TEST BANK
Clinical Nursing Skills: A Concept-Based Approach, 4th edition
by Pearson Education
TE
ST
SO
LU
TI
O
N
, Table of Content
Assessment
General Assessment
Vital Signs
Physical Assessment
Physical Assessment for the Newborn
Critical Thinking Options for Unexpected Outcomes
Caring Interventions
Bed Care and Activities of Daily Living (ADLs)
TE
Medication Administration Systems
Medication Preparation
Medication Routes
Parenteral Routes
Critical Thinking Options for Unexpected Outcomes
ST
Comfort
Acute/Chronic Pain Management
Heat and Cold Application
End-of-Life Care
SO
Critical Thinking Options for Unexpected Outcomes
Elimination
Assessment: Collecting Specimens
Bladder Interventions
Bowel Interventions
Dialysis
LU
Critical Thinking Options for Unexpected Outcomes
Fluids and Electrolytes
Fluid Balance Measurement
Intravenous Therapy
TI
Critical Thinking Options for Unexpected Outcomes
Infection
Medical Asepsis
O
Personal Protective Equipment (PPE) and Isolation Precautions
Critical Thinking Options for Unexpected Outcomes
Intracranial Regulation
N
Critical Thinking Options for Unexpected Outcomes
Metabolism
General Metabolism
Diabetes Care
Critical Thinking Options for Unexpected Outcomes
Mobility
Balance and Strength
Moving and Transferring a Patient
Patient Assistive Devices
,Traction and Cast Care
Critical Thinking Options for Unexpected Outcomes
Nutrition
Healthy Eating Habits
Enteral Nutrition Using a Feeding Tube
Parenteral Nutrition Using Intravenous Infusion
Critical Thinking Options for Unexpected Outcomes
Oxygenation
Assessment
Interventions
TE
Supplemental Oxygen Therapy
Maintaining a Patent Airway
Maintaining Lung Expansion
Life-threatening Situations
Critical Thinking Options for Unexpected Outcomes
ST
Perfusion
Maintaining Blood Volume
Antiembolism Devices
Electrical Conduction in the Heart
SO
Arterial Line
Critical Thinking Options for Unexpected Outcomes
Perioperative Care
General Perioperative Care
Using Sterile Technique
LU
Critical Thinking Options for Unexpected Outcomes
Reproduction
Antepartum Care
Intrapartum Care
Postpartum Care
TI
Newborn Care
Critical Thinking Options for Unexpected Outcomes
Safety
O
Patient Safety
Environmental Safety
Immobilizers and Restraints
N
Critical Thinking Options for Unexpected Outcomes
Tissue Integrity
General Assessment
Dressings and Binders
Wound Care
Critical Thinking Options for Unexpected Outcomes
, jhgfds
Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson)
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.
TE
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
ST
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
SO
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
LU
will the nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
Answer: A
TI
Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal,
tympanic, or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
O
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Applying
N
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: Safety
AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
jhgfdsa
Clinical Nursing Skills: A Concept-Based Approach, 4th edition
by Pearson Education
TE
ST
SO
LU
TI
O
N
, Table of Content
Assessment
General Assessment
Vital Signs
Physical Assessment
Physical Assessment for the Newborn
Critical Thinking Options for Unexpected Outcomes
Caring Interventions
Bed Care and Activities of Daily Living (ADLs)
TE
Medication Administration Systems
Medication Preparation
Medication Routes
Parenteral Routes
Critical Thinking Options for Unexpected Outcomes
ST
Comfort
Acute/Chronic Pain Management
Heat and Cold Application
End-of-Life Care
SO
Critical Thinking Options for Unexpected Outcomes
Elimination
Assessment: Collecting Specimens
Bladder Interventions
Bowel Interventions
Dialysis
LU
Critical Thinking Options for Unexpected Outcomes
Fluids and Electrolytes
Fluid Balance Measurement
Intravenous Therapy
TI
Critical Thinking Options for Unexpected Outcomes
Infection
Medical Asepsis
O
Personal Protective Equipment (PPE) and Isolation Precautions
Critical Thinking Options for Unexpected Outcomes
Intracranial Regulation
N
Critical Thinking Options for Unexpected Outcomes
Metabolism
General Metabolism
Diabetes Care
Critical Thinking Options for Unexpected Outcomes
Mobility
Balance and Strength
Moving and Transferring a Patient
Patient Assistive Devices
,Traction and Cast Care
Critical Thinking Options for Unexpected Outcomes
Nutrition
Healthy Eating Habits
Enteral Nutrition Using a Feeding Tube
Parenteral Nutrition Using Intravenous Infusion
Critical Thinking Options for Unexpected Outcomes
Oxygenation
Assessment
Interventions
TE
Supplemental Oxygen Therapy
Maintaining a Patent Airway
Maintaining Lung Expansion
Life-threatening Situations
Critical Thinking Options for Unexpected Outcomes
ST
Perfusion
Maintaining Blood Volume
Antiembolism Devices
Electrical Conduction in the Heart
SO
Arterial Line
Critical Thinking Options for Unexpected Outcomes
Perioperative Care
General Perioperative Care
Using Sterile Technique
LU
Critical Thinking Options for Unexpected Outcomes
Reproduction
Antepartum Care
Intrapartum Care
Postpartum Care
TI
Newborn Care
Critical Thinking Options for Unexpected Outcomes
Safety
O
Patient Safety
Environmental Safety
Immobilizers and Restraints
N
Critical Thinking Options for Unexpected Outcomes
Tissue Integrity
General Assessment
Dressings and Binders
Wound Care
Critical Thinking Options for Unexpected Outcomes
, jhgfds
Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson)
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.
TE
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
ST
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
SO
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
LU
will the nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
Answer: A
TI
Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal,
tympanic, or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
O
D) The rectal, tympanic, or scanner method is preferred.
Page Ref: 24
Cognitive Level: Applying
N
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: Safety
AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
jhgfdsa