconcept ssof ssperfusion sswhen ssthe ssstudent ssstates, ssPerfusion
a. Is ssa ssnormal ssfunction ssof ssthe ssbody, ssand ssI ssdont sshave ssto ssbe ssconcerned ssabout ssit.
b. Is ssmonitored ssby ssthe ssphysician, ssand ssI ssjust ssfollow ssorders.
c. Is ssmonitored ssby ssvital sssigns ssand sscapillary ssrefill.
d. Varies ssas ssa ssperson ssages, ssso ssI sswould ssexpect sschanges ssin
ssthe ssbody.
ANSWER: ssC
The ssbest ssmethod ssto ssmonitor ssperfusion ssis ssto ssmonitor ssvital sssigns ssand sscapillary ssrefill. ssThis
ssallows ssThe ssnurse ssto ssknow ssif ssperfusion ssis ssadequate ssto ssmaintain ssvital ssorgans. ssThe ssnurse
ssdoes sshave ssto ssbe ssconcerned ssabout ssperfusion. ssPerfusion ssis ssnot ssonly ssmonitored ssby ssthe
ssphysician ssbut ssthe ssnurse sstoo. ssPerfusion ssdoes ssnot ssalways sschange ssas ssthe ssperson ssages.
7. ssThe ssnurse ssis ssconducting ssa sspatient ssassessment. ssThe sspatient sstells ssthe ssnurse ssthat sshe sshas
sssmoked sstwo sspacks ssof sscigarettes ssper ssday ssfor ss27 ss years. ssThe ssnurse ssmay ssfind sswhich ssdata
ssupon ssassessment?
a. Blood sspressure ssabove ssthe ssnormal ssrange
b. Bounding sspedal sspulses
c. Night ssblindness
