CLINICAL NURSING SKILLS:
A Concept-Based Approach
4th Edition, Pearson Education
TESTBANK
1
,TEST BANK
2
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson Education
Table of Contents
Chapter 1. Assessment
Chapter 2. Caring Interventions
Chapter 3. Comfort
Chapter 4. Elimination
Chapter 5. Fluids and Electrolytes
Chapter 6. Infection
Chapter 7. Intracranial Regulation
Chapter 8. Metabolism
Chapter 9. Mobility
Chapter 10. Nutrition
Chapter 11. Oxygenation
Chapter 12. Perfusion
Chapter 13. Perioperative Care
Chapter 14. Reproduction
Chapter 15. Safety
Chapter 16. Tissue Integrity
3
, Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test Bank Chapter 1:
Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which action will the nurse
implement first?
A) Call the healthcare provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to
lateral.ANS; C
Explanation: A• The nurse will need to reassess the client first, before calling the healthcare provider.
B) The nurse will need to reassess the client first, before administering pain medication.
C) The nurse needs to implement a new set of vital signs first when there is a change in
condition.
D) The nurse will need to reassess the client first, before moving the client, to avoid making the change
in client's condition worse.
Page Ref: 2
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies: Patient-
Centered Care
AACN Domains and Comps.: Domain 2: Person-Centered Care NLN
Competencies: Relationship Centered Care
2) The nurse is observing the UAP taking the temperature of an unconscious client. Which route will the
nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) TympanicA
NS; A
Explanation: A• The temperature of an unconscious client is never taken by mouth. The rectal, tympanic,
or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards: Nursing
1
A Concept-Based Approach
4th Edition, Pearson Education
TESTBANK
1
,TEST BANK
2
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson Education
Table of Contents
Chapter 1. Assessment
Chapter 2. Caring Interventions
Chapter 3. Comfort
Chapter 4. Elimination
Chapter 5. Fluids and Electrolytes
Chapter 6. Infection
Chapter 7. Intracranial Regulation
Chapter 8. Metabolism
Chapter 9. Mobility
Chapter 10. Nutrition
Chapter 11. Oxygenation
Chapter 12. Perfusion
Chapter 13. Perioperative Care
Chapter 14. Reproduction
Chapter 15. Safety
Chapter 16. Tissue Integrity
3
, Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test Bank Chapter 1:
Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which action will the nurse
implement first?
A) Call the healthcare provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to
lateral.ANS; C
Explanation: A• The nurse will need to reassess the client first, before calling the healthcare provider.
B) The nurse will need to reassess the client first, before administering pain medication.
C) The nurse needs to implement a new set of vital signs first when there is a change in
condition.
D) The nurse will need to reassess the client first, before moving the client, to avoid making the change
in client's condition worse.
Page Ref: 2
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies: Patient-
Centered Care
AACN Domains and Comps.: Domain 2: Person-Centered Care NLN
Competencies: Relationship Centered Care
2) The nurse is observing the UAP taking the temperature of an unconscious client. Which route will the
nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) TympanicA
NS; A
Explanation: A• The temperature of an unconscious client is never taken by mouth. The rectal, tympanic,
or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards: Nursing
1