Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2023) Chapter 1-16 | All Chapters

Test Bank for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III
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by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th
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Edition Pearson
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,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education
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Test BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains.
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Which action will thenurse implement first?
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A) Call the healthcare provider.
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B) Administer pain medication. wewe wewe


C) Reassess a new set of vital signs. wewe wewe wewe wewe wewe wewe


D) Turn client from supine to
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lateral.ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before
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calling the healthcareprovider.
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B) The nurse will need to reassess the client first, before administering pain
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medication.
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C) The nurse needs to implement a new set of vital signs first when
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there is a change incondition.
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D) The nurse will need to reassess the client first, before moving the client,
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to avoid making thechange in client's condition worse.
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Page Ref: 2 wewe wewe


Cognitive Level: Applying
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Client Need/Sub:wewe Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN
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Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-
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Centered CareNLN Competencies: Relationship Centered
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Care
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2) The nurse is observing the UAP taking the temperature of an unconscious
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client. Which routewill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
ANSWER:
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A
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Explanation: A) The temperature of an unconscious client is never taken by
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mouth. 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
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Cognitive Level: Applying
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Client Need/Sub:wewe Safe and Effective Care Environment: Safety and Infection
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Control Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 |
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QSEN Competencies: SafetyAACN Domains and Comps.: Domain 5: Quality
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and Safety
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NLN Competencies:
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1

, 3) The nurse is changing a 2-month-old client's diaper and notes the client
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feels warm to touch.Which method should the nurse use to check the
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baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic
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C
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Explanation: A) Oral is used for age 3 or older.
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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
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children.
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D) The tympanic membrane may be used for 3
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months or older.Page Ref: 29
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Cognitive Level: Applying wewe w e w e


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


B) Pulse oximeter wewe


C) Arterial blood gasses wewe wewe


D) Assessment of respiratory wewe wewe


rateANSWER: B
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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,
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or oxygen saturation, in the blood and provides a pulse reading, which is
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especially helpful for the clientwith 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;
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however, it is not adiagnostic test.
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Page Ref: 21
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Cognitive Level: Applying wewe w e w e


Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
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Competencies:Informatics
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AACN Domains and Comps.: Domain 5: Quality and
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SafetyNLN Competencies: Quality & Safety
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