kj kj kj kj kj kj kj kj kj kj kj
ANN M. HARDING;
kj kj kj
CHAPTER 1 - 15 kj kj kj
,ClinicalkjReasoningkjCaseskjinkjNursingkj8thkjEditionkjHardingkjSnyderkjTestkjBank
Contents:
Chapterkj1.kjPerfusion
Chapterkj2.kjGaskjExchange
Chapterkj3.kjMobility
Chapterkj4.kjDigestion
Chapterkj5.kjUrinarykjElimination
Chapterkj6.kjIntracranialkjRegulation
Chapterkj7.kjMetabolismkjandkjGlucosekjRegulation
Chapterkj8.kjImmunity
Chapterkj9.kjCellularkjRegulation
Chapterkj10.kjTissuekjIntegrity
Chapterkj11.kjCognition
Chapterkj12.kjInfectionkjandkjInflammation
Chapterkj13.kjDevelopmental
Chapterkj14.kjReproductive
Chapterkj15.kjMood,kjStress,kjandkjAddiction
,Chapterkj1.kjPerfusion
ClinicalkjReasoningkjCaseskjinkjNursingkj8thkjEditionkjHardingkjSnyderkjTestkjBank
MULTIPLEkjCHOICE
1.kjThekjnursekjiskjexplainingkjtokjakjstudentkjnursekjaboutkjimpairedkjcentralkjperfusion.kjThekjnursekjknowskjthekj
studentkjunderstandskjthiskjproblemkjwhenkjthekjstudentkjstates,kjCentralkjperfusion
a. Iskjmonitoredkjonlykjbykjthekjphysician.
b. Involveskjthekjentirekjbody.
c. Iskjdecreasedkjwithkjhypertension.
d. Iskjtoxickjtokjthekjcardiackjsystem.
ANSWER:kjB
CentralkjperfusionkjdoeskjinvolvekjthekjentirekjbodykjaskjallkjorganskjarekjsuppliedkjwithkjoxygenkjandkjvitalkjNu
trients.kjThekjphysiciankjdoeskjnotkjcontrolkjthekjbodyskjabilitykjforkjperfusion.kjCentralkjperfusionkjiskjnotdecr
easedkjwithkjhypertension.kjCentralkjperfusionkjiskjnotkjtoxickjtokjthekjcardiackjsystem.
2.kjAkjpatientkjwaskjdiagnosedkjwithkjhypertension.kjThekjpatientkjaskskjthekjnursekjhowkjthiskjdiseasekjcouldkjha
vekjhappenedkjtokjthem.kjThekjnurseskjbestkjresponsekjiskjHypertension
a. Happenskjtokjeveryonekjsoonerkjorkjlater.kjDontkjbekjconcernedkjaboutkjit.
b. Cankjhappenkjfromkjeatingkjakjpoorkjdiet,kjsokjchangekjwhatkjyoukjarekjeating.
c. Cankjhappenkjfromkjarterialkjchangeskjthatkjimpedekjthekjbloodkjflow.
d.
Happenskjwhenkjpeoplekjdokjnotkjexercise,kjsokjyoukjshouldkjwalkkjeverykj
day.
ANSWER:kjC
Hardeningkjofkjthekjarterieskjfromkjatherosclerosiskjcankjcausekjhypertensionkjinkjthekjpatient.kjHypertension
kjdoeskjnotkjhappenkjtokjeveryone.kjChangingkjthekjpatientskjdietkjandkjexercisingkjmaykjbekjakjpositivekjlifekjch
ange,kjbutkjthesekjanswerskjdokjnotkjexplainkjtokjthekjpatientkjhowkjthekjdiseasekjcouldkjhavekjhappened.
3.kjThekjpatientkjaskskjthekjnursekjtokjexplainkjthekjsinoatrialkjnodekjinkjthekjheart.kjThekjnurseskjbestkjresponsekjw
ouldkjbe,kjThekjsinoatrialkjnode
a. Provideskjthekjheartkjwithkjthekjstimulationkjtokjbeatkjinkjakjnormalkjrhythm.
b. Protectskjthekjheartkjfromkjatherosclerotickjchanges.
c. Provideskjthekjheartkjwithkjoxygenatedkjblood.
d.
