Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson Education | All Chapters (1–16) | 2025 Version |

Test Bank for Clinical Nursing Skills:
b b b b b




A Concept-Based Approach
b b b




4th Edition Volume III
b b b




by Pearson Education Chapters 1 - 16
b b b b b b

,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
b b b b b b b b b b b b

,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test
b b b b b b b b b




BankChapter 1: Assessment
b b b b




1) A client on the medical/surgical unit complains of sudden chest pains. Which action will
b b b b b b b b b b b b b




thenurse implement first?
b b b b




A) Call the healthcare provider. b b b




B) Administer pain medication. b b




C) Reassess a new set of vital signs. b b b b b b




D) Turn client from supine to b b b b




lateral.ANSWER: C
b b b




Explanation: A) The nurse will need to reassess the client first, before calling theb b b b b b b b b b b b b




healthcareprovider.
b b




B) The nurse will need to reassess the client first, before administering pain medication.
b b b b b b b b b b b b




C) The nurse needs to implement a new set of vital signs first when there is a change
b b b b b b b b b b b b b b b b




incondition.
b b




D) The nurse will need to reassess the client first, before moving the client, to avoid making
b b b b b b b b b b b b b b b




thechange in client's condition worse.
b b b b b b




Page Ref: 2 b b




Cognitive Level: Applying b b




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b




Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN b b b b b b b b b




Competencies:Patient-Centered Care
b b b




AACN Domains and Comps.: Domain 2: Person-Centered
b b b b b b




CareNLN Competencies: Relationship Centered Care
b b b b b b




2) The nurse is observing the UAP taking the temperature of an unconscious client. Which routewill
b b b b b b b b b b b b b b b




the nurse question the UAP using?
b b b b b b




A) Oral
B) Rectal
C) Scanner
D) Tympanic b




ANSWER:
A
b




Explanation: A) The temperature of an unconscious client is never taken by mouth. The
b b b b b b b b b b b b b




rectal,tympanic, or scanner method is preferred.
b b b b b b b




B) The rectal, tympanic, or scanner method is preferred.
b b b b b b b




C) The rectal, tympanic, or scanner method is preferred.
b b b b b b b




D) The rectal, tympanic, or scanner method is
b b b b b b




preferred.Page Ref: 24
b b b b




Cognitive Level: Applying b b




Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards:
b bb b b b b b b b b b b




Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyAACN
b b b b b b b b b b b b




Domains and Comps.: Domain 5: Quality and Safety
b b b b b b b b




NLN Competencies: Quality & Safety
b b b b




1

, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to
b b b b b b b b b b b b b b




touch.Which method should the nurse use to check the baby's temperature?
b b b b b b b b b b b b




A) Oral
B) Rectal
C) Axillary
D) Tympanic
membraneANSWER: C
b b b




Explanation: A) Oral is used for age 3 or older. b b b b b b b b b




B) The rectal route is the least desirable.
b b b b b b




C) The axillary route may not be as accurate as other routes for detecting fevers in children.
b b b b b b b b b b b b b b b




D) The tympanic membrane may be used for 3 months or
b b b b b b b b b




older.Page Ref: 29
b b b b




Cognitive Level: Applying b b




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b




Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies:
b b b b b b b b b b




SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
b b b b b b b b b b




NLN Competencies: Quality & Safety
b b b b




4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD).
b b b b b b b b b b b




Whichnoninvasive diagnostic test will the nurse implement to know that the client is receiving
b b b b b b b b b b b b b b b




enough oxygen?
b b




A) Chest x-ray b




B) Pulse oximeter b




C) Arterial blood gasses b b




D) Assessment of respiratory b b




rateANSWER: B
b b b




Explanation: A) A chest x-ray is not an intervention a nurse completes. b b b b b b b b b b b




B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
b b b b b b b b b b b




saturation, in the blood and provides a pulse reading, which is especially helpful for the clientwith
b b b b b b b b b b b b b b b b b




a respiratory illness or disease.
b b b b b




C) Arterial blood gases are an invasive diagnostic test. b b b b b b b




D) Assessing a respiratory rate is important for the nurse to implement; however, it is not
b b b b b b b b b b b b b b




adiagnostic test.
b b b




Page Ref: 21 b b




Cognitive Level: Applying b b




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
b b b b b b b




Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
b b b b b b b b b




Competencies:Informatics
b b




AACN Domains and Comps.: Domain 5: Quality and SafetyNLN
b b b b b b b b b




Competencies: Quality & Safety
b b b b




2