Test Bank for Clinical Nursing Skills A Concept-Based Approach 4th Edition Volume III by Pearson Education Chapters 1 - 16

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 Edition Pearson
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,Clinical Nursing Skills: A Concept- bn bn bn bn




Based Approach, 4e (Pearson)Education Test BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which action will thenurse
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implement first? bn




A) Call the healthcare provider. bn bn bn




B) Administer pain medication. bn bn




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




D) Turn client from supine to lateral.A bn bn bn bn bn bn




NSWER: C b n




Explanation: A) The nurse will need to reassess the client first, before calling the healthcareprovid bn bn bn bn bn bn bn bn bn bn bn bn bn bn n
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er.
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 is a change inconditi
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on.
D) The nurse will need to reassess the client first, before moving the client, to avoid making thechang
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e in client's condition worse.
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Page Ref: 2 bn bn




Cognitive Level: Applying bn b n




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies:Patie
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nt-Centered Care bn




AACN Domains and Comps.: Domain 2: Person- bn bn bn bn bn bn




Centered CareNLN Competencies: Relationship Centered Care bn bn bn b n bn bn




2) The nurse is observing the UAP taking the temperature of an unconscious client. Which routewill t
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he nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic bn




ANSWER: b n




A
Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal,tympan bn bn bn bn bn bn bn bn bn bn bn bn bn bn n
b




ic, 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 preferred.Pa
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ge Ref: 24
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Cognitive Level: Applying bn b n




Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards: Nu
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rsing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyAACN Domains an
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d Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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1

, 3) The nurse is changing a 2-month- bn bn bn bn bn




old client's diaper and notes the client feels warm to touch.Which method should the nurse use to chec
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k the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membrane bn bn




ANSWER: C b n




Explanation: A) Oral is used for age 3 or older. b n bn bn bn bn bn bn bn bn




B) The rectal route is the least desirable. bn bn bn bn bn bn




C) The axillaryroute may not be as accurate as other routes for detecting fevers in children.
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D) The tympanic membrane maybe used for 3 months or older.Pag
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b




e Ref: 29
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Cognitive Level: Applying bn b n




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies: SafetyAAC
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b




N 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 pulmonarydisease (COPD). Whichnoni
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nvasive diagnostic test will the nurse implement to know that the client is receiving enough oxygen?
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A) Chest x-ray bn




B) Pulse oximeter bn




C) Arterial blood gasses bn bn




D) Assessment of respiratoryrate bn bn bn bn




ANSWER: B b n




Explanation: A) A chest x-rayis not an intervention a nurse completes. b n bn bn bn bn bn bn bn bn bn bn




B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen saturati
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on, in the blood and provides a pulse reading, which is especiallyhelpful for the clientwith a respirat
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oryillness or disease.
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C) Arterial blood gases are an invasive diagnostic test. bn bn bn bn bn bn bn




D) Assessing a respiratory rate is important for the nurse to implement; however, it is not adiagn bn bn bn bn bn bn bn bn bn bn bn bn bn bn bn n
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ostic test. bn




Page Ref: 21 bn bn




Cognitive Level: Applying bn b n




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




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