TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version

Test Bank for Clinical Nursing Skills:
b b b b b




A Concept-Based Approach
b b b




4th Edition Volume III
b b b




by Pearson Education Chapters 1 - 16
b b b b b b

,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
b b b b b b b b b b b b

,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test
b b b b b b b b b



BankChapter 1: Assessment
b b b b




1) A client on the medical/surgical unit complains of sudden chest pains. Which action will
b b b b b b b b b b b b b



thenurse implement first?
b b b b



A) Call the healthcare provider. b b b



B) Administer pain medication. b b



C) Reassess a new set of vital signs. b b b b b b



D) Turn client from supine to b b b b



lateral.ANSWER: C
b b b



Explanation: A) The nurse will need to reassess the client first, before calling the
b b b b b b b b b b b b b



healthcareprovider.
b b



B) The nurse will need to reassess the client first, before administering pain medication.
b b b b b b b b b b b b



C) The nurse needs to implement a new set of vital signs first when there is a change
b b b b b b b b b b b b b b b b



incondition.
b b



D) The nurse will need to reassess the client first, before moving the client, to avoid making
b b b b b b b b b b b b b b b



thechange in client's condition worse.
b b b b b b



Page Ref: 2 b b



Cognitive Level: Applying b b



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b



Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN
b b b b b b b b b



Competencies:Patient-Centered Care
b b b



AACN Domains and Comps.: Domain 2: Person-Centered
b b b b b b



CareNLN Competencies: Relationship Centered Care
b b b b b b




2) The nurse is observing the UAP taking the temperature of an unconscious client. Which
b b b b b b b b b b b b b



routewill the nurse question the UAP using?
b b b b b b b b



A) Oral
B) Rectal
C) Scanner
D) Tympanic b



ANSWER:
A
b



Explanation: A) The temperature of an unconscious client is never taken by mouth. The
b b b b b b b b b b b b b



rectal,tympanic, or scanner method is preferred.
b b b b b b b



B) The rectal, tympanic, or scanner method is preferred.
b b b b b b b



C) The rectal, tympanic, or scanner method is preferred.
b b b b b b b



D) The rectal, tympanic, or scanner method is
b b b b b b



preferred.Page Ref: 24
b b b b



Cognitive Level: Applying b b



Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards:
b bb b b b b b b b b b b



Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyAACN
b b b b b b b b b b b b



Domains and Comps.: Domain 5: Quality and Safety
b b b b b b b b



NLN Competencies: Quality & Safety
b b b b




1

, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to
b b b b b b b b b b b b b b



touch.Which method should the nurse use to check the baby's temperature?
b b b b b b b b b b b b



A) Oral
B) Rectal
C) Axillary
D) Tympanic
membraneANSWER: C
b b b



Explanation: A) Oral is used for age 3 or older. b b b b b b b b b



B) The rectal route is the least desirable.
b b b b b b



C) The axillary route may not be as accurate as other routes for detecting fevers in children.
b b b b b b b b b b b b b b b



D) The tympanic membrane may be used for 3 months or
b b b b b b b b b



older.Page Ref: 29
b b b b



Cognitive Level: Applying b b



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b



Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies:
b b b b b b b b b b



SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
b b b b b b b b b b



NLN Competencies: Quality & Safety
b b b b




4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD).
b b b b b b b b b b b



Whichnoninvasive diagnostic test will the nurse implement to know that the client is receiving
b b b b b b b b b b b b b b b



enough oxygen?
b b



A) Chest x-ray b



B) Pulse oximeter b



C) Arterial blood gasses b b



D) Assessment of respiratory b b



rateANSWER: B
b b b



Explanation: A) A chest x-ray is not an intervention a nurse completes. b b b b b b b b b b b



B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
b b b b b b b b b b b



saturation, in the blood and provides a pulse reading, which is especially helpful for the
b b b b b b b b b b b b b b b



clientwith a respiratory illness or disease.
b b b b b b b



C) Arterial blood gases are an invasive diagnostic test.b b b b b b b



D) Assessing a respiratory rate is important for the nurse to implement; however, it is not
b b b b b b b b b b b b b b



adiagnostic test.
b b b



Page Ref: 21 b b



Cognitive Level: Applying b b



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b



Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
b b b b b b b b b



Competencies:Informatics
b b



AACN Domains and Comps.: Domain 5: Quality and SafetyNLN
b b b b b b b b b



Competencies: Quality & Safety
b b b b




2