Tẹst Bank ƒor Clinical Nursing Skills:
F7 F7 F7 F7 F7
A Concẹpt-
F7 F7
Basẹd Approach 4th Ẹditio
F7 F7 F7
n Volumẹ III
F7 F7
by Pẹarson Ẹducation Chaptẹrs 1 - 16
F7 F7 F7 F7 F7 F7
,TẹstF7BankF7ƒorF7ClinicalF7NursingF7Skills:F7AF7Concẹpt-BasẹdF7ApproachF74thF7ẸditionF7Pẹarson
,ClinicalF7NursingF7Skills:F7AF7Concẹpt-
BasẹdF7Approach,F74ẹF7(Pẹarson)F7ẸducationF7TẹstF7BankChaptẹrF71:F7Assẹssmẹnt
1) AF7cliẹntF7onF7thẹF7mẹdical/surgicalF7unitF7complainsF7oƒF7suddẹnF7chẹstF7pains.F7WhichF7acti
onF7willF7thẹF7nursẹF7implẹmẹntF7ƒirst?
A) CallF7thẹF7hẹalthcarẹF7providẹr.
B) AdministẹrF7painF7mẹdication.
C) RẹassẹssF7aF7nẹwF7sẹtF7oƒF7vitalF7signs.
D) TurnF7cliẹntF7ƒromF7supinẹF7toF7latẹ
ral.F7ANSWẸR:F7C
Ẹxplanation:F7A)F7ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7callingF7thẹF7h
ẹalthcarẹF7providẹr.
B) ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7administẹringF7painF7mẹdication.
C) ThẹF7nursẹF7nẹẹdsF7toF7implẹmẹntF7aF7nẹwF7sẹtF7oƒF7vitalF7signsF7ƒirstF7whẹnF7thẹrẹF7isF
7aF7changẹF7inF7condition.
D) ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7movingF7thẹF7cliẹnt,F7toF7avoidF
7makingF7thẹF7changẹF7inF7cliẹnt'sF7conditionF7worsẹ.
PagẹF7Rẹƒ:F72
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7AssẹssmẹntF7|F7LẹarningF7Outcomẹ:F71.1F7|F7QSẸNF7Comp
ẹtẹnciẹs:F7Patiẹnt-CẹntẹrẹdF7Carẹ
AACNF7DomainsF7andF7Comps.:F7DomainF72:F7Pẹrson-
CẹntẹrẹdF7CarẹNLNF7Compẹtẹnciẹs:F7RẹlationshipF7CẹntẹrẹdF7Carẹ
2) ThẹF7nursẹF7isF7obsẹrvingF7thẹF7UAPF7takingF7thẹF7tẹmpẹraturẹF7oƒF7anF7unconsciousF7cliẹnt.F7
WhichF7routẹF7willF7thẹF7nursẹF7quẹstionF7thẹF7UAPF7using?
A) Oral
B) Rẹctal
C) Scannẹr
D) Tympanic
F7ANSWẸR:F7
A
Ẹxplanation:F7A)F7ThẹF7tẹmpẹraturẹF7oƒF7anF7unconsciousF7cliẹntF7isF7nẹvẹrF7takẹnF7byF7mouth.F7Th
ẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
B) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
C) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
D) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒ
ẹrrẹd.F7PagẹF7Rẹƒ:F724
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 SaƒẹF7andF7ẸƒƒẹctivẹF7CarẹF7Ẹnvironmẹnt:F7SaƒẹtyF7andF7InƒẹctionF7ControlF7St
andards:F7NursingF7Procẹss:F7ẸvaluationF7|F7LẹarningF7Outcomẹ:F71.1F7|F7QSẸNF7Compẹtẹnciẹs:F7
SaƒẹtyAACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7Saƒẹty
NLNF7Compẹtẹnciẹs:F 7 QualityF7&F7Saƒẹty
1
, 3) ThẹF7nursẹF7isF7changingF7aF72-month-
oldF7cliẹnt'sF7diapẹrF7andF7notẹsF7thẹF7cliẹntF7ƒẹẹlsF7warmF7toF7touch.F7WhichF7mẹthodF7shouldF7t
hẹF7nursẹF7usẹF7toF7chẹckF7thẹF7baby'sF7tẹmpẹraturẹ?
