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

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

,TestiBankiforiClinicaliNursingiSkills:iAiConcept-
BasediApproachi4thiEditioniPearsoni

,ClinicaliNursingiSkills:iAiConcept-
BasediApproach,i4ei(Pearson)iEducationiTestiBankiChapteri1:iAssessment

1) Aiclientionitheimedical/surgicaliuniticomplainsiofisuddenichestipains.iWhichiactioniwilli
theinurseiimplementifirst?
A) Callitheihealthcareiprovider.
B) Administeripainimedication.
C) Reassessiainewisetiofivitalisigns.
D) Turniclientifromisupineitoilateral
.iANSWER:i C
Explanation:iA)iTheinurseiwillineeditoireassessitheiclientifirst,ibeforeicallingitheihealthca
reiprovider.
B) Theinurseiwillineeditoireassessitheiclientifirst,ibeforeiadministeringipainimedication.
C) Theinurseineedsitoiimplementiainewisetiofivitalisignsifirstiwhenithereiisiaichangeii
nicondition.
D) Theinurseiwillineeditoireassessitheiclientifirst,ibeforeimovingitheiclient,itoiavoidimakingit
heichangeiiniclient'siconditioniworse.
PageiRef:i2
CognitiveiLevel:i Applying
ClientiNeed/Sub:i PhysiologicaliIntegrity:iReductioniofiRiskiPotential
Standards:iNursingiProcess:iAssessmenti|iLearningiOutcome:i1.1i|iQSENiCompetenci
es:iPatient-CenterediCare
AACNiDomainsiandiComps.:iDomaini2:iPerson-
CenterediCareiNLNiCompetencies:i RelationshipiCenterediCa
re

2) TheinurseiisiobservingitheiUAPitakingitheitemperatureiofianiunconsciousiclient.iWhichiro
uteiwillitheinurseiquestionitheiUAPiusing?
A) Oral
B) Rectal
C) Scanner
D) Tympani
ciANSWER:i
A
Explanation:iA)iTheitemperatureiofianiunconsciousiclientiisineveritakenibyimouth.iTheirectal
,itympanic,ioriscannerimethodiisipreferred.
B) Theirectal,itympanic,ioriscannerimethodiisipreferred.
C) Theirectal,itympanic,ioriscannerimethodiisipreferred.
D) Theirectal,itympanic,ioriscannerimethodiisipreferr
ed.iPageiRef:i24
CognitiveiLevel:i Applying
ClientiNeed/Sub:iii SafeiandiEffectiveiCareiEnvironment:iSafetyiandiInfectioniControliStanda
rds:i NursingiProcess:iEvaluationi|iLearningiOutcome:i1.1i|iQSENiCompetencies:iSafetyiAAC
NiDomainsiandiComps.:i Domaini5:iQualityiandiSafety
NLNiCompetencies:i Qualityi&iSafety

1

, 3) Theinurseiisichangingiai2-month-
oldiclient'sidiaperiandinotesitheiclientifeelsiwarmitoitouch.iWhichimethodishoulditheinursei
useitoicheckitheibaby'sitemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicimembran
eiANSWER:i C
Explanation:i A)iOraliisiusediforiagei3ioriolder.
B) Theirectalirouteiisitheileastidesirable.
C) Theiaxillaryirouteimayinotibeiasiaccurateiasiotheriroutesiforidetectingifeversiinichildren.
D) Theitympanicimembraneimayibeiusedifori3imonthsioriold
er.iPageiRef:i29
CognitiveiLevel:i Applying
ClientiNeed/Sub:i PhysiologicaliIntegrity:iReductioniofiRiskiPotential
Standards:i NursingiProcess:iEvaluatingi|iLearningiOutcome:i1.2i|iQSENiCompetencies:iSaf
etyiAACNiDomainsiandiComps.:i Domaini5:iQualityiandiSafety
NLNiCompetencies:i Qualityi&iSafety

4) Aiclienticomesiiniwithiexacerbationiofichroniciobstructiveipulmonaryidiseasei(COPD).iWhi
chinoninvasiveidiagnosticitestiwillitheinurseiimplementitoiknowithatitheiclientiisireceivingieno
ughioxygen?
A) Chestix-ray
B) Pulseioximeter
C) Arterialibloodigasses
D) Assessmentiofirespiratoryira
teiANSWER:i B
Explanation:i A)iAichestix-rayiisinotianiinterventioniainurseicompletes.
B) Aipulseioximeteriprovidesiainoninvasiveimethodiofimeasuringioxygenation,iorioxygenis
aturation,iinitheibloodiandiprovidesiaipulseireading,iwhichiisiespeciallyihelpfuliforitheiclie
ntiwithiairespiratoryiillnessioridisease.
C) Arterialibloodigasesiareianiinvasiveidiagnosticitest.
D) Assessingiairespiratoryirateiisiimportantiforitheinurseitoiimplement;ihowever,iitiisino
tiaidiagnosticitest.
PageiRef:i21
CognitiveiLevel:i Applying
ClientiNeed/Sub:i PhysiologicaliIntegrity:iReductioniofiRiskiPotential
Standards:iNursingiProcess:iImplementationi|iLearningiOutcome:i1.3i|iQSENiCompetencie
s:iInformatics
AACNiDomainsiandiComps.:i Domaini5:iQualityiandiSafetyiNL
NiCompetencies:i Qualityi&iSafety




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