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D?
VE
RO
PP
_A
IA
UV
ST
, TABLE OF CONTENTS
Test Bank: Concept Based Clinical Nursing Skills 2nd Edition
Author: Loren Nell Melton Stein
ST
UNIT I: Fundamental Nursing Skills
1. Foundations of Safe Client Care
UV
2. Personal Care and Hygiene
3. Vital Signs and Vital Measurements
4. Performing an Assessment
IA
5. Nutrition and Gastrointestinal Tube Therapy
6. Supporting Mobility and Immobilization
_A
7. Comfort Care
8. End-of-Life Care
UNIT II: Intermediate Nursing Skills
PP
9. Airway and Breathing
10. Sterile Technique
RO
11. Medication Administration
12. Venous Access
13. Central Venous Access: Managing Central Venous Access Devices
14. Bowel Elimination
VE
15. Urine Elimination
16. Wound Care
D?
17. Perioperative Care
UNIT III: Advanced Nursing Skills
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18. Advanced Respiratory Management
19. Perfusion and Advanced Cardiovascular Care
20. Advanced Neurologic Care
, Chapter 01: Foundations of Safe Client Care
Stein: Concept-Based Clinical Nursing Skills, 2nd Edition
MULTIPLE CHOICE
1. To meet a requirement of the 2021 American Association of Colleges of Nursing Essentials,
what topic does nursing faculty focus on throughout the curriculum?
a. Nursing process
ST
b. Safety science
c. Ergonomics
d. Information technology
ANS: B
UV
The 2021 AACN Essentials states that “Provision of safe, quality care necessitates knowing
and using established and emerging principles of safety science in care delivery” (p. 43).
Nursing students are taught to use the nursing process, but this is not confined to patient
safety. Ergonomics is a subset of safety science that studies people and their work
environments. Information technology can be used to improve safety.
IA
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching-Learning
2. A nurse meets the assigned clients at the start of a shift. After performing hand hygiene and
_A
introducing one’s self, what does the nurse do next?
a. Begin a head-to-toe assessment.
b. Identify the client using two identifiers.
c. Assess the client for pain.
PP
d. Ensure the call light is within reach.
ANS: B
A critical task in healthcare for safety, client identification is paramount for preventing errors.
After performing hand hygiene and introducing him- or herself, the nurse identifies the client
RO
using two unique identifiers. The head-to-toe and pain assessments come shortly afterward.
The nurse ensures the client can reach the call light prior to leaving the room.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
VE
3. A nurse has worked with the same client for 2 days. When entering the room to administer
medications, the nurse performs hand hygiene. What action does the nurse take next?
a. Provide any needed teaching.
b. Ask if the client has any care requests.
c. Assess vital signs and pain.
D
d. Identify the client using two identifiers.
ANS: D
??
Every time the client is to receive medication, diagnostic studies, or any other healthcare
intervention, the nurse must identify the client using two unique identifiers, even if the client
is well known to the nurse. Assessments, teaching, and determining client requests would
come afterward.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment
, 4. A nurse’s neighbor states “My father got a nosocomial infection after surgery!” What does the
nurse understand happened to the client?
a. The client received contaminated blood products.
b. The client nearly died from a postoperative infection.
c. The client acquired an infection while in the hospital.
d. The client received poor preoperative skin preparation.
ANS: C
A nosocomial infection is one acquired in the hospital. It does not designate how the infection
ST
occurred, so the client might have become infected through contaminated blood products or
from poor preoperative skin preparation. It does not mean the client had a life-threatening
infection, only that is occurred in hospital.
UV
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching-Learning
5. A nurse is making rounds on clients at risk for infection. Which client does the nurse see
first?
a. A client with an intravenous (IV) line
IA
b. A client who has a central line
c. A client with an indwelling bladder catheter
d. A client with an IV and bladder catheter
_A
ANS: D
One of the biggest risk factors for hospital acquired infections (HAIs) is the presence of
invasive lines. The more lines, the more risk. The client with both an IV and a catheter has the
highest risk. The clients with an IV or a catheter have less risk.
PP
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment
6. A nursing manager concerned about the infection rate on the unit wants to implement
measures to reduce the transmission of infectious organisms. What action by the manager is
RO
best?
a. Provide a stethoscope dedicated to each client.
b. Ensure gloves are well-stocked in each room.
c. Restrict all plants and fresh foods from rooms.
d. Screen all visitors for contagious illnesses.
VE
ANS: A
In the chain of infection, one of the most important components is the mode of transmission.
Stethoscopes can serve as a mode of indirect contact transmission unless they are disinfected
appropriately between clients. Providing each client with an individual stethoscope will
D
reduce this risk. Gloves are important, but they can become contaminated too and serve as a
mode of transmission. Plants and fresh foods are an uncommon source of transmission unless
the client is immunosuppressed. Screening visitors for contagious illness is an unrealistic
??
long-term action plan.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
7. A nurse is observing a student nurse. What action by the student demonstrates the need for
more education on Standard Precautions?
