Test Bank Complete_
Clinical Nursing Skills And Techniques 11th Edition, (2024)
By Anne G. Perry, Patricia A. Potter, Wendy R. Ostendorf, Nancy Laplante
All Chapters 1-42| 15 Units| Latest Edition With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.Stuvia
,UNIT 1: SUPPORTING THE PATIENT THROUGH THE HEALTH CARE SYSTEM -------------------------- 4
Chapter 01: Clinical Judgment in Nursing Practice ------------------------------------------------------------------4
Chapter 02: Communication And Collaboration ------------------------------------------------------------------- 23
Chapter 03: Admitting, Transfer, And Discharge ------------------------------------------------------------------- 39
Chapter 04: Documentation And Informatics ----------------------------------------------------------------------- 57
UNIT 2: VITAL SIGNS AND PHYSICAL ASSESSMENT -------------------------------------------------------- 71
Chapter 05: Vital Signs ---------------------------------------------------------------------------------------------------- 71
Chapter 06: Health Assessment -------------------------------------------------------------------------------------- 100
UNIT 3: SPECIAL PROCEDURES -------------------------------------------------------------------------------- 128
Chapter 07: Specimen Collection ------------------------------------------------------------------------------------- 128
Chapter 08: Diagnostic Procedures ---------------------------------------------------------------------------------- 158
UNIT 4: INFECTION CONTROL --------------------------------------------------------------------------------- 177
Chapter 09: Medical Asepsis ------------------------------------------------------------------------------------------ 177
Chapter 10: Sterile Technique ---------------------------------------------------------------------------------------- 196
UNIT 5: ACTIVITY AND MOBILITY ---------------------------------------------------------------------------- 206
Chapter 11: Safe Patient Handling And Mobility (SPHM) ------------------------------------------------------ 206
Chapter 12: Exercise, Mobility, and Immobilization Devices ------------------------------------------------- 228
Chapter 13: Support Surfaces And Special Beds ----------------------------------------------------------------- 248
UNIT 6: SAFETY AND COMFORT ------------------------------------------------------------------------------ 263
Chapter 14: Patient Safety --------------------------------------------------------------------------------------------- 263
Chapter 15: Disaster Preparedness ---------------------------------------------------------------------------------- 282
Chapter 16: Pain Management --------------------------------------------------------------------------------------- 298
Chapter 17: End-Of-Life Care ------------------------------------------------------------------------------------------ 321
UNIT 7: HYGIENE ------------------------------------------------------------------------------------------------- 339
Chapter 18: Personal Hygiene And Bed Making ------------------------------------------------------------------ 339
Chapter 19: Care Of The eye And Ear ------------------------------------------------------------------------------- 365
UNIT 8: MEDICATIONS ------------------------------------------------------------------------------------------ 378
Chapter 20: Safe Medication Preparation ------------------------------------------------------------------------- 378
Chapter 21: Non parenteral Medications -------------------------------------------------------------------------- 406
Chapter 22: Parenteral Medications -------------------------------------------------------------------------------- 433
UNIT 9: OXYGENATION ----------------------------------------------------------------------------------------- 458
, Chapter 23: Oxygen Therapy ------------------------------------------------------------------------------------------ 458
Chapter 24: Airway Management ------------------------------------------------------------------------------------ 474
Chapter 25: Cardiac Care ----------------------------------------------------------------------------------------------- 497
Chapter 26: Closed Chest Drainage Systems ---------------------------------------------------------------------- 519
Chapter 27: Emergency Measures For Life Support ------------------------------------------------------------- 540
UNIT 10: FLUID BALANCE--------------------------------------------------------------------------------------- 560
