Test bank for clinical nursing skills a concept based approach 4e Volume by Pearson Education all 16 chapters complete

Test Bank for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III
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by Pearson Education Chapters 1 - 16
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,TestnBanknfornClinicalnNursingnSkills:nAnConcept-BasednApproachn4thnEditionnPearsonn

,ClinicalnNursingnSkills:nAnConcept-
BasednApproach,n4en(Pearson)nEducationnTestnBanknChaptern1:nAssessment

1) nAnclientnonnthenmedical/surgicalnunitncomplainsnofnsuddennchestnpains.nWhichnactionnwillnthen
nursenimplementnfirst?
A) Callnthenhealthcarenprovider.
B) Administernpainnmedication.
C) Reassessnannewnsetnofnvitalnsigns.
D) Turnnclientnfromnsupinentonlateral.n
ANSWER:n C
Explanation:nA)nThennursenwillnneedntonreassessnthenclientnfirst,nbeforencallingnthenhealthcarenpr
ovider.
B) Thennursenwillnneedntonreassessnthenclientnfirst,nbeforenadministeringnpainnmedication.
C) Thennursenneedsntonimplementnannewnsetnofnvitalnsignsnfirstnwhenntherenisnanchangeninnc
ondition.
D) Thennursenwillnneedntonreassessnthenclientnfirst,nbeforenmovingnthenclient,ntonavoidnmakingnthenc
hangeninnclient'snconditionnworse.
PagenRef:n2
CognitivenLevel:n Applying
ClientnNeed/Sub:n PhysiologicalnIntegrity:nReductionnofnRisknPotential
Standards:nNursingnProcess:nAssessmentn|nLearningnOutcome:n1.1n|nQSENnCompetencies:nP
atient-CenterednCare
AACNnDomainsnandnComps.:nDomainn2:nPerson-
CenterednCarenNLNnCompetencies:n RelationshipnCenterednCare

2) ThennursenisnobservingnthenUAPntakingnthentemperaturenofnannunconsciousnclient.nWhichnrouten
willnthennursenquestionnthenUAPnusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicn
ANSWER:n
A
Explanation:nA)nThentemperaturenofnannunconsciousnclientnisnneverntakennbynmouth.nThenrectal,nty
mpanic,nornscannernmethodnisnpreferred.
B) Thenrectal,ntympanic,nornscannernmethodnisnpreferred.
C) Thenrectal,ntympanic,nornscannernmethodnisnpreferred.
D) Thenrectal,ntympanic,nornscannernmethodnisnpreferred.n
PagenRef:n24
CognitivenLevel:n Applying
ClientnNeed/Sub:nnn SafenandnEffectivenCarenEnvironment:nSafetynandn InfectionnControlnStandards:
n NursingnProcess:nEvaluationn |nLearningnOutcome:n1.1n |nQSENnCompetencies:nSafetynAACNnDom

ainsnandnComps.:n Domainn5:nQualitynandnSafety
NLNnCompetencies:n Qualityn&nSafety




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, 3) Thennursenisnchangingnan2-month-
oldnclient'sndiapernandnnotesnthenclientnfeelsnwarmntontouch.nWhichnmethodnshouldnthennursenusent
onchecknthenbaby'sntemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicnmembranen
ANSWER:n C
Explanation:n A)nOralnisnusednfornagen3nornolder.
B) Thenrectalnroutenisnthenleastndesirable.
C) Thenaxillarynroutenmaynnotnbenasnaccuratenasnothernroutesnforndetectingnfeversninnchildren.
D) Thentympanicnmembranenmaynbenusednforn3nmonthsnornolder.n
PagenRef:n29
CognitivenLevel:n Applying
ClientnNeed/Sub:n PhysiologicalnIntegrity:nReductionnofnRisknPotential
Standards:n NursingnProcess:nEvaluatingn|nLearningnOutcome:n1.2n|nQSENnCompetencies:nSafetynA
ACNnDomainsnandnComps.:n Domainn5:nQualitynandnSafety
NLNnCompetencies:n Qualityn&nSafety

4) Anclientncomesninnwithnexacerbationnofnchronicnobstructivenpulmonaryndiseasen(COPD).nWhichnn
oninvasivendiagnosticntestnwillnthennursenimplementntonknownthatnthenclientnisnreceivingnenoughnoxy
gen?
A) Chestnx-ray
B) Pulsenoximeter
C) Arterialnbloodngasses
D) Assessmentnofnrespiratorynraten
ANSWER:n B
Explanation:n A)nAnchestnx-raynisnnotnanninterventionnannursencompletes.
B) Anpulsenoximeternprovidesnannoninvasivenmethodnofnmeasuringnoxygenation,nornoxygennsatu
ration,ninnthenbloodnandnprovidesnanpulsenreading,nwhichnisnespeciallynhelpfulnfornthenclientnwithn
anrespiratorynillnessnorndisease.
C) Arterialnbloodngasesnarenanninvasivendiagnosticntest.
D) Assessingnanrespiratorynratenisnimportantnfornthennursentonimplement;nhowever,nitnisnnotnand
iagnosticntest.
PagenRef:n21
CognitivenLevel:n Applying
ClientnNeed/Sub:n PhysiologicalnIntegrity:nReductionnofnRisknPotential
Standards:nNursingnProcess:nImplementationn|nLearningnOutcome:n1.3n|nQSENnCompetencies:nInf
ormatics
AACNnDomainsnandnComps.:n Domainn5:nQualitynandnSafetynNLNn
Competencies:n Qualityn&nSafety




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