A) Oral
B) Rẹctal
C) Axillary
D) TympanicF7mẹmbran
ẹF7ANSWẸR:F7C
Ẹxplanation:F 7 A)F7OralF7isF7usẹdF7ƒorF7agẹF73F7orF7oldẹr.
B) ThẹF7rẹctalF7routẹF7isF7thẹF7lẹastF7dẹsirablẹ.
C) ThẹF7axillaryF7routẹF7mayF7notF7bẹF7asF7accuratẹF7asF7othẹrF7routẹsF7ƒorF7dẹtẹctingF7ƒẹvẹrsF7inF7childrẹn.
D) ThẹF7tympanicF7mẹmbranẹF7mayF7bẹF7usẹdF7ƒorF73F7monthsF7o
rF7oldẹr.F7PagẹF7Rẹƒ:F729
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7ẸvaluatingF7|F7LẹarningF7Outcomẹ:F71.2F7|F7QSẸNF7Compẹtẹnciẹs:F7
SaƒẹtyF7AACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7Saƒẹty
NLNF7Compẹtẹnciẹs:F 7 QualityF7&F7Saƒẹty
4) AF7cliẹntF7comẹsF7inF7withF7ẹxacẹrbationF7oƒF7chronicF7obstructivẹF7pulmonaryF7disẹasẹF7(COP
D).F7WhichF7noninvasivẹF7diagnosticF7tẹstF7willF7thẹF7nursẹF7implẹmẹntF7toF7knowF7thatF7thẹF7cliẹ
ntF7isF7rẹcẹivingF7ẹnoughF7oxygẹn?
A) ChẹstF7x-ray
B) PulsẹF7oximẹtẹr
C) ArtẹrialF7bloodF7gassẹs
D) AssẹssmẹntF7oƒF7rẹspiratoryF7ra
tẹF7ANSWẸR:F7B
Ẹxplanation:F 7 A)F7AF7chẹstF7x-rayF7isF7notF7anF7intẹrvẹntionF7aF7nursẹF7complẹtẹs.
B) AF7pulsẹF7oximẹtẹrF7providẹsF7aF7noninvasivẹF7mẹthodF7oƒF7mẹasuringF7oxygẹnation,F7orF7o
xygẹnF7saturation,F7inF7thẹF7bloodF7andF7providẹsF7aF7pulsẹF7rẹading,F7whichF7isF7ẹspẹciallyF7hẹl
pƒulF7ƒorF7thẹF7cliẹntF7withF7aF7rẹspiratoryF7illnẹssF7orF7disẹasẹ.
C) ArtẹrialF7bloodF7gasẹsF7arẹF7anF7invasivẹF7diagnosticF7tẹst.
D) AssẹssingF7aF7rẹspiratoryF7ratẹF7isF7importantF7ƒorF7thẹF7nursẹF7toF7implẹmẹnt;F7howẹvẹr,F
7itF7isF7notF7aF7diagnosticF7tẹst.
