Test Bank for Clinical Nursing Skills:
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
,Clinical FNursing FSkills: FA FConcept-Based FApproach, F4e F(Pearson) FEducation FTest
FBankFChapter F1: FAssessment
1) A Fclient Fon Fthe Fmedical/surgical Funit Fcomplains Fof Fsudden Fchest Fpains. FWhich Faction
Fwill FtheFnurse Fimplement Ffirst?
A) Call Fthe Fhealthcare Fprovider.
B) Administer Fpain Fmedication.
C) Reassess Fa Fnew Fset Fof Fvital Fsigns.
D) Turn Fclient Ffrom Fsupine Fto
Flateral.FANSWER: F C
Explanation: FA) FThe Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fcalling Fthe
FhealthcareFprovider.
B) The Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fadministering Fpain Fmedication.
C) The Fnurse Fneeds Fto Fimplement Fa Fnew Fset Fof Fvital Fsigns Ffirst Fwhen Fthere Fis Fa
Fchange FinFcondition.
D) The Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fmoving Fthe Fclient, Fto Favoid
Fmaking FtheFchange Fin Fclient's Fcondition Fworse.
Page FRef: F2
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: FNursing FProcess: FAssessment F| FLearning FOutcome: F1.1 F| FQSEN
FCompetencies:FPatient-Centered FCare
AACN FDomains Fand FComps.: FDomain F2: FPerson-Centered
FCareFNLN FCompetencies: F Relationship FCentered FCare
2) The Fnurse Fis Fobserving Fthe FUAP Ftaking Fthe Ftemperature Fof Fan Funconscious Fclient. FWhich
FrouteFwill Fthe Fnurse Fquestion Fthe FUAP Fusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
FANSWER:
FA
Explanation: FA) FThe Ftemperature Fof Fan Funconscious Fclient Fis Fnever Ftaken Fby Fmouth. FThe
Frectal,Ft ympanic, For Fscanner Fmethod Fis Fpreferred.
B) The Frectal, Ftympanic, For Fscanner Fmethod Fis Fpreferred.
C) The Frectal, Ftympanic, For Fscanner Fmethod Fis Fpreferred.
D) The Frectal, Ftympanic, For Fscanner Fmethod Fis
Fpreferred.FPage FRef: F24
Cognitive FLevel: F Applying
Client FNeed/Sub: F F F Safe Fand FEffective FCare FEnvironment: FSafety Fand FInfection FControl
FStandards: F Nursing FProcess: FEvaluation F| FLearning FOutcome: F1.1 F| FQSEN FCompetencies:
FSafetyFAACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
NLN FCompetencies: F Quality F& FSafety
1
, 3) The Fnurse Fis Fchanging Fa F2-month-old Fclient's Fdiaper Fand Fnotes Fthe Fclient Ffeels Fwarm Fto
Ftouch.FWhich Fmethod Fshould Fthe Fnurse Fuse Fto Fcheck Fthe Fbaby's Ftemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
FmembraneFANSWER:
FC
Explanation: F A) FOral Fis Fused Ffor Fage F3 For Folder.
B) The Frectal Froute Fis Fthe Fleast Fdesirable.
C) The Faxillary Froute Fmay Fnot Fbe Fas Faccurate Fas Fother Froutes Ffor Fdetecting Ffevers Fin Fchildren.
D) The Ftympanic Fmembrane Fmay Fbe Fused Ffor F3 Fmonths For
Folder.FPage FRef: F29
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: F Nursing FProcess: FEvaluating F| FLearning FOutcome: F1.2 F| FQSEN FCompetencies:
FSafetyFAACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
NLN FCompetencies: F Quality F& FSafety
4) A Fclient Fcomes Fin Fwith Fexacerbation Fof Fchronic Fobstructive Fpulmonary Fdisease F(COPD).
FWhichFnoninvasive Fdiagnostic Ftest Fwill Fthe Fnurse Fimplement Fto Fknow Fthat Fthe Fclient Fis
Freceiving Fenough Foxygen?
A) Chest Fx-ray
B) Pulse Foximeter
C) Arterial Fblood Fgasses
D) Assessment Fof Frespiratory
FrateFANSWER: F B
Explanation: F A) FA Fchest Fx-ray Fis Fnot Fan Fintervention Fa Fnurse Fcompletes.
B) A Fpulse Foximeter Fprovides Fa Fnoninvasive Fmethod Fof Fmeasuring Foxygenation, For
Foxygen Fsaturation, Fin Fthe Fblood Fand Fprovides Fa Fpulse Freading, Fwhich Fis Fespecially
Fhelpful Ffor Fthe FclientFwith Fa Frespiratory Fillness For Fdisease.
C) Arterial Fblood Fgases Fare Fan Finvasive Fdiagnostic Ftest.
D) Assessing Fa Frespiratory Frate Fis Fimportant Ffor Fthe Fnurse Fto Fimplement; Fhowever, Fit Fis
Fnot FaFdiagnostic Ftest.
Page FRef: F21
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: FNursing FProcess: FImplementation F| FLearning FOutcome: F1.3 F| FQSEN
FCompetencies:FInformatics
AACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
FNLN FCompetencies: F Quality F& FSafety
2
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
,Clinical FNursing FSkills: FA FConcept-Based FApproach, F4e F(Pearson) FEducation FTest
FBankFChapter F1: FAssessment
1) A Fclient Fon Fthe Fmedical/surgical Funit Fcomplains Fof Fsudden Fchest Fpains. FWhich Faction
Fwill FtheFnurse Fimplement Ffirst?