Chapter 28: Intravenous And Vascular Access Therapy -------------------------------------------------------- 560
Chapter 29: Blood Therapy -------------------------------------------------------------------------------------------- 589
UNIT 11: NUTRITION -------------------------------------------------------------------------------------------- 607
Chapter 30: Oral Nutrition --------------------------------------------------------------------------------------------- 607
Chapter 31: Enteral Nutrition ----------------------------------------------------------------------------------------- 619
Chapter 32: Parenteral Nutrition ------------------------------------------------------------------------------------- 633
UNIT 12: ELIMINATION ----------------------------------------------------------------------------------------- 642
Chapter 33: Urinary Elimination -------------------------------------------------------------------------------------- 642
Chapter 34: Bowel Elimination And Gastric Intubation -------------------------------------------------------- 655
Chapter 35: Ostomy Care ---------------------------------------------------------------------------------------------- 670
UNIT 13: CARE OF THE SURGICAL PATIENT ---------------------------------------------------------------- 680
Chapter 36: Preoperative And Postoperative Care -------------------------------------------------------------- 680
Chapter 37: Intraoperative Care-------------------------------------------------------------------------------------- 692
UNIT 14: DRESSINGS AND WOUND CARE ------------------------------------------------------------------ 703
Chapter 38: Wound Care And Irrigations -------------------------------------------------------------------------- 703
Chapter 39: Pressure Injury Prevention and Care --------------------------------------------------------------- 719
Chapter 40: Dressings, Bandages, And Binders ------------------------------------------------------------------- 732
UNIT 15: HOME CARE ------------------------------------------------------------------------------------------- 747
Chapter 41: Home Care Safety ---------------------------------------------------------------------------------------- 747
Chapter 42: Home Care Teaching ------------------------------------------------------------------------------------ 759
,UNIT 1: SUPPORTING THE PATIENT THROUGH THE HEALTH CARE SYSTEM
Chapter 01: Clinical Judgment in Nursing Practice
Anne G. Perry: Clinical Nursing Skills and Techniques 11th Edition, (2024) Test Bank
MULTIPLE CHOICE
1. The Nurse Educator On A Med-Surg Unit Is Preparing To Orient A New Group Of
First-Year Nursing Students. The Nurse Decides To Discuss Using The Clinical
Judgment Model In Nursing Practice. What Key Point Should The Nurse Present To The
Students?
A. It Focuses Only On Following Physician Orders
B. It Is A Step-By-Step Guide To Documenting Patient Care
C. It Is A Process That Uses Nursing Knowledge, Experience, And Critical Thinking
Skills
D. It Replaces The Nursing Process Entirely
E. It Depends Primarily On Hospital Policies And Procedures
ANS: C.
The Clinical Judgment Model Emphasizes The Use Of Nursing Knowledge, Experience,
And Critical Thinking To Make Informed Decisions About Patient Care. Unlike
Following Rigid Protocols, It Involves Interpreting Data, Prioritizing Care, And
Responding To Patient Needs. This Model Enhances Individualized, Evidence-Based
Nursing Practice And Complements, Rather Than Replaces, The Nursing Process.
DIF: Cognitive level: Comprehension OBJ: Discuss The Benefits Of Evidence-
Based Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step:
Assessment MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
2. Michael Is A Nurse Practitioner Who Has Recently Started Coursework In A Doctor
Of Nursing Practice (DNP) Program. He Knows That He Will Be Doing A Scholarly
Project That Addresses Improvement In Clinical Practice. In Order To Prepare For This,
,He Takes A Course In Evidence-Based Practice (EBP). As He Considers His Project,
Michael Uses The PICOT Format When Developing His Clinical Question. With This
Format, He Would:
A. Use A Method To Track Patient Errors And Adverse Events
B. Review Literature To Find Non-Clinical Theories To Support Decisions
C. Think About A Patient Care Problem Or Area Of Interest That Is Time-Consuming,
Costly, Or Not Logical
D. Create A Financial Plan To Justify Healthcare Spending
E. Formulate A Question Using Population, Intervention, Comparison, Outcome, And
Time
ANS: E.
