Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2023) Chapter 1-16 | All Chapters

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

,TestcxBankcxforcxClinicalcxNursingcxSkills:cxAcxConcept-
BasedcxApproachcx4thcxEditioncxPearsoncx

,ClinicalcxNursingcxSkills:cxAcxConcept-
BasedcxApproach,cx4ecx(Pearson)cxEducationcxTestcxBankC
cx haptercx1:cxAssessment



1) Acxclientcxoncxthecxmedical/surgicalcxunitcxcomplainscxofcxsuddencxchestcxpains.cxWhichcxactioncx
willcxthecnx ursecximplementcxfirst?
A) Callcxthecxhealthcarecxprovider.
B) Administercxpaincxmedication.
C) Reassesscxacxnewcxsetcxofcxvitalcxsigns.
D) Turncxclientcxfromcxsupinecxtocxlater
al.cxANSWER:cx C
Explanation:cxA)cxThecxnursecxwillcxneedcxtocxreassesscxthecxclientcxfirst,cxbeforecxcallingcxthecxhe
althcarecxprovider.
B) Thecxnursecxwillcxneedcxtocxreassesscxthecxclientcxfirst,cxbeforecxadministeringcxpaincxmedication.
C) Thecxnursecxneedscxtocximplementcxacxnewcxsetcxofcxvitalcxsignscxfirstcxwhencxtherecxiscxacx
changecxinccx ondition.
D) Thecxnursecxwillcxneedcxtocxreassesscxthecxclientcxfirst,cxbeforecxmovingcxthecxclient,cxtocxavoidcxma
kingcxtheccx hangecxincxclient'scxconditioncxworse.
PagecxRef:cx2
CognitivecxLevel:c x Applying
ClientcxNeed/Sub:c x PhysiologicalcxIntegrity:cxReductioncxofcxRiskcxPotential
Standards:cxNursingcxProcess:cxAssessmentcx|cxLearningcxOutcome:cx1.1cx|cxQSENcxCompeten
cies:cP
x atient-CenteredcxCare

AACNcxDomainscxandcxComps.:cxDomaincx2:cxPerson-
CenteredcxCarecN x LNcxCompetencies:cx RelationshipcxCenteredcxCar

e

2) ThecxnursecxiscxobservingcxthecxUAPcxtakingcxthecxtemperaturecxofcxancxunconsciouscxclient.cxWhi
chcxroutecw x illcxthecxnursecxquestioncxthecxUAPcxusing?

A) Oral
B) Rectal
C) Scanner
D) Tympaniccx
ANSWER:cx
A
Explanation:cxA)cxThecxtemperaturecxofcxancxunconsciouscxclientcxiscxnevercxtakencxbycxmouth.cxThecx
rectal,ctx ympanic,cxorcxscannercxmethodcxiscxpreferred.
B) Thecxrectal,cxtympanic,cxorcxscannercxmethodcxiscxpreferred.
C) Thecxrectal,cxtympanic,cxorcxscannercxmethodcxiscxpreferred.
D) Thecxrectal,cxtympanic,cxorcxscannercxmethodcxiscxprefer
red.cP
x agecxRef:cx24

CognitivecxLevel:c x Applying
ClientcxNeed/Sub:cxcxc x SafecxandcxEffectivecxCarecxEnvironment:cxSafetycxandcxInfectioncxControlcxS
tandards:cxNursingcxProcess:cxEvaluationcx|cxLearningcxOutcome:cx1.1cx|cxQSENcxCompetencies:cxSa
fetycxAACNcxDomainscxandcxComps.:c x Domaincx5:cxQualitycxandcxSafety
NLNcxCompetencies:c x Qualitycx&cxSafety




1

, 3) Thecxnursecxiscxchangingcxacx2-month-
oldcxclient'scxdiapercxandcxnotescxthecxclientcxfeelscxwarmcxtocxtouch.cW
x hichcxmethodcxshouldcxthecxn

ursecxusecxtocxcheckcxthecxbaby'scxtemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympaniccxmembran
ecA
x NSWER:cx C

Explanation:c x A)cxOralcxiscxusedcxforcxagecx3cxorcxolder.
B) Thecxrectalcxroutecxiscxthecxleastcxdesirable.
C) Thecxaxillarycxroutecxmaycxnotcxbecxascxaccuratecxascxothercxroutescxforcxdetectingcxfeverscxincxchildren.
D) Thecxtympaniccxmembranecxmaycxbecxusedcxforcx3cxmonthscxorcx
older.cP
x agecxRef:cx29

CognitivecxLevel:c x Applying
ClientcxNeed/Sub:c x PhysiologicalcxIntegrity:cxReductioncxofcxRiskcxPotential
Standards:cx NursingcxProcess:cxEvaluatingcx|cxLearningcxOutcome:cx1.2cx|cxQSENcxCompetencies:cx
SafetycxAACNcxDomainscxandcxComps.:c x Domaincx5:cxQualitycxandcxSafety
NLNcxCompetencies:c x Qualitycx&cxSafety

4) Acxclientcxcomescxincxwithcxexacerbationcxofcxchroniccxobstructivecxpulmonarycxdiseasecx(COPD).cx
Whichcnx oninvasivecxdiagnosticcxtestcxwillcxthecxnursecximplementcxtocxknowcxthatcxthecxclientcxiscxrecei
vingcxenoughcxoxygen?
A) Chestcxx-ray
B) Pulsecxoximeter
C) Arterialcxbloodcxgasses
D) Assessmentcxofcxrespiratorycxra
tecxANSWER:cx B
Explanation:c x A)cxAcxchestcxx-raycxiscxnotcxancxinterventioncxacxnursecxcompletes.
B) Acxpulsecxoximetercxprovidescxacxnoninvasivecxmethodcxofcxmeasuringcxoxygenation,cxorcxoxy
gencxsaturation,cxincxthecxbloodcxandcxprovidescxacxpulsecxreading,cxwhichcxiscxespeciallycxhelpfulcxf
orcxthecxclientcw
x ithcxacxrespiratorycxillnesscxorcxdisease.

C) Arterialcxbloodcxgasescxarecxancxinvasivecxdiagnosticcxtest.
D) Assessingcxacxrespiratorycxratecxiscximportantcxforcxthecxnursecxtocximplement;cxhowever,cxitcx
iscxnotcxacxdiagnosticcxtest.
PagecxRef:cx21
CognitivecxLevel:c x Applying
ClientcxNeed/Sub:c x PhysiologicalcxIntegrity:cxReductioncxofcxRiskcxPotential
Standards:cxNursingcxProcess:cxImplementationcx|cxLearningcxOutcome:cx1.3cx|cxQSENcxCompetenci
es:cxInformatics
AACNcxDomainscxandcxComps.:cx Domaincx5:cxQualitycxandcxSafetycx
NLNcxCompetencies:cx Qualitycx&cxSafety




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