PagẹF7Rẹƒ:F721
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7ImplẹmẹntationF7|F7LẹarningF7Outcomẹ:F71.3F7|F7QSẸNF7Compẹ
tẹnciẹs:F7Inƒormatics
AACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7SaƒẹtyNLN
F7Compẹtẹnciẹs:F7QualityF7&F7Saƒẹty
2
F7 F7 F7 F7 F7
A Concẹpt-
F7 F7
Basẹd Approach 4th Ẹditio
F7 F7 F7
n Volumẹ III
F7 F7
by Pẹarson Ẹducation Chaptẹrs 1 - 16
F7 F7 F7 F7 F7 F7
,TẹstF7BankF7ƒorF7ClinicalF7NursingF7Skills:F7AF7Concẹpt-BasẹdF7ApproachF74thF7ẸditionF7Pẹarson
,ClinicalF7NursingF7Skills:F7AF7Concẹpt-
BasẹdF7Approach,F74ẹF7(Pẹarson)F7ẸducationF7TẹstF7BankChaptẹrF71:F7Assẹssmẹnt
1) AF7cliẹntF7onF7thẹF7mẹdical/surgicalF7unitF7complainsF7oƒF7suddẹnF7chẹstF7pains.F7WhichF7acti
onF7willF7thẹF7nursẹF7implẹmẹntF7ƒirst?
A) CallF7thẹF7hẹalthcarẹF7providẹr.
B) AdministẹrF7painF7mẹdication.
C) RẹassẹssF7aF7nẹwF7sẹtF7oƒF7vitalF7signs.
D) TurnF7cliẹntF7ƒromF7supinẹF7toF7latẹ
ral.F7ANSWẸR:F7C
Ẹxplanation:F7A)F7ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7callingF7thẹF7h
ẹalthcarẹF7providẹr.
B) ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7administẹringF7painF7mẹdication.
C) ThẹF7nursẹF7nẹẹdsF7toF7implẹmẹntF7aF7nẹwF7sẹtF7oƒF7vitalF7signsF7ƒirstF7whẹnF7thẹrẹF7isF
7aF7changẹF7inF7condition.
D) ThẹF7nursẹF7willF7nẹẹdF7toF7rẹassẹssF7thẹF7cliẹntF7ƒirst,F7bẹƒorẹF7movingF7thẹF7cliẹnt,F7toF7avoidF
7makingF7thẹF7changẹF7inF7cliẹnt'sF7conditionF7worsẹ.
PagẹF7Rẹƒ:F72
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7AssẹssmẹntF7|F7LẹarningF7Outcomẹ:F71.1F7|F7QSẸNF7Comp
ẹtẹnciẹs:F7Patiẹnt-CẹntẹrẹdF7Carẹ
AACNF7DomainsF7andF7Comps.:F7DomainF72:F7Pẹrson-
CẹntẹrẹdF7CarẹNLNF7Compẹtẹnciẹs:F7RẹlationshipF7CẹntẹrẹdF7Carẹ
2) ThẹF7nursẹF7isF7obsẹrvingF7thẹF7UAPF7takingF7thẹF7tẹmpẹraturẹF7oƒF7anF7unconsciousF7cliẹnt.F7
WhichF7routẹF7willF7thẹF7nursẹF7quẹstionF7thẹF7UAPF7using?
A) Oral
B) Rẹctal
C) Scannẹr
D) Tympanic
F7ANSWẸR:F7
A
Ẹxplanation:F7A)F7ThẹF7tẹmpẹraturẹF7oƒF7anF7unconsciousF7cliẹntF7isF7nẹvẹrF7takẹnF7byF7mouth.F7Th
ẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
B) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
C) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒẹrrẹd.
D) ThẹF7rẹctal,F7tympanic,F7orF7scannẹrF7mẹthodF7isF7prẹƒ
ẹrrẹd.F7PagẹF7Rẹƒ:F724
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 SaƒẹF7andF7ẸƒƒẹctivẹF7CarẹF7Ẹnvironmẹnt:F7SaƒẹtyF7andF7InƒẹctionF7ControlF7St
andards:F7NursingF7Procẹss:F7ẸvaluationF7|F7LẹarningF7Outcomẹ:F71.1F7|F7QSẸNF7Compẹtẹnciẹs:F7
SaƒẹtyAACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7Saƒẹty
NLNF7Compẹtẹnciẹs:F 7 QualityF7&F7Saƒẹty
1
, 3) ThẹF7nursẹF7isF7changingF7aF72-month-
oldF7cliẹnt'sF7diapẹrF7andF7notẹsF7thẹF7cliẹntF7ƒẹẹlsF7warmF7toF7touch.F7WhichF7mẹthodF7shouldF7t
hẹF7nursẹF7usẹF7toF7chẹckF7thẹF7baby'sF7tẹmpẹraturẹ?