The PICOT Format Is A Structured Approach For Developing Clinical Questions In
Evidence-Based Practice. It Stands For Population, Intervention, Comparison, Outcome,
And Time. This Format Guides Clinicians In Narrowing Down Broad Clinical Questions
Into Searchable, Answerable Queries That Can Lead To High-Quality Research And
Improved Patient Outcomes. While Identifying A Time-Consuming Or Costly Issue May
Spark Interest, The Correct Definition Of PICOT Is Choice E.
DIF: Cognitive level: Application OBJ: Discuss The Benefits Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
3. As Part Of The Annual Practice Evaluation, Nurses Present A Portfolio Giving
Examples Of Clinical Decisions That Were Made When Managing The Care Of
Assigned Patients And What Was Learned From The Situation. How Would This
Evaluative Process Be Described?
A. A Performance Review By A Supervisor
B. Peer-To-Peer Assessment
C. Reflection Of What Was Learned From Experience
D. Routine Quality Assurance Documentation
E. Credentialing By The State Board Of Nursing
,ANS: C.
Reflection Is A Critical Part Of Professional Development And Involves Analyzing
One’s Clinical Decisions And Their Outcomes To Enhance Future Practice. Creating A
Portfolio With Examples Of Decision-Making Fosters Deeper Learning, Self-
Assessment, And Continuous Improvement. This Goes Beyond Performance Evaluation
And Is Essential In Building Clinical Judgment And Expertise.
DIF: Cognitive level: Knowledge OBJ: Develop A PICO Question. TOP: PICO KEY:
Nursing Process Step: Implementation MSC: NCLEX: Safe And Effective Care
Environment (Management Of Care)
4. Critical Thinking Helps The Nurse Focus On The Important Issues In Any Clinical
Situation And Make Decisions That Produce Desired Patient Outcomes. One Component
Of Critical Thinking Is Attitude. Attitude Is Described As:
A. The Ability To Memorize And Recall Clinical Data
B. Emotional Detachment From Patients For Objective Thinking
C. Guidelines For How To Approach A Problem And Make The Correct Decision
D. A Checklist Of Nursing Tasks
E. A Fixed Mindset That Ensures Consistent Outcomes
ANS: C.
Critical Thinking Attitudes Are Mental Habits That Shape A Nurse's Approach To
Clinical Situations. These Include Traits Like Curiosity, Responsibility, Perseverance,
And Confidence, All Of Which Help Guide Sound Decision-Making. Attitude Influences
How A Nurse Perceives And Responds To Problems, Making It A Vital Part Of Safe And
Effective Care.
DIF: Cognitive level: Analysis OBJ: Describe The Six Steps Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
, 5. During The Admission Assessment Of An 80-Year-Old Female, The Nurse Notes That
The Patient Is Confused, Afebrile, And Hypotensive. The Nurse Knows That In Order To
Make An Accurate Nursing Diagnosis, More Data Needs To Be Gathered And Analyzed.
This Action By The Nurse Is Classified As:
A. Intuition
B. Diagnostic Reasoning
C. Protocol-Based Decision Making
D. Trial-And-Error
E. Delegation
ANS: B.
Diagnostic Reasoning Involves The Process Of Collecting And Analyzing Patient
Information To Identify Nursing Diagnoses. In This Scenario, The Nurse Does Not Jump
To Conclusions But Instead Recognizes The Need For More Information To Make An
Informed Judgment. This Process Reflects Clinical Judgment And Critical Thinking At
Its Core, Helping Ensure Accurate And Individualized Care Planning.
DIF: Cognitive level: Synthesis OBJ: Describe The Six Steps Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
6. The Nurse Is Caring For A 35-Year-Old Firefighter Admitted With 3rd-Degree Burns
Over 30% Of His Body. What Process Would The Nurse Use To Take Action On The
Priority Problem And Plan The Management Of Care?
A. Time Management
B. Clinical Decision Making
C. Protocol Enforcement
D. Medication Reconciliation
E. Documentation Auditing
ANS: B.
