TEST BANK FOR Clinical Nursing Skills: A Concept-Based Approach 4th Edition by Pearson Education ISBN: 978-0136909491 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

,Test Bank for Clinical Nursing Skills: A Conce
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pt- Based Approach 4th Edition Pearson
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,Clinical Nursing Skills: A Concept- n % n % n% n %



Based Approach, 4e (Pearson) Education n % n % n % n% n % Test BankiiChapter n% n % 1: n % Assessment
1) A client on the medical/surgical unit complains of sudden chest pains.
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Which a ction will the nurse implement first?
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A) Call the healthcare provider. n % n % n %



B) Administer pain medication. n % n %



C) Reassess a new set of vital signs. n % n % n % n % n % n %



D) Turn client from supine t n% n% n% n%



o lateral. ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before c n % n % n % n % n % n % n % n % n % n % n % n %



alling the h ealthcareprovider. n % n% n%



B) The nurse will need to reassess the client first, before administering pain
n % n % n % n % n % n % n % n % n % n % n % n % medication.
C) The nurse needs to implement a new set of vital signs first
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when there is a change in condition. n % n% n % gd n % n%



D) The nurse will need to reassess the client first, before moving the
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client, to avoid making the change in client's condition worse.
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Page Ref: 2 n % n %



Cognitive Level: n %



Applying
Client Need/Sub:
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Physiological Integrity: Reduction of Risk Potential n % n % n % n% n % n



Standards: Nursing Process: Assessment | Learning Outcome: 1.
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1 | QS EN Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person- n % n % n % n % n % n %



Centered Care NLN Competencies: Relationship Centered n% n% n % n % n % n %



Ca re n%




2) The nurse is observing the UAP taking the temperature of an unc
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onscious cl ient. Which route will the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
iiANSWER:

A
Explanation: A) The temperature of an unconscious client is never taken n % n % n % n % n % n % n % n % n % n % n %



by mouth. The rectal,tympanic, or scanner method is preferred.
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B) The rectal, tympanic, or scanner method is preferred.
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C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner method i n% n% n % n% n % n%



s preferred.Page Ref: 24
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Cognitive Level: n %



Applying
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Safe and Effective Care Environment: Safety and Infection Control St n% n% n% n% n% n% n% n% n%



andards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Comp
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etenci es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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1

, 3) The nurse is changing a 2-month- n % n % n % n % n %



old client's diaper and notes the client feels warm to touch.Which method
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should th e nurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra gd



ne ANSWER:
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C
Explanation: A) Oral is used for age 3 or older. n % n % n % n % n % n % n % n %



B) The rectal route is the least desirable.
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C) The axillary route may not be as accurate as other routes for detecting fevers in
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ldren.
D) The tympanic membrane may be used for 3 mont
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hs or older.Page Ref: 29
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Cognitive Level: Applying n %



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Co
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mpetenci es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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4) A client comes in with exacerbation of chronic obstructive pulmonary dis
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ease (CO PD). Which noninvasive diagnostic test will the nurse implement to k
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now that the cl ient is receiving enough oxygen?
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A) Chest x-ray n %



B) Pulse oximeter n %



C) Arterial blood gasses n % n %



D) Assessment of respiratory n% n%



rateiiANSWER: B
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Explanation: A) A chest x-ray is not an intervention a nurse completes. n % n % n % n % n % n % n % n % n % n %



B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or o
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xy gen saturation, in the blood and provides a pulse reading, which is especially he
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lpful for the client with a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test. n % n % n % n % n % n % n %



D) Assessing a respiratory rate is important for the nurse to implement; n % n % n % n % n % n % n % n % n % n %



howeve r, it is not a diagnostic test.
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Page Ref: 21 n % n %



Cognitive Level: n %



Applying
Client Need/Sub:
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Physiological Integrity: Reduction of Risk Potential Sta n % n % n % n% n % n%



n dards: Nursing Process: Implementation | Learning Outcome: 1.3
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%| QSEN Competencies:Informatics
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AACN Domains and Comps.: n % n % n %



Domain 5: Quality and Safet y NLN n % n % n% n % n% n%



Competencies:
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