TEST BANK FOR Clinical Nursing Skills: A Concept-Based Approach 4th Edition by Pearson Education ISBN: 978-0136909491 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

Test Bank for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III ii ii ii




by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Conc
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ept-Based Approach 4th Edition Pearson
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,Clinical Nursing Skills: A Concept- m v m v mv m v



Based Approach, 4e (Pearson) Education Test BankiiChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains.
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Which a ction will the nurse implement first?
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A) Call the healthcare provider. m v m v m v



B) Administer pain medication. m v m v



C) Reassess a new set of vital signs. m v m v m v m v m v m v



D) Turn client from supine to mv mv mv mv



lateral. ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before ca m v m v m v m v m v m v m v m v m v m v m v m v



lling the h ealthcareprovider. m v mv mv



B) The nurse will need to reassess the client first, before administering pain medication.
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C) The nurse needs to implement a new set of vital signs first
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when there is a change in condition. m v mv m v gd m v mv



D) The nurse will need to reassess the client first, before moving the
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client, to avoid making the change in client's condition worse.
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Page Ref: 2 m v m v



Cognitive Level: m v



Applying
Client Need/Sub:
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Physiological Integrity: Reduction of Risk Potential m v m v m v mv m v m



Standards: Nursing Process: Assessment | Learning Outcome: 1.1
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m | QS EN Competencies:Patient-Centered Care
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AACN Domains and Comps.: Domain 2: Person- m v m v m v m v m v m v



Centered Care NLN Competencies: Relationship Centered C mv mv m v m v m v m v



a re mv




2) The nurse is observing the UAP taking the temperature of an unc
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onscious cl ient. Which route will the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
iiANSWER:

A
Explanation: A) The temperature of an unconscious client is never taken b m v m v m v m v m v m v m v m v m v m v m v



y mouth. The rectal,tympanic, or scanner method is preferred.
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B) The rectal, tympanic, or scanner method is preferred.
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C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner method i mv mv m v mv m v mv



s preferred.Page Ref: 24
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Cognitive Level: m v



Applying
mvClient Need/Sub: m v



Safe and Effective Care Environment: Safety and Infection Control St mv mv mv mv mv mv mv mv mv



andards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Comp
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etenci es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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1

, 3) The nurse is changing a 2-month- m v m v m v m v m v



old client's diaper and notes the client feels warm to touch.Which method
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should th e nurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra gd



ne ANSWER:
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C
Explanation: A) Oral is used for age 3 or older. m v m v m v m v m v m v m v m v



B) The rectal route is the least desirable. m v m v m v m v m v m v



C) The axillary route may not be as accurate as other routes for detecting fevers in chil
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dren.
D) The tympanic membrane may be used for 3 mont
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hs or older.Page Ref: 29
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Cognitive Level: Applying m v



Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Com
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petenci es: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: Quality & Safety
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4) A client comes in with exacerbation of chronic obstructive pulmonary dise
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ase (CO PD). Which noninvasive diagnostic test will the nurse implement to kn
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ow that the cl ient is receiving enough oxygen?
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A) Chest x-ray m v



B) Pulse oximeter m v



C) Arterial blood gasses m v m v



D) Assessment of respiratory mv mv



rateiiANSWER: B
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Explanation: A) A chest x-ray is not an intervention a nurse completes. m v m v m v m v m v m v m v m v m v m v



B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or ox
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y gen saturation, in the blood and provides a pulse reading, which is especially help
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ful for the client with a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test. m v m v m v m v m v m v m v



D) Assessing a respiratory rate is important for the nurse to implement; m v m v m v m v m v m v m v m v m v m v



howeve r, it is not a diagnostic test.
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Page Ref: 21 m v m v



Cognitive Level: m v



Applying
Client Need/Sub:
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Physiological Integrity: Reduction of Risk Potential Sta m v m v m v mv m v mv



n dards: Nursing Process: Implementation | Learning Outcome: 1.3
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v| QSEN Competencies:Informatics
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AACN Domains and Comps.: m v m v m v



Domain 5: Quality and Safet y NLN m v m v mv m v mv mv



Competencies:
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