TEST BANK
CLINICAL NURSING SKILLS:
A Concept-Based Approach
4th Edition, Pearson Education
CLINICALNURSING SKILLS:
A Concept-Based Approach
j j
4th j Edition, jPearson jEducation
,Test jBank jfor jClinical jNursing jSkills: jA jConcept-Based jApproach j4th jEdition
jPearsonjEducation
Table jof jContents
Chapter j1. jAssessment
Chapter j2. jCaring jInterventions
Chapter j3. jComfort
Chapter j4. jElimination
Chapter j5. jFluids jand jElectrolytes
Chapter j6. jInfection
Chapter j7. jIntracranial jRegulation
Chapter j8. jMetabolism
Chapter j9. jMobility
Chapter j10. jNutrition
Chapter j11. jOxygenation
Chapter j12. jPerfusion
Chapter j13. jPerioperative jCare
Chapter j14. jReproduction
Chapter j15. jSafety
Chapter j16. jTissue jIntegrity
,Clinical jNursing jSkills: jA jConcept-Based jApproach, j4e j(Pearson) jEducation jTest
jBankjChapter j1: jAssessment
1) A jclient jon jthe jmedical/surgical junit jcomplains jof jsudden jchest jpains. jWhich jaction jwill
jthejnurse jimplement jfirst?
A) Call jthe jhealthcare jprovider.
B) Administer jpain jmedication.
C) Reassess ja jnew jset jof jvital jsigns.
D) Turn jclient jfrom jsupine jto
jlateral.jAnswer: j C
Explanation: jA) jThe jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jcalling jthe
jhealthcarejprovider.
B) The jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jadministering jpain jmedication.
C) The jnurse jneeds jto jimplement ja jnew jset jof jvital jsigns jfirst jwhen jthere jis ja
jchange jinjcondition.
D) The jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jmoving jthe jclient, jto javoid jmaking
jthejchange jin jclient's jcondition jworse.
Page jRef: j2
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: jNursing jProcess: jAssessment j| jLearning jOutcome: j1.1 j| jQSEN
jCompetencies:jPatient-Centered jCare
AACN jDomains jand jComps.: jDomain j2: jPerson-Centered
jCarejNLN jCompetencies: j Relationship jCentered jCare
2) The jnurse jis jobserving jthe jUAP jtaking jthe jtemperature jof jan junconscious jclient. jWhich
jroutejwill jthe jnurse jquestion jthe jUAP jusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicj
Answer: j A
Explanation: jA) jThe jtemperature jof jan junconscious jclient jis jnever jtaken jby jmouth. jThe
jrectal,jtympanic, jor jscanner jmethod jis jpreferred.
B) The jrectal, jtympanic, jor jscanner jmethod jis jpreferred.
C) The jrectal, jtympanic, jor jscanner jmethod jis jpreferred.
D) The jrectal, jtympanic, jor jscanner jmethod jis
jpreferred.jPage jRef: j24
Cognitive jLevel: j Applying
Client jNeed/Sub: j j j Safe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
jStandards: j Nursing jProcess: jEvaluation j| jLearning jOutcome: j1.1 j| jQSEN jCompetencies:
jSafetyjAACN jDomains jand jComps.: j Domain j5: jQuality jand jSafety
NLN jCompetencies: j Quality j& jSafety
1
, 3) The jnurse jis jchanging ja j2-month-old jclient's jdiaper jand jnotes jthe jclient jfeels jwarm jto
jtouch.jWhich jmethod jshould jthe jnurse juse jto jcheck jthe jbaby's jtemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
jmembranejAnswer: j C
Explanation: j A) jOral jis jused jfor jage j3 jor jolder.
B) The jrectal jroute jis jthe jleast jdesirable.
C) The jaxillary jroute jmay jnot jbe jas jaccurate jas jother jroutes jfor jdetecting jfevers jin jchildren.