Protectskjthekjheartkjfromkj
infection.
ANSWER:kjA
Thekjsinoatrialkjnodekjiskjthekjnaturalkjpacemakerkjofkjthekjheart,kjandkjitkjassistskjthekjheartkjtokjbeatkjinkjakjNorm
alkjrhythm.kjThekjsinoatrialkjnodekjdoeskjnotkjprotectkjfromkjatherosclerotickjchangeskjorkjinfection,andkjitkjdo
eskjnotkjdirectlykjprovidekjthekjheartkjwithkjoxygenatedkjblood.
4.kjThekjpatientkjiskjbroughtkjtokjthekjemergencykjdepartmentkjafterkjakjmotorkjvehiclekjaccident.kjThekjpatientkj
iskjdiagnosedkjwithkjinternalkjbleeding.kjThekjnurseskjprimarykjconcernkjiskjtokjmonitorkjfor
a. Mentalkjalertness.
b. Perfusion.
, c. Pain.
d.
Reactionkjtokj
medications.
ANSWER:kjB
Perfusionkjiskjthekjcorrectkjanswer,kjbecausekjwithkjinternalkjbleeding,kjthekjnursekjshouldkjmonitorkjvital
Signskjtokjbekjsurekjperfusionkjiskjhappening.kjMentalkjalertness,kjpain,kjandkjmedicationkjreactionskjareimpor
tantkjbutkjnotkjthekjprimarykjconcern.
5.kjAkjpatientskjserumkjelectrolyteskjarekjbeingkjmonitored.kjThekjnursekjnoticeskjthatkjthekjpotassiumkjlevelkjiskj
low.kjThekjnursekjknowskjthatkjthekjpatientkjshouldkjbekjobservedkjfor
a. Tissuekjischemia.
b. Brainkjmalformations.
c. Intestinalkjblockage.
d.
Cardia
ckjdysthymia.
ANSWER:kjD
Cardiackjdysthymiakjiskjakjpossibilitykjwhenkjserumkjpotassiumkjiskjhighkjorkjlow.kjTissuekjischemia,kjbrainkjMalformations,
kjorkjintestinalkjblockagekjdokjnotkjhavekjakjdirectkjcorrelationkjtokjpotassiumkjirregularities.
6.kjAkjnursekjiskjexplainingkjtokjakjstudentkjnursekjaboutkjperfusion.kjThekjnursekjknowskjthekjstudentkjunderstand
skjthekjconceptkjofkjperfusionkjwhenkjthekjstudentkjstates,kjPerfusion
a. Iskjakjnormalkjfunctionkjofkjthekjbody,kjandkjIkjdontkjhavekjtokjbekjconcernedkjaboutkjit.
b. Iskjmonitoredkjbykjthekjphysician,kjandkjIkjjustkjfollowkjorders.
c. Iskjmonitoredkjbykjvitalkjsignskjandkjcapillarykjrefill.
d.
Varieskjaskjakjpersonkjages,kjsokjIkjwouldkjexpectkjchangeskjinkjthekj
body.
ANSWER:kjC
Thekjbestkjmethodkjtokjmonitorkjperfusionkjiskjtokjmonitorkjvitalkjsignskjandkjcapillarykjrefill.kjThiskjallowskjThe
kjnursekjtokjknowkjifkjperfusionkjiskjadequatekjtokjmaintainkjvitalkjorgans.kjThekjnursekjdoeskjhavekjtokjbekjconc
ernedkjaboutkjperfusion.kjPerfusionkjiskjnotkjonlykjmonitoredkjbykjthekjphysiciankjbutkjthekjnursekjtoo.kjPerfusi
onkjdoeskjnotkjalwayskjchangekjaskjthekjpersonkjages.
7.kjThekjnursekjiskjconductingkjakjpatientkjassessment.kjThekjpatientkjtellskjthekjnursekjthatkjhekjhaskjsmokedkjt
wokjpackskjofkjcigaretteskjperkjdaykjforkj27kjyears.kjThekjnursekjmaykjfindkjwhichkjdatakjuponkjassessment?
a. Bloodkjpressurekjabovekjthekjnormalkjrange
b. Boundingkjpedalkjpulses
c. Nightkjblindness