D?
VE
RO
PP
_A
IA
UV
ST
, TABLE OF CONTENTS
Test Bank: Concept Based Clinical Nursing Skills 2nd Edition
Author: Loren Nell Melton Stein
ST
UNIT I: Fundamental Nursing Skills
1. Foundations of Safe Client Care
UV
2. Personal Care and Hygiene
3. Vital Signs and Vital Measurements
4. Performing an Assessment
IA
5. Nutrition and Gastrointestinal Tube Therapy
6. Supporting Mobility and Immobilization
_A
7. Comfort Care
8. End-of-Life Care
UNIT II: Intermediate Nursing Skills
PP
9. Airway and Breathing
10. Sterile Technique
RO
11. Medication Administration
12. Venous Access
13. Central Venous Access: Managing Central Venous Access Devices
14. Bowel Elimination
VE
15. Urine Elimination
16. Wound Care
D?
17. Perioperative Care
UNIT III: Advanced Nursing Skills
?
18. Advanced Respiratory Management
19. Perfusion and Advanced Cardiovascular Care
20. Advanced Neurologic Care
, Chapter 01: Foundations of Safe Client Care
Stein: Concept-Based Clinical Nursing Skills, 2nd Edition
MULTIPLE CHOICE
1. To meet a requirement of the 2021 American Association of Colleges of Nursing Essentials,
what topic does nursing faculty focus on throughout the curriculum?
a. Nursing process
ST
b. Safety science
c. Ergonomics
d. Information technology
ANS: B
UV
The 2021 AACN Essentials states that “Provision of safe, quality care necessitates knowing
and using established and emerging principles of safety science in care delivery” (p. 43).
Nursing students are taught to use the nursing process, but this is not confined to patient
safety. Ergonomics is a subset of safety science that studies people and their work
environments. Information technology can be used to improve safety.
IA
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching-Learning
2. A nurse meets the assigned clients at the start of a shift. After performing hand hygiene and
_A
introducing one’s self, what does the nurse do next?
a. Begin a head-to-toe assessment.
b. Identify the client using two identifiers.
c. Assess the client for pain.
PP
d. Ensure the call light is within reach.
ANS: B
A critical task in healthcare for safety, client identification is paramount for preventing errors.
After performing hand hygiene and introducing him- or herself, the nurse identifies the client
RO
using two unique identifiers. The head-to-toe and pain assessments come shortly afterward.
The nurse ensures the client can reach the call light prior to leaving the room.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
VE
3. A nurse has worked with the same client for 2 days. When entering the room to administer
medications, the nurse performs hand hygiene. What action does the nurse take next?
a. Provide any needed teaching.
b. Ask if the client has any care requests.
c. Assess vital signs and pain.
D
d. Identify the client using two identifiers.
ANS: D
??
Every time the client is to receive medication, diagnostic studies, or any other healthcare
intervention, the nurse must identify the client using two unique identifiers, even if the client
is well known to the nurse. Assessments, teaching, and determining client requests would
come afterward.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment
, 4. A nurse’s neighbor states “My father got a nosocomial infection after surgery!” What does the
nurse understand happened to the client?
a. The client received contaminated blood products.
b. The client nearly died from a postoperative infection.
c. The client acquired an infection while in the hospital.
d. The client received poor preoperative skin preparation.
ANS: C
A nosocomial infection is one acquired in the hospital. It does not designate how the infection
ST
occurred, so the client might have become infected through contaminated blood products or
from poor preoperative skin preparation. It does not mean the client had a life-threatening
infection, only that is occurred in hospital.
UV
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching-Learning
5. A nurse is making rounds on clients at risk for infection. Which client does the nurse see
first?
a. A client with an intravenous (IV) line
IA
b. A client who has a central line
c. A client with an indwelling bladder catheter
d. A client with an IV and bladder catheter
_A
ANS: D
One of the biggest risk factors for hospital acquired infections (HAIs) is the presence of
invasive lines. The more lines, the more risk. The client with both an IV and a catheter has the
highest risk. The clients with an IV or a catheter have less risk.
PP
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment
6. A nursing manager concerned about the infection rate on the unit wants to implement
measures to reduce the transmission of infectious organisms. What action by the manager is
RO
best?
a. Provide a stethoscope dedicated to each client.
b. Ensure gloves are well-stocked in each room.
c. Restrict all plants and fresh foods from rooms.
d. Screen all visitors for contagious illnesses.
VE
ANS: A
In the chain of infection, one of the most important components is the mode of transmission.
Stethoscopes can serve as a mode of indirect contact transmission unless they are disinfected
appropriately between clients. Providing each client with an individual stethoscope will
D
reduce this risk. Gloves are important, but they can become contaminated too and serve as a
mode of transmission. Plants and fresh foods are an uncommon source of transmission unless
the client is immunosuppressed. Screening visitors for contagious illness is an unrealistic
??
long-term action plan.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
7. A nurse is observing a student nurse. What action by the student demonstrates the need for
more education on Standard Precautions?