A) Call Fthe Fhealthcare Fprovider.
B) Administer Fpain Fmedication.
C) Reassess Fa Fnew Fset Fof Fvital Fsigns.
D) Turn Fclient Ffrom Fsupine Fto
Flateral.FANSWER: F C
Explanation: FA) FThe Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fcalling Fthe
FhealthcareFprovider.
B) The Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fadministering Fpain Fmedication.
C) The Fnurse Fneeds Fto Fimplement Fa Fnew Fset Fof Fvital Fsigns Ffirst Fwhen Fthere Fis Fa
Fchange FinFcondition.
D) The Fnurse Fwill Fneed Fto Freassess Fthe Fclient Ffirst, Fbefore Fmoving Fthe Fclient, Fto Favoid
Fmaking FtheFchange Fin Fclient's Fcondition Fworse.
Page FRef: F2
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: FNursing FProcess: FAssessment F| FLearning FOutcome: F1.1 F| FQSEN
FCompetencies:FPatient-Centered FCare
AACN FDomains Fand FComps.: FDomain F2: FPerson-Centered
FCareFNLN FCompetencies: F Relationship FCentered FCare
2) The Fnurse Fis Fobserving Fthe FUAP Ftaking Fthe Ftemperature Fof Fan Funconscious Fclient. FWhich
FrouteFwill Fthe Fnurse Fquestion Fthe FUAP Fusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
FANSWER:
FA
Explanation: FA) FThe Ftemperature Fof Fan Funconscious Fclient Fis Fnever Ftaken Fby Fmouth. FThe
Frectal,Ft ympanic, For Fscanner Fmethod Fis Fpreferred.
B) The Frectal, Ftympanic, For Fscanner Fmethod Fis Fpreferred.
C) The Frectal, Ftympanic, For Fscanner Fmethod Fis Fpreferred.
D) The Frectal, Ftympanic, For Fscanner Fmethod Fis
Fpreferred.FPage FRef: F24
Cognitive FLevel: F Applying
Client FNeed/Sub: F F F Safe Fand FEffective FCare FEnvironment: FSafety Fand FInfection FControl
FStandards: F Nursing FProcess: FEvaluation F| FLearning FOutcome: F1.1 F| FQSEN FCompetencies:
FSafetyFAACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
NLN FCompetencies: F Quality F& FSafety
1
, 3) The Fnurse Fis Fchanging Fa F2-month-old Fclient's Fdiaper Fand Fnotes Fthe Fclient Ffeels Fwarm Fto
Ftouch.FWhich Fmethod Fshould Fthe Fnurse Fuse Fto Fcheck Fthe Fbaby's Ftemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
FmembraneFANSWER:
FC
Explanation: F A) FOral Fis Fused Ffor Fage F3 For Folder.
B) The Frectal Froute Fis Fthe Fleast Fdesirable.
C) The Faxillary Froute Fmay Fnot Fbe Fas Faccurate Fas Fother Froutes Ffor Fdetecting Ffevers Fin Fchildren.
D) The Ftympanic Fmembrane Fmay Fbe Fused Ffor F3 Fmonths For
Folder.FPage FRef: F29
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: F Nursing FProcess: FEvaluating F| FLearning FOutcome: F1.2 F| FQSEN FCompetencies:
FSafetyFAACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
NLN FCompetencies: F Quality F& FSafety
4) A Fclient Fcomes Fin Fwith Fexacerbation Fof Fchronic Fobstructive Fpulmonary Fdisease F(COPD).
FWhichFnoninvasive Fdiagnostic Ftest Fwill Fthe Fnurse Fimplement Fto Fknow Fthat Fthe Fclient Fis
Freceiving Fenough Foxygen?
A) Chest Fx-ray
B) Pulse Foximeter
C) Arterial Fblood Fgasses
D) Assessment Fof Frespiratory
FrateFANSWER: F B
Explanation: F A) FA Fchest Fx-ray Fis Fnot Fan Fintervention Fa Fnurse Fcompletes.
B) A Fpulse Foximeter Fprovides Fa Fnoninvasive Fmethod Fof Fmeasuring Foxygenation, For
Foxygen Fsaturation, Fin Fthe Fblood Fand Fprovides Fa Fpulse Freading, Fwhich Fis Fespecially
Fhelpful Ffor Fthe FclientFwith Fa Frespiratory Fillness For Fdisease.
C) Arterial Fblood Fgases Fare Fan Finvasive Fdiagnostic Ftest.
D) Assessing Fa Frespiratory Frate Fis Fimportant Ffor Fthe Fnurse Fto Fimplement; Fhowever, Fit Fis
Fnot FaFdiagnostic Ftest.
Page FRef: F21
Cognitive FLevel: F Applying
Client FNeed/Sub: F Physiological FIntegrity: FReduction Fof FRisk FPotential
Standards: FNursing FProcess: FImplementation F| FLearning FOutcome: F1.3 F| FQSEN
FCompetencies:FInformatics
AACN FDomains Fand FComps.: F Domain F5: FQuality Fand FSafety
FNLN FCompetencies: F Quality F& FSafety
2
