TEST BANK FOR Clinical Nursing Skills: A Concept-Based Approach 4th Edition by Pearson Education ISBN: 978-0136909491 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

Test Bank for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III ii ii ii




by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Concept-
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Based Approach 4th Edition Pearsonii
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,Clinical Nursing Skills: A Concept-
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Based Approach, 4e (Pearson) Education Test BankiiChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which
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#action will theiinurse implement first?
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A) Call the healthcare provider.x # x # x #


B) Administer pain medication. x# x#


C) Reassess a new set of vital signs. x # x # x # x # x # x #


D) Turn client from supine to x# x# x# x# x


lateral.iiANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before calling th
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e healthcareprovider.
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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 th
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ere is a change iniicondition.
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D) The nurse will need to reassess the client first, before moving the client, t
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o avoid making theiichange in client's condition worse.
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Page Ref: 2 x # x #


Cognitive Level: Applying x #


Client Need/Sub: x #


Physiological Integrity: Reduction of Risk Potential x # x # x # x# x #


Standards: Nursing Process: Assessment | Learning Outcome: 1.1 |
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QSEN Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person-
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Centered CareiiNLN Competencies: Relationship Centered C
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are

2) The nurse is observing the UAP taking the temperature of an unconscious
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# client. Which routeiiwill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
iiANSWER:

A
Explanation: A) The temperature of an unconscious client is never taken by mou
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th. 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 i
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s preferred.Page Ref: 24
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Cognitive Level: Applying x #


Client Need/Sub: x #


Safe and Effective Care Environment: Safety and Infection Contr x # x # x # x# x # x# x # x #


ol Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Compet
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encies: SafetyAACN Domains and 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-
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old client's diaper and notes the client feels warm to touch.Which method should
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# the nurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra x#


neiiANSWER:
C
Explanation: A) Oral is used for age 3 or older. x# x # x # x # x # x # x # x #


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 children.
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D) The tympanic membrane may be used for 3 months
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x #or older.Page Ref: 29
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Cognitive Level: Applying x #


Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competen
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cies: SafetyAACN 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 pulmonary disease (C
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OPD). Whichiinoninvasive diagnostic test will the nurse implement to know that th
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e client is receiving enough oxygen?
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A) Chest x-ray x #


B) Pulse oximeter x #


C) Arterial blood gasses x# x #


D) Assessment of respiratory x# x#


x#rateiiANSWER: B x #


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, or o
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xygen saturation, in the blood and provides a pulse reading, which is especially hel
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pful for the clientiiwith 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; howe
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ver, it is not aiidiagnostic test.
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Page Ref: 21 x # x #


Cognitive Level: Applying x #


Client Need/Sub: x #


Physiological Integrity: Reduction of Risk Potential Sta x # x # x # x# x # x#


ndards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSE
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N Competencies:Informatics
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AACN Domains and Comps.: Domain 5: Quality and Saf
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ety NLN Competencies: Quality & Safety
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