TEST BANK FOR Clinical Nursing Skills: A Concept-Based Approach 4th Edition by Pearson Education ISBN: 978-0136909491 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

,Test Bank for Clinical Nursing Skills: A Concept-
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Based Approach 4th Edition Pearsonii
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,Clinical Nursing Skills: A Concept-
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Based Approach, 4e (Pearson) Education Test BankiiChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which ac
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tion will theiinurse implement first?
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A) Call the healthcare provider.
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B) Administer pain medication. c n c n



C) Reassess a new set of vital signs. c n c n c n c n c n c n



D) Turn client from supine to l cn cn cn cn cn



ateral.iiANSWER: C c n



Explanation: A) The nurse will need to reassess the client first, before calling the h
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ealthcareprovider.
B) The nurse will need to reassess the client first, before administering pain medication.
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C) The nurse needs to implement a new set of vital signs first when there
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c nis a change iniicondition.
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D) The nurse will need to reassess the client first, before moving the client, to a
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void making theiichange in client's condition worse.
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Page Ref: 2 c n c n



Cognitive Level: Applying c n



Client Need/Sub: c n



Physiological Integrity: Reduction of Risk Potential c n c n c n cn c n cn



Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QS
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EN Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-
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Centered CareiiNLN Competencies: Relationship Centered Ca
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re

2) The nurse is observing the UAP taking the temperature of an unconscious cl
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ient. Which routeiiwill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
iiANSWER:

A
Explanation: A) The temperature of an unconscious client is never taken by mouth.
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n The rectal,tympanic, or scanner method is preferred.
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B) The rectal, tympanic, or scanner method is preferred.
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C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner method is
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preferred.Page Ref: 24 c n c n



Cognitive Level: Applying c n



Client Need/Sub: c n



Safe and Effective Care Environment: Safety and Infection Control c n c n c n cn c n cn c n c n c



n Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competenci
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es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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1

, 3) The nurse is changing a 2-month-
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old client's diaper and notes the client feels warm to touch.Which method should th
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e nurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra cn



neiiANSWER:
C
Explanation: A) Oral is used for age 3 or older. c n c n c n c n c n c n c n c n



B) The rectal route is the least desirable.
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C) The axillary route may not be as accurate as other routes for detecting fevers in children.
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D) The tympanic membrane may be used for 3 months
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or older.Page Ref: 29
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Cognitive Level: Applying c n



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competenci
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es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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4) A client comes in with exacerbation of chronic obstructive pulmonary disease (CO
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PD). Whichiinoninvasive diagnostic test will the nurse implement to know that the cli
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ent is receiving enough oxygen?
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A) Chest x-ray c n



B) Pulse oximeter c n



C) Arterial blood gasses c n c n



D) Assessment of respiratory cn cn cn



rateiiANSWER: B c n



Explanation: A) A chest x-ray is not an intervention a nurse completes.
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B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxy
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gen saturation, in the blood and provides a pulse reading, which is especially helpful f
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or the clientiiwith a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test.
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D) Assessing a respiratory rate is important for the nurse to implement; howeve
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r, it is not aiidiagnostic test.
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Page Ref: 21 c n c n



Cognitive Level: Applying c n



Client Need/Sub: c n



Physiological Integrity: Reduction of Risk Potential Stan c n c n c n cn c n cn



dards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
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Competencies:Informatics
AACN Domains and Comps.: Domain 5: Quality and Safet
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y NLN Competencies: Quality & Safety
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