D) The jtympanic jmembrane jmay jbe jused jfor j3 jmonths jor
jolder.jPage jRef: j29
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: j Nursing jProcess: jEvaluating j| jLearning jOutcome: j1.2 j| jQSEN jCompetencies:
jSafetyjAACN jDomains jand jComps.: j Domain j5: jQuality jand jSafety
NLN jCompetencies: j Quality j& jSafety
4) A jclient jcomes jin jwith jexacerbation jof jchronic jobstructive jpulmonary jdisease j(COPD).
jWhichjnoninvasive jdiagnostic jtest jwill jthe jnurse jimplement jto jknow jthat jthe jclient jis
jreceiving jenough joxygen?
A) Chest jx-ray
B) Pulse joximeter
C) Arterial jblood jgasses
D) Assessment jof jrespiratory
jratejAnswer: j B
Explanation: j A) jA jchest jx-ray jis jnot jan jintervention ja jnurse jcompletes.
B) A jpulse joximeter jprovides ja jnoninvasive jmethod jof jmeasuring joxygenation, jor joxygen
jsaturation, jin jthe jblood jand jprovides ja jpulse jreading, jwhich jis jespecially jhelpful jfor jthe
jclientjwith ja jrespiratory jillness jor jdisease.
C) Arterial jblood jgases jare jan jinvasive jdiagnostic jtest.
D) Assessing ja jrespiratory jrate jis jimportant jfor jthe jnurse jto jimplement; jhowever, jit jis
jnot jajdiagnostic jtest.
Page jRef: j21
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: jNursing jProcess: jImplementation j| jLearning jOutcome: j1.3 j| jQSEN
jCompetencies:jInformatics
AACN jDomains jand jComps.: j Domain j5: jQuality jand
jSafetyjNLN jCompetencies: j Quality j& jSafety
2
CLINICAL NURSING SKILLS:
A Concept-Based Approach
4th Edition, Pearson Education
CLINICALNURSING SKILLS:
A Concept-Based Approach
j j
4th j Edition, jPearson jEducation
,Test jBank jfor jClinical jNursing jSkills: jA jConcept-Based jApproach j4th jEdition
jPearsonjEducation
Table jof jContents
Chapter j1. jAssessment
Chapter j2. jCaring jInterventions
Chapter j3. jComfort
Chapter j4. jElimination
Chapter j5. jFluids jand jElectrolytes
Chapter j6. jInfection
Chapter j7. jIntracranial jRegulation
Chapter j8. jMetabolism
Chapter j9. jMobility
Chapter j10. jNutrition
Chapter j11. jOxygenation
Chapter j12. jPerfusion
Chapter j13. jPerioperative jCare
Chapter j14. jReproduction
Chapter j15. jSafety
Chapter j16. jTissue jIntegrity
,Clinical jNursing jSkills: jA jConcept-Based jApproach, j4e j(Pearson) jEducation jTest
jBankjChapter j1: jAssessment
1) A jclient jon jthe jmedical/surgical junit jcomplains jof jsudden jchest jpains. jWhich jaction jwill
jthejnurse jimplement jfirst?
A) Call jthe jhealthcare jprovider.
B) Administer jpain jmedication.
C) Reassess ja jnew jset jof jvital jsigns.
D) Turn jclient jfrom jsupine jto
jlateral.jAnswer: j C
Explanation: jA) jThe jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jcalling jthe
jhealthcarejprovider.
B) The jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jadministering jpain jmedication.
C) The jnurse jneeds jto jimplement ja jnew jset jof jvital jsigns jfirst jwhen jthere jis ja
jchange jinjcondition.
D) The jnurse jwill jneed jto jreassess jthe jclient jfirst, jbefore jmoving jthe jclient, jto javoid jmaking
jthejchange jin jclient's jcondition jworse.