A) Oral
B) Rẹctal
C) Axillary
D) TympanicF7mẹmbran
ẹF7ANSWẸR:F7C
Ẹxplanation:F 7 A)F7OralF7isF7usẹdF7ƒorF7agẹF73F7orF7oldẹr.
B) ThẹF7rẹctalF7routẹF7isF7thẹF7lẹastF7dẹsirablẹ.
C) ThẹF7axillaryF7routẹF7mayF7notF7bẹF7asF7accuratẹF7asF7othẹrF7routẹsF7ƒorF7dẹtẹctingF7ƒẹvẹrsF7inF7childrẹn.
D) ThẹF7tympanicF7mẹmbranẹF7mayF7bẹF7usẹdF7ƒorF73F7monthsF7o
rF7oldẹr.F7PagẹF7Rẹƒ:F729
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7ẸvaluatingF7|F7LẹarningF7Outcomẹ:F71.2F7|F7QSẸNF7Compẹtẹnciẹs:F7
SaƒẹtyF7AACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7Saƒẹty
NLNF7Compẹtẹnciẹs:F 7 QualityF7&F7Saƒẹty
4) AF7cliẹntF7comẹsF7inF7withF7ẹxacẹrbationF7oƒF7chronicF7obstructivẹF7pulmonaryF7disẹasẹF7(COP
D).F7WhichF7noninvasivẹF7diagnosticF7tẹstF7willF7thẹF7nursẹF7implẹmẹntF7toF7knowF7thatF7thẹF7cliẹ
ntF7isF7rẹcẹivingF7ẹnoughF7oxygẹn?
A) ChẹstF7x-ray
B) PulsẹF7oximẹtẹr
C) ArtẹrialF7bloodF7gassẹs
D) AssẹssmẹntF7oƒF7rẹspiratoryF7ra
tẹF7ANSWẸR:F7B
Ẹxplanation:F 7 A)F7AF7chẹstF7x-rayF7isF7notF7anF7intẹrvẹntionF7aF7nursẹF7complẹtẹs.
B) AF7pulsẹF7oximẹtẹrF7providẹsF7aF7noninvasivẹF7mẹthodF7oƒF7mẹasuringF7oxygẹnation,F7orF7o
xygẹnF7saturation,F7inF7thẹF7bloodF7andF7providẹsF7aF7pulsẹF7rẹading,F7whichF7isF7ẹspẹciallyF7hẹl
pƒulF7ƒorF7thẹF7cliẹntF7withF7aF7rẹspiratoryF7illnẹssF7orF7disẹasẹ.
C) ArtẹrialF7bloodF7gasẹsF7arẹF7anF7invasivẹF7diagnosticF7tẹst.
D) AssẹssingF7aF7rẹspiratoryF7ratẹF7isF7importantF7ƒorF7thẹF7nursẹF7toF7implẹmẹnt;F7howẹvẹr,F
7itF7isF7notF7aF7diagnosticF7tẹst.
PagẹF7Rẹƒ:F721
CognitivẹF7Lẹvẹl:F 7 Applying
CliẹntF7Nẹẹd/Sub:F 7 PhysiologicalF7Intẹgrity:F7RẹductionF7oƒF7RiskF7Potẹntial
Standards:F7NursingF7Procẹss:F7ImplẹmẹntationF7|F7LẹarningF7Outcomẹ:F71.3F7|F7QSẸNF7Compẹ
tẹnciẹs:F7Inƒormatics
AACNF7DomainsF7andF7Comps.:F7DomainF75:F7QualityF7andF7SaƒẹtyNLN
F7Compẹtẹnciẹs:F7QualityF7&F7Saƒẹty
2