Clinical Nursing Skills And Techniques 11th Edition, (2024)
By Anne G. Perry, Patricia A. Potter, Wendy R. Ostendorf, Nancy Laplante
All Chapters 1-42| 15 Units| Latest Edition With Well Detailed Answers| Grade A+
From: [Bestmaxsolutions.Stuvia
,UNIT 1: SUPPORTING THE PATIENT THROUGH THE HEALTH CARE SYSTEM -------------------------- 4
Chapter 01: Clinical Judgment in Nursing Practice ------------------------------------------------------------------4
Chapter 02: Communication And Collaboration ------------------------------------------------------------------- 23
Chapter 03: Admitting, Transfer, And Discharge ------------------------------------------------------------------- 39
Chapter 04: Documentation And Informatics ----------------------------------------------------------------------- 57
UNIT 2: VITAL SIGNS AND PHYSICAL ASSESSMENT -------------------------------------------------------- 71
Chapter 05: Vital Signs ---------------------------------------------------------------------------------------------------- 71
Chapter 06: Health Assessment -------------------------------------------------------------------------------------- 100
UNIT 3: SPECIAL PROCEDURES -------------------------------------------------------------------------------- 128
Chapter 07: Specimen Collection ------------------------------------------------------------------------------------- 128
Chapter 08: Diagnostic Procedures ---------------------------------------------------------------------------------- 158
UNIT 4: INFECTION CONTROL --------------------------------------------------------------------------------- 177
Chapter 09: Medical Asepsis ------------------------------------------------------------------------------------------ 177
Chapter 10: Sterile Technique ---------------------------------------------------------------------------------------- 196
UNIT 5: ACTIVITY AND MOBILITY ---------------------------------------------------------------------------- 206
Chapter 11: Safe Patient Handling And Mobility (SPHM) ------------------------------------------------------ 206
Chapter 12: Exercise, Mobility, and Immobilization Devices ------------------------------------------------- 228
Chapter 13: Support Surfaces And Special Beds ----------------------------------------------------------------- 248
UNIT 6: SAFETY AND COMFORT ------------------------------------------------------------------------------ 263
Chapter 14: Patient Safety --------------------------------------------------------------------------------------------- 263
Chapter 15: Disaster Preparedness ---------------------------------------------------------------------------------- 282
Chapter 16: Pain Management --------------------------------------------------------------------------------------- 298
Chapter 17: End-Of-Life Care ------------------------------------------------------------------------------------------ 321
UNIT 7: HYGIENE ------------------------------------------------------------------------------------------------- 339
Chapter 18: Personal Hygiene And Bed Making ------------------------------------------------------------------ 339
Chapter 19: Care Of The eye And Ear ------------------------------------------------------------------------------- 365
UNIT 8: MEDICATIONS ------------------------------------------------------------------------------------------ 378
Chapter 20: Safe Medication Preparation ------------------------------------------------------------------------- 378
Chapter 21: Non parenteral Medications -------------------------------------------------------------------------- 406
Chapter 22: Parenteral Medications -------------------------------------------------------------------------------- 433
UNIT 9: OXYGENATION ----------------------------------------------------------------------------------------- 458
, Chapter 23: Oxygen Therapy ------------------------------------------------------------------------------------------ 458
Chapter 24: Airway Management ------------------------------------------------------------------------------------ 474
Chapter 25: Cardiac Care ----------------------------------------------------------------------------------------------- 497
Chapter 26: Closed Chest Drainage Systems ---------------------------------------------------------------------- 519
Chapter 27: Emergency Measures For Life Support ------------------------------------------------------------- 540
UNIT 10: FLUID BALANCE--------------------------------------------------------------------------------------- 560
