***INSTANT DOWNLOAD***TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, Verified Chapters 1 - 16, Complete Newest Version

TestBank ForClinicalNursing Skills:
b b b b b




AConcept-Based Approach
b b b




4th EditionVolumeIII
b b b




ByPearson EducationChapters1-16
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 Bank
b b b b b b b b b b




Chapter 1: Assessment
b b b




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




implement first?
b b




A) Call the healthcare provider. b b b




B) Administerpain medication. b b




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




D) Turnclient from supineto lateral. b b b b b




ANSWER: C
b b




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




provider.
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 in
b b b b b b b b b b b b b b b b b




condition.
b




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




in client's condition worse.
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 Competencies:
b b b b b b b b b b




Patient-Centered Care
b b




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




NLN Competencies: Relationship Centered Care
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
ANSWER:
b




A
b




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




tympanic, or scanner method is preferred.
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) Therectal, tympanic, or scanner method is preferred.
b b b b b b b




Page Ref: 24
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




NursingProcess: Evaluation | Learning Outcome: 1.1 |QSEN Competencies: SafetyAACN Domains
b b b b b b b b b b b b b




and Comps.: Domain 5: Quality and Safety
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 touch.Which
b b b b b b b b b b b b b b b b




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




A) Oral
B) Rectal
C) Axillary
D) Tympanic membrane b




ANSWER: C
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 axillaryroute 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 maybe used for 3 months or older.Page
b b b b b b b b b b b




Ref: 29
b b




Cognitive Level: Applying b b




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




Standards: NursingProcess: Evaluating | Learning Outcome: 1.2 | QSEN Competencies: Safety
b b b b b b b b b b b




AACN Domains and Comps.: Domain 5: Quality and Safety
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 pulmonarydisease (COPD). Which
b b b b b b b b b b b b




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




oxygen?
b




A) Chest x-ray b




B) Pulse oximeter b




C) Arterialblood gasses b b




D) Assessmentofrespiratoryrate b b b




ANSWER: B
b b




Explanation: A) A chest x-rayis 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 especiallyhelpful for the clientwith a
b b b b b b b b b b b b b b b b b b




respiratoryillness or disease.
b b b b




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




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




diagnostic test.
b b




Page Ref: 21b 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 Competencies:
b b b b b b b b b b




Informatics
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