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,Pearson,
,Clinical,Nursing,Skills:,A,Concept-
Based,Approach,,4e,(Pearson),Education,Test,Bank,Chapter,1:,Assessment
1) A,client,on,the,medical/surgical,unit,complains,of,sudden,chest,pains.,Which,action,will,the
,nurse,implement,first?
A) Call,the,healthcare,provider.
B) Administer,pain,medication.
C) Reassess,a,new,set,of,vital,signs.
D) Turn,client,from,supine,to,lateral.,
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.
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:,2
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Assessment,|,Learning,Outcome:,1.1,|,QSEN,Competencies:,
Patient-Centered,Care
AACN,Domains,and,Comps.:,Domain,2:,Person-
Centered,Care,NLN,Competencies:,Relationship,Centered,Care
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
B) Rectal
C) Scanner
D) Tympanic,
ANSWER:,
A
Explanation:,A),The,temperature,of,an,unconscious,client,is,never,taken,by,mouth.,The,rectal,,t
ympanic,,or,scanner,method,is,preferred.
B) The,rectal,,tympanic,,or,scanner,method,is,preferred.
C) The,rectal,,tympanic,,or,scanner,method,is,preferred.
D) The,rectal,,tympanic,,or,scanner,method,is,preferred.,
Page,Ref:,24
Cognitive,Level:, Applying
Client,Need/Sub:,,,Safe,and,Effective,Care,Environment:,Safety,and,Infection,Control,Standard
s:,Nursing,Process:,Evaluation,|,Learning,Outcome:,1.1,|,QSEN,Competencies:,Safety,AACN,D
omains,and,Comps.:,Domain,5:,Quality,and,Safety
NLN,Competencies:, Quality,&,Safety
1
, 3) The,nurse,is,changing,a,2-month-
old,client's,diaper,and,notes,the,client,feels,warm,to,touch.,Which,method,should,the,nurse,use,
to,check,the,baby's,temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic,membrane
,ANSWER:,C
Explanation:, A),Oral,is,used,for,age,3,or,older.
B) The,rectal,route,is,the,least,desirable.
C) The,axillary,route,may,not,be,as,accurate,as,other,routes,for,detecting,fevers,in,children.
D) The,tympanic,membrane,may,be,used,for,3,months,or,older.,
Page,Ref:,29
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Evaluating,|,Learning,Outcome:,1.2,|,QSEN,Competencies:,Safety,
AACN,Domains,and,Comps.:,Domain,5:,Quality,and,Safety
NLN,Competencies:, Quality,&,Safety
4) A,client,comes,in,with,exacerbation,of,chronic,obstructive,pulmonary,disease,(COPD).,Which,
noninvasive,diagnostic,test,will,the,nurse,implement,to,know,that,the,client,is,receiving,enough,
oxygen?
A) Chest,x-ray
B) Pulse,oximeter
C) Arterial,blood,gasses
D) Assessment,of,respiratory,rate,
ANSWER:,B
Explanation:, A),A,chest,x-ray,is,not,an,intervention,a,nurse,completes.
B) A,pulse,oximeter,provides,a,noninvasive,method,of,measuring,oxygenation,,or,oxygen,sat
uration,,in,the,blood,and,provides,a,pulse,reading,,which,is,especially,helpful,for,the,client,wi
th,a,respiratory,illness,or,disease.
C) Arterial,blood,gases,are,an,invasive,diagnostic,test.
D) Assessing,a,respiratory,rate,is,important,for,the,nurse,to,implement;,however,,it,is,not,a,
diagnostic,test.
Page,Ref:,21
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Implementation,|,Learning,Outcome:,1.3,|,QSEN,Competencies:,Inf
ormatics
AACN,Domains,and,Comps.:,Domain,5:,Quality,and,Safety,NL
N,Competencies:,Quality,&,Safety
2
,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,Pearson,
,Clinical,Nursing,Skills:,A,Concept-
Based,Approach,,4e,(Pearson),Education,Test,Bank,Chapter,1:,Assessment
1) A,client,on,the,medical/surgical,unit,complains,of,sudden,chest,pains.,Which,action,will,the
,nurse,implement,first?