Chapter 28: Intravenous And Vascular Access Therapy -------------------------------------------------------- 560
Chapter 29: Blood Therapy -------------------------------------------------------------------------------------------- 589
UNIT 11: NUTRITION -------------------------------------------------------------------------------------------- 607
Chapter 30: Oral Nutrition --------------------------------------------------------------------------------------------- 607
Chapter 31: Enteral Nutrition ----------------------------------------------------------------------------------------- 619
Chapter 32: Parenteral Nutrition ------------------------------------------------------------------------------------- 633
UNIT 12: ELIMINATION ----------------------------------------------------------------------------------------- 642
Chapter 33: Urinary Elimination -------------------------------------------------------------------------------------- 642
Chapter 34: Bowel Elimination And Gastric Intubation -------------------------------------------------------- 655
Chapter 35: Ostomy Care ---------------------------------------------------------------------------------------------- 670
UNIT 13: CARE OF THE SURGICAL PATIENT ---------------------------------------------------------------- 680
Chapter 36: Preoperative And Postoperative Care -------------------------------------------------------------- 680
Chapter 37: Intraoperative Care-------------------------------------------------------------------------------------- 692
UNIT 14: DRESSINGS AND WOUND CARE ------------------------------------------------------------------ 703
Chapter 38: Wound Care And Irrigations -------------------------------------------------------------------------- 703
Chapter 39: Pressure Injury Prevention and Care --------------------------------------------------------------- 719
Chapter 40: Dressings, Bandages, And Binders ------------------------------------------------------------------- 732
UNIT 15: HOME CARE ------------------------------------------------------------------------------------------- 747
Chapter 41: Home Care Safety ---------------------------------------------------------------------------------------- 747
Chapter 42: Home Care Teaching ------------------------------------------------------------------------------------ 759
,UNIT 1: SUPPORTING THE PATIENT THROUGH THE HEALTH CARE SYSTEM
Chapter 01: Clinical Judgment in Nursing Practice
Anne G. Perry: Clinical Nursing Skills and Techniques 11th Edition, (2024) Test Bank
MULTIPLE CHOICE
1. The Nurse Educator On A Med-Surg Unit Is Preparing To Orient A New Group Of
First-Year Nursing Students. The Nurse Decides To Discuss Using The Clinical
Judgment Model In Nursing Practice. What Key Point Should The Nurse Present To The
Students?
A. It Focuses Only On Following Physician Orders
B. It Is A Step-By-Step Guide To Documenting Patient Care
C. It Is A Process That Uses Nursing Knowledge, Experience, And Critical Thinking
Skills
D. It Replaces The Nursing Process Entirely
E. It Depends Primarily On Hospital Policies And Procedures
ANS: C.
The Clinical Judgment Model Emphasizes The Use Of Nursing Knowledge, Experience,
And Critical Thinking To Make Informed Decisions About Patient Care. Unlike
Following Rigid Protocols, It Involves Interpreting Data, Prioritizing Care, And
Responding To Patient Needs. This Model Enhances Individualized, Evidence-Based
Nursing Practice And Complements, Rather Than Replaces, The Nursing Process.
DIF: Cognitive level: Comprehension OBJ: Discuss The Benefits Of Evidence-
Based Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step:
Assessment MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
2. Michael Is A Nurse Practitioner Who Has Recently Started Coursework In A Doctor
Of Nursing Practice (DNP) Program. He Knows That He Will Be Doing A Scholarly
Project That Addresses Improvement In Clinical Practice. In Order To Prepare For This,
,He Takes A Course In Evidence-Based Practice (EBP). As He Considers His Project,
Michael Uses The PICOT Format When Developing His Clinical Question. With This
Format, He Would:
A. Use A Method To Track Patient Errors And Adverse Events
B. Review Literature To Find Non-Clinical Theories To Support Decisions
C. Think About A Patient Care Problem Or Area Of Interest That Is Time-Consuming,
Costly, Or Not Logical
D. Create A Financial Plan To Justify Healthcare Spending
E. Formulate A Question Using Population, Intervention, Comparison, Outcome, And
Time
ANS: E.
