Test Bank for Clinical Nursing Skills:
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
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Test Bank for Clinical Nursing Skills: A
Concept-Based Approach 4th Edition Pearson
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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
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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) Tym
panic
ANS
WER:
A
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.
D) The rectal, tympanic, or
scanner method is preferred.
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