TEST BANK
Clinical Nursing Skills: A Concept-Based Approach 4th Edition
By Pearson Education
TU
TO
R
G
U
R
U
, TABLE OF CONTENT
1.Assessment
General Assessment
Vital Signs
Physical Assessment
Physical Assessment for the Newborn
Critical Thinking Options for Unexpected Outcomes
2.Caring Interventions
Bed Care and Activities of Daily Living (ADLs)
Medication Administration Systems
Medication Preparation
Medication Routes
TU
Parenteral Routes
Critical Thinking Options for Unexpected Outcomes
3.Comfort
Acute/Chronic Pain Management
Heat and Cold Application
TO
End-of-Life Care
Critical Thinking Options for Unexpected Outcomes
4.Elimination
Assessment: Collecting Specimens
Bladder Interventions
Bowel Interventions
R
Dialysis
Critical Thinking Options for Unexpected Outcomes
5.Fluids and Electrolytes
G
Fluid Balance Measurement
Intravenous Therapy
Critical Thinking Options for Unexpected Outcomes
U
6.Infection
Medical Asepsis
Personal Protective Equipment (PPE) and Isolation Precautions
R
Critical Thinking Options for Unexpected Outcomes
7.Intracranial Regulation
Critical Thinking Options for Unexpected Outcomes
U
8.Metabolism
General Metabolism
Diabetes Care
Critical Thinking Options for Unexpected Outcomes
9.Mobility
Balance and Strength
Moving and Transferring a Patient
Patient Assistive Devices
Traction and Cast Care
Critical Thinking Options for Unexpected Outcomes
10.Nutrition
,Healthy Eating Habits
Enteral Nutrition Using a Feeding Tube
Parenteral Nutrition Using Intravenous Infusion
Critical Thinking Options for Unexpected Outcomes
11.Oxygenation
Assessment
Interventions
Supplemental Oxygen Therapy
Maintaining a Patent Airway
Maintaining Lung Expansion
Life-threatening Situations
Critical Thinking Options for Unexpected Outcomes
12.Perfusion
TU
Maintaining Blood Volume
Antiembolism Devices
Electrical Conduction in the Heart
Arterial Line
Critical Thinking Options for Unexpected Outcomes
TO
13.Perioperative Care
General Perioperative Care
Using Sterile Technique
Critical Thinking Options for Unexpected Outcomes
14.Reproduction
Antepartum Care
R
Intrapartum Care
Postpartum Care
Newborn Care
G
Critical Thinking Options for Unexpected Outcomes
15.Safety
Patient Safety
U
Environmental Safety
Immobilizers and Restraints
Critical Thinking Options for Unexpected Outcomes
R
16.Tissue Integrity
General Assessment
Dressings and Binders
U
Wound Care
Critical Thinking Options for Unexpected Outcomes
, All Chapters Included⬛⬛⬛
All Answers Included⬛⬛⬛
TEST BANK FOR
Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson)
Chapter 1 Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which is the first action
the nurse will implement?
A) Call the health care provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to lateral.
TU
Answer: 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.
TO
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: 3
Cognitive Level: Applying
Client Need/Sub: Reduction of Risk Potential: System Specific Assessments
Standards: Nursing Process: Implementation | Learning Outcome: 1.1 | QSEN Competencies:
Patient-Centered Care
R
AACN Ess. Comps.: Essential IX: Baccalaureate Generalist Nursing Practice
NLN Competencies: Relationship Centered Care
G
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
U
B) Rectal
C) Scanner
D) Tympanic
Answer: A
R
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.
U
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Remembering
Client Need/Sub: Management of Care: Assignment, Delegation, and Supervision
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: Safety
AACN Ess. Comps.: Essential IX: Baccalaureate Generalist Nursing Practice
NLN Competencies: Quality and Safety
Clinical Nursing Skills: A Concept-Based Approach 4th Edition
By Pearson Education
TU
TO
R
G
U
R
U
, TABLE OF CONTENT
1.Assessment
General Assessment
Vital Signs
Physical Assessment
Physical Assessment for the Newborn
Critical Thinking Options for Unexpected Outcomes
2.Caring Interventions
Bed Care and Activities of Daily Living (ADLs)
Medication Administration Systems
Medication Preparation
Medication Routes
TU
Parenteral Routes
Critical Thinking Options for Unexpected Outcomes
3.Comfort
Acute/Chronic Pain Management
Heat and Cold Application
TO
End-of-Life Care
Critical Thinking Options for Unexpected Outcomes
4.Elimination
Assessment: Collecting Specimens
Bladder Interventions
Bowel Interventions
R
Dialysis
Critical Thinking Options for Unexpected Outcomes
5.Fluids and Electrolytes
G
Fluid Balance Measurement
Intravenous Therapy
Critical Thinking Options for Unexpected Outcomes
U
6.Infection
Medical Asepsis
Personal Protective Equipment (PPE) and Isolation Precautions
R
Critical Thinking Options for Unexpected Outcomes
7.Intracranial Regulation
Critical Thinking Options for Unexpected Outcomes
U
8.Metabolism
General Metabolism
Diabetes Care
Critical Thinking Options for Unexpected Outcomes
9.Mobility
Balance and Strength
Moving and Transferring a Patient
Patient Assistive Devices
Traction and Cast Care
Critical Thinking Options for Unexpected Outcomes
10.Nutrition
,Healthy Eating Habits
Enteral Nutrition Using a Feeding Tube
Parenteral Nutrition Using Intravenous Infusion
Critical Thinking Options for Unexpected Outcomes
11.Oxygenation
Assessment
Interventions
Supplemental Oxygen Therapy
Maintaining a Patent Airway
Maintaining Lung Expansion
Life-threatening Situations
Critical Thinking Options for Unexpected Outcomes
12.Perfusion
TU
Maintaining Blood Volume
Antiembolism Devices
Electrical Conduction in the Heart
Arterial Line
Critical Thinking Options for Unexpected Outcomes
TO
13.Perioperative Care
General Perioperative Care
Using Sterile Technique
Critical Thinking Options for Unexpected Outcomes
14.Reproduction
Antepartum Care
R
Intrapartum Care
Postpartum Care
Newborn Care
G
Critical Thinking Options for Unexpected Outcomes
15.Safety
Patient Safety
U
Environmental Safety
Immobilizers and Restraints
Critical Thinking Options for Unexpected Outcomes
R
16.Tissue Integrity
General Assessment
Dressings and Binders
U
Wound Care
Critical Thinking Options for Unexpected Outcomes
, All Chapters Included⬛⬛⬛
All Answers Included⬛⬛⬛
TEST BANK FOR
Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson)
Chapter 1 Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which is the first action
the nurse will implement?
A) Call the health care provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to lateral.
TU
Answer: 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.
TO
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: 3
Cognitive Level: Applying
Client Need/Sub: Reduction of Risk Potential: System Specific Assessments
Standards: Nursing Process: Implementation | Learning Outcome: 1.1 | QSEN Competencies:
Patient-Centered Care
R
AACN Ess. Comps.: Essential IX: Baccalaureate Generalist Nursing Practice
NLN Competencies: Relationship Centered Care
G
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
U
B) Rectal
C) Scanner
D) Tympanic
Answer: A
R
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.
U
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Remembering
Client Need/Sub: Management of Care: Assignment, Delegation, and Supervision
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: Safety
AACN Ess. Comps.: Essential IX: Baccalaureate Generalist Nursing Practice
NLN Competencies: Quality and Safety