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:
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16

,TestoBankoforoClinicaloNursingoSkills:oAoConcept-BasedoApproacho4thoEditionoPearsono

,ClinicaloNursingoSkills:oAoConcept-
BasedoApproach,o4eo(Pearson)oEducationoTestoBankoChaptero1:oAssessment

1) Aoclientoonotheomedical/surgicalounitocomplainsoofosuddenochestopains.oWhichoactionowillothe
onurseoimplementofirst?

A) Callotheohealthcareoprovider.
B) Administeropainomedication.
C) Reassessoaonewosetoofovitalosigns.
D) Turnoclientofromosupineotoolateral.o
ANSWER:o C
Explanation:oA)oTheonurseowilloneedotooreassessotheoclientofirst,obeforeocallingotheohealthcareo
provider.
B) Theonurseowilloneedotooreassessotheoclientofirst,obeforeoadministeringopainomedication.
C) Theonurseoneedsotooimplementoaonewosetoofovitalosignsofirstowhenothereoisoaochangeoino
condition.
D) Theonurseowilloneedotooreassessotheoclientofirst,obeforeomovingotheoclient,otooavoidomakingotheo
changeoinoclient'soconditionoworse.
PageoRef:o2
CognitiveoLevel:o Applying
ClientoNeed/Sub:o PhysiologicaloIntegrity:oReductionoofoRiskoPotential
Standards:oNursingoProcess:oAssessmento|oLearningoOutcome:o1.1o|oQSENoCompetencies:o
Patient-CenteredoCare
AACNoDomainsoandoComps.:oDomaino2:oPerson-
CenteredoCareoNLNoCompetencies:o RelationshipoCenteredoCare

2) TheonurseoisoobservingotheoUAPotakingotheotemperatureoofoanounconsciousoclient.oWhichoroute
owillotheonurseoquestionotheoUAPousing?

A) Oral
B) Rectal
C) Scanner
D) Tympanico
ANSWER:o
A
Explanation:oA)oTheotemperatureoofoanounconsciousoclientoisoneverotakenobyomouth.oTheorectal,ot
ympanic,ooroscanneromethodoisopreferred.
B) Theorectal,otympanic,ooroscanneromethodoisopreferred.
C) Theorectal,otympanic,ooroscanneromethodoisopreferred.
D) Theorectal,otympanic,ooroscanneromethodoisopreferred.o
PageoRef:o24
CognitiveoLevel:o Applying
ClientoNeed/Sub:ooo SafeoandoEffectiveoCareoEnvironment:oSafetyoando InfectionoControloStandard
s:o NursingoProcess:oEvaluationo|oLearningoOutcome:o1.1o|oQSENoCompetencies:oSafetyoAACNoD
omainsoandoComps.:o Domaino5:oQualityoandoSafety
NLNoCompetencies:o Qualityo&oSafety




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, 3) Theonurseoisochangingoao2-month-
oldoclient'sodiaperoandonotesotheoclientofeelsowarmotootouch.oWhichomethodoshouldotheonurseouseo
toocheckotheobaby'sotemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicomembrane
oANSWER:o C

Explanation:o A)oOraloisousedoforoageo3ooroolder.
B) Theorectalorouteoisotheoleastodesirable.
C) Theoaxillaryorouteomayonotobeoasoaccurateoasootheroroutesoforodetectingofeversoinochildren.
D) Theotympanicomembraneomayobeousedoforo3omonthsooroolder.o
PageoRef:o29
CognitiveoLevel:o Applying
ClientoNeed/Sub:o PhysiologicaloIntegrity:oReductionoofoRiskoPotential
Standards:o NursingoProcess:oEvaluatingo|oLearningoOutcome:o1.2o|oQSENoCompetencies:oSafetyo
AACNoDomainsoandoComps.:o Domaino5:oQualityoandoSafety
NLNoCompetencies:o Qualityo&oSafety

4) Aoclientocomesoinowithoexacerbationoofochronicoobstructiveopulmonaryodiseaseo(COPD).oWhicho
noninvasiveodiagnosticotestowillotheonurseoimplementotooknowothatotheoclientoisoreceivingoenougho
oxygen?
A) Chestox-ray
B) Pulseooximeter
C) Arterialobloodogasses
D) Assessmentooforespiratoryorateo
ANSWER:o B
Explanation:o A)oAochestox-rayoisonotoanointerventionoaonurseocompletes.
B) Aopulseooximeteroprovidesoaononinvasiveomethodoofomeasuringooxygenation,oorooxygenosat
uration,oinotheobloodoandoprovidesoaopulseoreading,owhichoisoespeciallyohelpfuloforotheoclientowi
thoaorespiratoryoillnessoorodisease.
C) Arterialobloodogasesoareoanoinvasiveodiagnosticotest.
D) Assessingoaorespiratoryorateoisoimportantoforotheonurseotooimplement;ohowever,oitoisonotoao
diagnosticotest.
PageoRef:o21
CognitiveoLevel:o Applying
ClientoNeed/Sub:o PhysiologicaloIntegrity:oReductionoofoRiskoPotential
Standards:oNursingoProcess:oImplementationo|oLearningoOutcome:o1.3o|oQSENoCompetencies:oInf
ormatics
AACNoDomainsoandoComps.:o Domaino5:oQualityoandoSafetyoNL
NoCompetencies:o Qualityo&oSafety




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