A) Call,the,healthcare,provider.
B) Administer,pain,medication.
C) Reassess,a,new,set,of,vital,signs.
D) Turn,client,from,supine,to,lateral.,
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.
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:,2
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Assessment,|,Learning,Outcome:,1.1,|,QSEN,Competencies:,
Patient-Centered,Care
AACN,Domains,and,Comps.:,Domain,2:,Person-
Centered,Care,NLN,Competencies:,Relationship,Centered,Care
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
B) Rectal
C) Scanner
D) Tympanic,
ANSWER:,
A
Explanation:,A),The,temperature,of,an,unconscious,client,is,never,taken,by,mouth.,The,rectal,,t
ympanic,,or,scanner,method,is,preferred.
B) The,rectal,,tympanic,,or,scanner,method,is,preferred.
C) The,rectal,,tympanic,,or,scanner,method,is,preferred.
D) The,rectal,,tympanic,,or,scanner,method,is,preferred.,
Page,Ref:,24
Cognitive,Level:, Applying
Client,Need/Sub:,,,Safe,and,Effective,Care,Environment:,Safety,and,Infection,Control,Standard
s:,Nursing,Process:,Evaluation,|,Learning,Outcome:,1.1,|,QSEN,Competencies:,Safety,AACN,D
omains,and,Comps.:,Domain,5:,Quality,and,Safety
NLN,Competencies:, Quality,&,Safety
1
, 3) The,nurse,is,changing,a,2-month-
old,client's,diaper,and,notes,the,client,feels,warm,to,touch.,Which,method,should,the,nurse,use,
to,check,the,baby's,temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic,membrane
,ANSWER:,C
Explanation:, A),Oral,is,used,for,age,3,or,older.
B) The,rectal,route,is,the,least,desirable.
C) The,axillary,route,may,not,be,as,accurate,as,other,routes,for,detecting,fevers,in,children.
D) The,tympanic,membrane,may,be,used,for,3,months,or,older.,
Page,Ref:,29
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Evaluating,|,Learning,Outcome:,1.2,|,QSEN,Competencies:,Safety,
AACN,Domains,and,Comps.:,Domain,5:,Quality,and,Safety
NLN,Competencies:, Quality,&,Safety
4) A,client,comes,in,with,exacerbation,of,chronic,obstructive,pulmonary,disease,(COPD).,Which,
noninvasive,diagnostic,test,will,the,nurse,implement,to,know,that,the,client,is,receiving,enough,
oxygen?
A) Chest,x-ray
B) Pulse,oximeter
C) Arterial,blood,gasses
D) Assessment,of,respiratory,rate,
ANSWER:,B
Explanation:, A),A,chest,x-ray,is,not,an,intervention,a,nurse,completes.
B) A,pulse,oximeter,provides,a,noninvasive,method,of,measuring,oxygenation,,or,oxygen,sat
uration,,in,the,blood,and,provides,a,pulse,reading,,which,is,especially,helpful,for,the,client,wi
th,a,respiratory,illness,or,disease.
C) Arterial,blood,gases,are,an,invasive,diagnostic,test.
D) Assessing,a,respiratory,rate,is,important,for,the,nurse,to,implement;,however,,it,is,not,a,
diagnostic,test.
Page,Ref:,21
Cognitive,Level:, Applying
Client,Need/Sub:, Physiological,Integrity:,Reduction,of,Risk,Potential
Standards:,Nursing,Process:,Implementation,|,Learning,Outcome:,1.3,|,QSEN,Competencies:,Inf
ormatics
AACN,Domains,and,Comps.:,Domain,5:,Quality,and,Safety,NL
N,Competencies:,Quality,&,Safety
2