The PICOT Format Is A Structured Approach For Developing Clinical Questions In
Evidence-Based Practice. It Stands For Population, Intervention, Comparison, Outcome,
And Time. This Format Guides Clinicians In Narrowing Down Broad Clinical Questions
Into Searchable, Answerable Queries That Can Lead To High-Quality Research And
Improved Patient Outcomes. While Identifying A Time-Consuming Or Costly Issue May
Spark Interest, The Correct Definition Of PICOT Is Choice E.
DIF: Cognitive level: Application OBJ: Discuss The Benefits Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
3. As Part Of The Annual Practice Evaluation, Nurses Present A Portfolio Giving
Examples Of Clinical Decisions That Were Made When Managing The Care Of
Assigned Patients And What Was Learned From The Situation. How Would This
Evaluative Process Be Described?
A. A Performance Review By A Supervisor
B. Peer-To-Peer Assessment
C. Reflection Of What Was Learned From Experience
D. Routine Quality Assurance Documentation
E. Credentialing By The State Board Of Nursing
,ANS: C.
Reflection Is A Critical Part Of Professional Development And Involves Analyzing
One’s Clinical Decisions And Their Outcomes To Enhance Future Practice. Creating A
Portfolio With Examples Of Decision-Making Fosters Deeper Learning, Self-
Assessment, And Continuous Improvement. This Goes Beyond Performance Evaluation
And Is Essential In Building Clinical Judgment And Expertise.
DIF: Cognitive level: Knowledge OBJ: Develop A PICO Question. TOP: PICO KEY:
Nursing Process Step: Implementation MSC: NCLEX: Safe And Effective Care
Environment (Management Of Care)
4. Critical Thinking Helps The Nurse Focus On The Important Issues In Any Clinical
Situation And Make Decisions That Produce Desired Patient Outcomes. One Component
Of Critical Thinking Is Attitude. Attitude Is Described As:
A. The Ability To Memorize And Recall Clinical Data
B. Emotional Detachment From Patients For Objective Thinking
C. Guidelines For How To Approach A Problem And Make The Correct Decision
D. A Checklist Of Nursing Tasks
E. A Fixed Mindset That Ensures Consistent Outcomes
ANS: C.
Critical Thinking Attitudes Are Mental Habits That Shape A Nurse's Approach To
Clinical Situations. These Include Traits Like Curiosity, Responsibility, Perseverance,
And Confidence, All Of Which Help Guide Sound Decision-Making. Attitude Influences
How A Nurse Perceives And Responds To Problems, Making It A Vital Part Of Safe And
Effective Care.
DIF: Cognitive level: Analysis OBJ: Describe The Six Steps Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
, 5. During The Admission Assessment Of An 80-Year-Old Female, The Nurse Notes That
The Patient Is Confused, Afebrile, And Hypotensive. The Nurse Knows That In Order To
Make An Accurate Nursing Diagnosis, More Data Needs To Be Gathered And Analyzed.
This Action By The Nurse Is Classified As:
A. Intuition
B. Diagnostic Reasoning
C. Protocol-Based Decision Making
D. Trial-And-Error
E. Delegation
ANS: B.
Diagnostic Reasoning Involves The Process Of Collecting And Analyzing Patient
Information To Identify Nursing Diagnoses. In This Scenario, The Nurse Does Not Jump
To Conclusions But Instead Recognizes The Need For More Information To Make An
Informed Judgment. This Process Reflects Clinical Judgment And Critical Thinking At
Its Core, Helping Ensure Accurate And Individualized Care Planning.
DIF: Cognitive level: Synthesis OBJ: Describe The Six Steps Of Evidence-Based
Practice. TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe And Effective Care Environment (Management Of Care)
6. The Nurse Is Caring For A 35-Year-Old Firefighter Admitted With 3rd-Degree Burns
Over 30% Of His Body. What Process Would The Nurse Use To Take Action On The
Priority Problem And Plan The Management Of Care?
A. Time Management
B. Clinical Decision Making
C. Protocol Enforcement
D. Medication Reconciliation
E. Documentation Auditing
ANS: B.
