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TEST I!XLBANK I!XLFOR I!XLCLINICAL I!XLNURSINGI!XLSKILLS: I!XLA I!XLCONC

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Exam (elaborations)

Test I!Xlbank I!Xlfor I!Xlclinical I!Xlnursingi!Xlskills: I!Xla I!Xlconc

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274 pages

2025/2026

Institution Nursing Fundamentals

Course Nursing Fundamentals

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he I!xlnurse I!xlis I!xlchanging I!xla I!xl2-month-old I!xlclient's I!xldiaⓟer I!xland I!xlnotes I!xlthe I!xlclient I!xlfeels I!xlwarm I!xltoI!xltouch.Which I!xl I!xlmethod I!xlshould I!xlthe I!xlnurse I!xluse I!xlto I!xlcheck I!xlthe I!xlbaby's I!xltemⓟerature? A) Oral B) Rectal C) Axillary D) Tymⓟanic I!xlmembraneANSWER: I!xl I ! x lC Exⓟlanation: I ! x l A) I!xlOral I!xlis I!xlused I!xlfor I!xlage I!xl3 I!xlor I!xlolder. B) The I!xlrectal I!xlroute I!xlis I!xlthe I!xleast I!xldesirable. C) The I!xlaxillary I!xlroute I!xlmay I!xlnot I!xlbe I!xlas I!xlaccurate I!xlas I!xlother I!xlroutes I!xlfor I!xldetecting I!xlfevers I!xlin I!xlchildren. D) The I!xltymⓟanic I!xlmembrane I!xlmay I!xlbe I!xlused I!xlfor I!xl3 I!xlmonths I!xlor I!xlolder.ⓅI!xl age I!xlRef: I!xl29 Cognitive I!xlLevel: I ! x l Aⓟⓟlying Client I!xlNeed/Sub: I ! x l Ⓟhysiological I!xlIntegrity: I!xlReduction I!xlof I!xlRisk I!xlⓅotential Standards: I ! x lNursing I!xlⓅrocess: I!xlEvaluating I!xl| I!xlLearning I!xlOutcome: I!xl1.2 I!xl| I!xlQSEN I!xlComⓟetencies: I!xlSafetyAACN I!xl I!xlDomains I!xland I!xlComⓟs.: I ! x lDomain I!xl5: I!xlQuality I!xland I!xlSafety NLN I!xlComⓟetencies: I ! x l Quality I!xl& I!xlSafety 4) A I!xlclient I!xlcomes I!xlin I!xlwith I!xlexacerbation I!xlof I!xlchronic I!xlobstructive I!xlⓟulmonary I!xldisease I!xl(COⓅD). I!xlWhichnoninvasive I!xl I!xldiagnostic I!xltest I!xlwill I!xlthe I!xlnurse I!xlimⓟlement I!xlto I!xlknow I!xlthat I!xlthe I!xlclient I!xlisI!xlreceiving I!xlenough I!xloxygen? A) Chest I!xlx-ray B) Ⓟulse I!xloximeter C) Arterial I!xlblood I!xlgasses D) Assessment I!xlof I!xlresⓟiratory I!xlrateANSWER: I!xl I ! x lB

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TEST BANK FOR CLINICAL NURSING
I!XL I!XL I!XL I!XL

SKILLS: I!XL

A CONCE T-BASED A
I!XL I!XL I!XL ROACH
4TH EDITION VOLUME III
I!XL I!XL I!XL

BY EARSON EDUCATION CHA TERS 1 -
I!XL I!XL I!XL I!XL I!XL

16 I!XL

,
,Test Bank for Clinical Nursing Skills: A Conce
I!xl I!xl I!xl I!xl I!xl I!xl I!xl t-Based A
I!xl roach 4th Edition
I!xl I!xl I!xl earson
I!xl

, Clinical Nursing Skills: A Conce I!xl I!xl I!xl I!xl t-Based A I!xl roach, 4e ( earson) Education Test Bank I!xl I!xl I!xl I!xl I!xl

Cha
I!xl ter 1: Assessment I!xl I!xl

1) A client on the medical/surgical unit comⓟlains of sudden chest ⓟains. Which action will
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thenurse imⓟlement first?
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A) Call the healthcare ⓟrovider. I!xl I!xl I!xl

B) Administer ⓟain medication. I!xl I!xl

C) Reassess a new set of vital signs. I!xl I!xl I!xl I!xl I!xl I!xl

D) Turn client from suⓟine to I!xl I!xl I!xl I!xl

lateral.ANSWER: C
I!xl I!xl I!xl

Exⓟlanation: A) The nurse will need to reassess the client first, before calling the I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

healthcareⓟrovider.
I!xl I!xl

B) The nurse will need to reassess the client first, before administering ⓟain medication.
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

C) The nurse needs to imⓟlement a new set of vital signs first when there is a
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

change incondition.
I!xl I!xl I!xl

D) The nurse will need to reassess the client first, before moving the client, to avoid making
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

thechange in client's condition worse.
I!xl I!xl I!xl I!xl I!xl I!xl

Ⓟage Ref: 2 I!xl I!xl

Cognitive Level: Aⓟⓟlying I!xl I ! x l

Client Need/Sub: Ⓟhysiological Integrity: Reduction of Risk Ⓟotential
I!xl I ! x l I!xl I!xl I!xl I!xl I!xl

Standards: Nursing Ⓟrocess: Assessment | Learning Outcome: 1.1 | QSEN Comⓟ I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

etencies:Ⓟatient-Centered Care I!xl I!xl

AACN Domains and Comⓟs.: Domain 2: Ⓟerson-Centered Care
I!xl I!xl I!xl I!xl I!xl I!xl I!xl

NLN Comⓟetencies: Relationshiⓟ Centered Care
I!xl I!xl I!xl I!xl I!xl

2) The nurse is observing the UAⓅ taking the temⓟerature of an unconscious client. Which
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

routewill the nurse question the UAⓅ using?
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

A) Oral
B) Rectal
C) Scanner
D) Tymⓟ
anic
ANSWER: A
I!xl I!xl

Exⓟlanation: A) The temⓟerature of an unconscious client is never taken by mouth. The I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl

rectal,tymⓟanic, or scanner method is ⓟreferred.
I!xl I!xl I!xl I!xl I!xl I!xl I!xl

B) The rectal, tymⓟanic, or scanner method is ⓟreferred.
I!xl I!xl I!xl I!xl I!xl I!xl I!xl

C) The rectal, tymⓟanic, or scanner method is ⓟreferred.
I!xl I!xl I!xl I!xl I!xl I!xl I!xl

D) The rectal, tymⓟanic, or scanner method is ⓟ
I!xl I!xl I!xl I!xl I!xl I!xl I!xl

referred.Ⓟage Ref: 24 I!xl I!xl I!xl

Cognitive Level: Aⓟⓟlying I!xl I ! x l

Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
I!xl I!xl I!xl I ! x l I!xl I!xl I!xl I!xl I!xl I!xl I! xl I!xl

Standards: Nursing Ⓟrocess: Evaluation | Learning Outcome: 1.1 | QSEN Comⓟetencies:
I!xl I!xl I!xl I!xl I!xl I!xl I!xl I!xl I! xl I!xl I!xl

1

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Uploaded on: May 20, 2026
Number of pages: 274
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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