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:
m m m m m




A Concept-Based Approach
m m m




4th Edition Volume III
m m m




by Pearson Education Chapters 1 - 16
m m m m m m

,TestmBankmformClinicalmNursingmSkills:mAmConcept-
BasedmApproachm4thmEditionmPearsonm

,ClinicalmNursingmSkills:mAmConcept-
BasedmApproach,m4em(Pearson)mEducationmTestmBankmChapterm1:mAssessment

1) Amclientmonmthemmedical/surgicalmunitmcomplainsmofmsuddenmchestmpains.mWhichmactionmwillm
themnursemimplementmfirst?
A) Callmthemhealthcaremprovider.
B) Administermpainmmedication.
C) Reassessmamnewmsetmofmvitalmsigns.
D) Turnmclientmfrommsupinemtomlatera
l.mANSWER:m C
Explanation:mA)mThemnursemwillmneedmtomreassessmthemclientmfirst,mbeforemcallingmthemhealthca
remprovider.
B) Themnursemwillmneedmtomreassessmthemclientmfirst,mbeforemadministeringmpainmmedication.
C) Themnursemneedsmtomimplementmamnewmsetmofmvitalmsignsmfirstmwhenmtheremismamchang
eminmcondition.
D) Themnursemwillmneedmtomreassessmthemclientmfirst,mbeforemmovingmthemclient,mtomavoidmmakingm
themchangeminmclient'smconditionmworse.
PagemRef:m2
CognitivemLevel:m Applying
ClientmNeed/Sub:m PhysiologicalmIntegrity:mReductionmofmRiskmPotential
Standards:mNursingmProcess:mAssessmentm|mLearningmOutcome:m1.1m|mQSENmCompetencies
:mPatient-CenteredmCare
AACNmDomainsmandmComps.:mDomainm2:mPerson-
CenteredmCaremNLNmCompetencies:m RelationshipmCenteredmCare

2) ThemnursemismobservingmthemUAPmtakingmthemtemperaturemofmanmunconsciousmclient.mWhichmro
utemwillmthemnursemquestionmthemUAPmusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
ANSWER:m
m

A
Explanation:mA)mThemtemperaturemofmanmunconsciousmclientmismnevermtakenmbymmouth.mThemrecta
l,mtympanic,mormscannermmethodmismpreferred.
B) Themrectal,mtympanic,mormscannermmethodmismpreferred.
C) Themrectal,mtympanic,mormscannermmethodmismpreferred.
D) Themrectal,mtympanic,mormscannermmethodmismpreferre
d.mPagemRef:m24
CognitivemLevel:m Applying
ClientmNeed/Sub:mmm SafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControlmStanda
rds:m NursingmProcess:mEvaluationm|mLearningmOutcome:m1.1m|mQSENmCompetencies:mSafetymAAC
NmDomainsmandmComps.:m Domainm5:mQualitymandmSafety
NLNmCompetencies:m Qualitym&mSafety




1

, 3) Themnursemismchangingmam2-month-
oldmclient'smdiapermandmnotesmthemclientmfeelsmwarmmtomtouch.mWhichmmethodmshouldmthemnursem
usemtomcheckmthembaby'smtemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicmmembran
emANSWER:m C
Explanation:m A)mOralmismusedmformagem3mormolder.
B) Themrectalmroutemismthemleastmdesirable.
C) Themaxillarymroutemmaymnotmbemasmaccuratemasmothermroutesmformdetectingmfeversminmchildren.
D) Themtympanicmmembranemmaymbemusedmform3mmonthsmormold
er.mPagemRef:m29
CognitivemLevel:m Applying
ClientmNeed/Sub:m PhysiologicalmIntegrity:mReductionmofmRiskmPotential
Standards:m NursingmProcess:mEvaluatingm|mLearningmOutcome:m1.2m|mQSENmCompetencies:mSafet
ymAACNmDomainsmandmComps.:m Domainm5:mQualitymandmSafety
NLNmCompetencies:m Qualitym&mSafety

4) Amclientmcomesminmwithmexacerbationmofmchronicmobstructivempulmonarymdiseasem(COPD).mWhi
chmnoninvasivemdiagnosticmtestmwillmthemnursemimplementmtomknowmthatmthemclientmismreceivingmeno
ughmoxygen?
A) Chestmx-ray
B) Pulsemoximeter
C) Arterialmbloodmgasses
D) Assessmentmofmrespiratorymrat
emANSWER:m B
Explanation:m A)mAmchestmx-raymismnotmanminterventionmamnursemcompletes.
B) Ampulsemoximetermprovidesmamnoninvasivemmethodmofmmeasuringmoxygenation,mormoxygenm
saturation,minmthembloodmandmprovidesmampulsemreading,mwhichmismespeciallymhelpfulmformthemcli
entmwithmamrespiratorymillnessmormdisease.
C) Arterialmbloodmgasesmaremanminvasivemdiagnosticmtest.
D) Assessingmamrespiratorymratemismimportantmformthemnursemtomimplement;mhowever,mitmismn
otmamdiagnosticmtest.
PagemRef:m21
CognitivemLevel:m Applying
ClientmNeed/Sub:m PhysiologicalmIntegrity:mReductionmofmRiskmPotential
Standards:mNursingmProcess:mImplementationm|mLearningmOutcome:m1.3m|mQSENmCompetencies:mI
nformatics
AACNmDomainsmandmComps.:m Domainm5:mQualitymandmSafetymN
LNmCompetencies:m Qualitym&mSafety




2