Page jRef: j2
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: jNursing jProcess: jAssessment j| jLearning jOutcome: j1.1 j| jQSEN
jCompetencies:jPatient-Centered jCare
AACN jDomains jand jComps.: jDomain j2: jPerson-Centered
jCarejNLN jCompetencies: j Relationship jCentered jCare
2) The jnurse jis jobserving jthe jUAP jtaking jthe jtemperature jof jan junconscious jclient. jWhich
jroutejwill jthe jnurse jquestion jthe jUAP jusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicj
Answer: j A
Explanation: jA) jThe jtemperature jof jan junconscious jclient jis jnever jtaken jby jmouth. jThe
jrectal,jtympanic, jor jscanner jmethod jis jpreferred.
B) The jrectal, jtympanic, jor jscanner jmethod jis jpreferred.
C) The jrectal, jtympanic, jor jscanner jmethod jis jpreferred.
D) The jrectal, jtympanic, jor jscanner jmethod jis
jpreferred.jPage jRef: j24
Cognitive jLevel: j Applying
Client jNeed/Sub: j j j Safe jand jEffective jCare jEnvironment: jSafety jand jInfection jControl
jStandards: j Nursing jProcess: jEvaluation j| jLearning jOutcome: j1.1 j| jQSEN jCompetencies:
jSafetyjAACN jDomains jand jComps.: j Domain j5: jQuality jand jSafety
NLN jCompetencies: j Quality j& jSafety
1
, 3) The jnurse jis jchanging ja j2-month-old jclient's jdiaper jand jnotes jthe jclient jfeels jwarm jto
jtouch.jWhich jmethod jshould jthe jnurse juse jto jcheck jthe jbaby's jtemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
jmembranejAnswer: j C
Explanation: j A) jOral jis jused jfor jage j3 jor jolder.
B) The jrectal jroute jis jthe jleast jdesirable.
C) The jaxillary jroute jmay jnot jbe jas jaccurate jas jother jroutes jfor jdetecting jfevers jin jchildren.
D) The jtympanic jmembrane jmay jbe jused jfor j3 jmonths jor
jolder.jPage jRef: j29
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: j Nursing jProcess: jEvaluating j| jLearning jOutcome: j1.2 j| jQSEN jCompetencies:
jSafetyjAACN jDomains jand jComps.: j Domain j5: jQuality jand jSafety
NLN jCompetencies: j Quality j& jSafety
4) A jclient jcomes jin jwith jexacerbation jof jchronic jobstructive jpulmonary jdisease j(COPD).
jWhichjnoninvasive jdiagnostic jtest jwill jthe jnurse jimplement jto jknow jthat jthe jclient jis
jreceiving jenough joxygen?
A) Chest jx-ray
B) Pulse joximeter
C) Arterial jblood jgasses
D) Assessment jof jrespiratory
jratejAnswer: j B
Explanation: j A) jA jchest jx-ray jis jnot jan jintervention ja jnurse jcompletes.
B) A jpulse joximeter jprovides ja jnoninvasive jmethod jof jmeasuring joxygenation, jor joxygen
jsaturation, jin jthe jblood jand jprovides ja jpulse jreading, jwhich jis jespecially jhelpful jfor jthe
jclientjwith ja jrespiratory jillness jor jdisease.
C) Arterial jblood jgases jare jan jinvasive jdiagnostic jtest.
D) Assessing ja jrespiratory jrate jis jimportant jfor jthe jnurse jto jimplement; jhowever, jit jis
jnot jajdiagnostic jtest.
Page jRef: j21
Cognitive jLevel: j Applying
Client jNeed/Sub: j Physiological jIntegrity: jReduction jof jRisk jPotential
Standards: jNursing jProcess: jImplementation j| jLearning jOutcome: j1.3 j| jQSEN
jCompetencies:jInformatics
AACN jDomains jand jComps.: j Domain j5: jQuality jand
jSafetyjNLN jCompetencies: j Quality j& jSafety
2
