Test Bank for Clinical Nursing Skills:
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
,TesterBankerforerClinicalerNursingerSkills:erAerConcept-BasederApproacher4therEditionerPearsonre
,ClinicalerNursingerSkills:erAerConcept-
BasederApproach,er4eer(Pearson)erEducationerTesterBankerChapterer1:erAssessment
1) Aerclienteronertheermedical/surgicalerunitercomplainserofersuddenerchesterpains.erWhicheractioner
willerthern
e urseerimplementerfirst?
A) Callertheerhealthcareerprovider.
B) Administererpainermedication.
C) Reassesseraernewerseterofervitalersigns.
D) Turnerclienterfromersupineertoerlate
ral.erANSWER:e r C
Explanation:erA)erTheernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeercallingertheerhea
lthcarereprovider.
B) Theernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeeradministeringerpainermedication.
C) Theernurseerneedsertoerimplementeraernewerseterofervitalersignserfirsterwhenerthereeriseraer
changeerinrecondition.
D) Theernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeermovingertheerclient,ertoeravoiderm
akingertherechangeerinerclient'serconditionerworse.
PageerRef:er2
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:erNursingerProcess:erAssessmenter|erLearningerOutcome:er1.1er|erQSENerCompeten
cies:erPatient-CenterederCare
AACNerDomainseranderComps.:erDomainer2:erPerson-
CenterederCarereNLNerCompetencies:e r RelationshiperCenterederCare
2) TheernurseeriserobservingertheerUAPertakingertheertemperatureeroferanerunconsciouserclient.erWhic
herrouterw e illertheernurseerquestionertheerUAPerusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicre
ANSWER:er A
Explanation:erA)erTheertemperatureeroferanerunconsciouserclienteriserneverertakenerbyermouth.erTheer
rectal,retympanic,erorerscannerermethoderiserpreferred.
B) Theerrectal,ertympanic,erorerscannerermethoderiserpreferred.
C) Theerrectal,ertympanic,erorerscannerermethoderiserpreferred.
D) Theerrectal,ertympanic,erorerscannerermethoderiserprefe
rred.rePageerRef:er24
CognitiveerLevel:e r Applying
ClienterNeed/Sub:erere r SafeeranderEffectiveerCareerEnvironment:erSafetyeranderInfectionerControlerSta
ndards:er NursingerProcess:erEvaluationer|erLearningerOutcome:er1.1er|erQSENerCompetencies:erSafe
tyerAACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafety
NLNerCompetencies:e r Qualityer&erSafety
1
, 3) Theernurseeriserchangingeraer2-month-
olderclient'serdiapererandernotesertheerclienterfeelserwarmertoertouch.erWhichermethodershouldertheer
nurseeruseertoercheckertheerbaby'sertemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicermembran
ereANSWER:e r C
Explanation:e r A)erOraleriserusederforerageer3erorerolder.
B) Theerrectalerrouteerisertheerleasterdesirable.
C) Theeraxillaryerrouteermayernoterbeeraseraccurateeraserothererrouteserforerdetectingerfeverserinerchildren.
D) Theertympanicermembraneermayerbeerusederforer3ermonthserorer
older.rePageerRef:er29
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:e r NursingerProcess:erEvaluatinger|erLearningerOutcome:er1.2er|erQSENerCompetencies:erS
afetyreAACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafety
NLNerCompetencies:e r Qualityer&erSafety
4) Aerclientercomeserinerwitherexacerbationeroferchronicerobstructiveerpulmonaryerdiseaseer(COPD).er
Whichrn e oninvasiveerdiagnosticertesterwillertheernurseerimplementertoerknowerthatertheerclienteriserrece
ivingerenougheroxygen?
A) Chesterx-ray
B) Pulseeroximeter
C) Arterialerbloodergasses
D) Assessmenteroferrespiratoryerra
tereANSWER:e r B
Explanation:e r A)erAerchesterx-rayerisernoteranerinterventioneraernurseercompletes.
B) Aerpulseeroximetererprovideseraernoninvasiveermethoderofermeasuringeroxygenation,eroreroxyg
enersaturation,erinertheerblooderanderprovideseraerpulseerreading,erwhicheriserespeciallyerhelpfulerfo
rertheerclientrewitheraerrespiratoryerillnesserorerdisease.
C) Arterialerbloodergaseserareeranerinvasiveerdiagnosticertest.
D) Assessingeraerrespiratoryerrateeriserimportanterforertheernurseertoerimplement;erhowever,erit
erisernoterarediagnosticertest.
PageerRef:er21
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:erNursingerProcess:erImplementationer|erLearningerOutcome:er1.3er|erQSENerCompetenci
es:erInformatics
AACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafetyreNL
NerCompetencies:e r Qualityer&erSafety
2
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters 1 - 16
,TesterBankerforerClinicalerNursingerSkills:erAerConcept-BasederApproacher4therEditionerPearsonre
,ClinicalerNursingerSkills:erAerConcept-
BasederApproach,er4eer(Pearson)erEducationerTesterBankerChapterer1:erAssessment
1) Aerclienteronertheermedical/surgicalerunitercomplainserofersuddenerchesterpains.erWhicheractioner
willerthern
e urseerimplementerfirst?
A) Callertheerhealthcareerprovider.
B) Administererpainermedication.
C) Reassesseraernewerseterofervitalersigns.
D) Turnerclienterfromersupineertoerlate
ral.erANSWER:e r C
Explanation:erA)erTheernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeercallingertheerhea
lthcarereprovider.
B) Theernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeeradministeringerpainermedication.
C) Theernurseerneedsertoerimplementeraernewerseterofervitalersignserfirsterwhenerthereeriseraer
changeerinrecondition.
D) Theernurseerwillerneedertoerreassessertheerclienterfirst,erbeforeermovingertheerclient,ertoeravoiderm
akingertherechangeerinerclient'serconditionerworse.
PageerRef:er2
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:erNursingerProcess:erAssessmenter|erLearningerOutcome:er1.1er|erQSENerCompeten
cies:erPatient-CenterederCare
AACNerDomainseranderComps.:erDomainer2:erPerson-
CenterederCarereNLNerCompetencies:e r RelationshiperCenterederCare
2) TheernurseeriserobservingertheerUAPertakingertheertemperatureeroferanerunconsciouserclient.erWhic
herrouterw e illertheernurseerquestionertheerUAPerusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanicre
ANSWER:er A
Explanation:erA)erTheertemperatureeroferanerunconsciouserclienteriserneverertakenerbyermouth.erTheer
rectal,retympanic,erorerscannerermethoderiserpreferred.
B) Theerrectal,ertympanic,erorerscannerermethoderiserpreferred.
C) Theerrectal,ertympanic,erorerscannerermethoderiserpreferred.
D) Theerrectal,ertympanic,erorerscannerermethoderiserprefe
rred.rePageerRef:er24
CognitiveerLevel:e r Applying
ClienterNeed/Sub:erere r SafeeranderEffectiveerCareerEnvironment:erSafetyeranderInfectionerControlerSta
ndards:er NursingerProcess:erEvaluationer|erLearningerOutcome:er1.1er|erQSENerCompetencies:erSafe
tyerAACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafety
NLNerCompetencies:e r Qualityer&erSafety
1
, 3) Theernurseeriserchangingeraer2-month-
olderclient'serdiapererandernotesertheerclienterfeelserwarmertoertouch.erWhichermethodershouldertheer
nurseeruseertoercheckertheerbaby'sertemperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanicermembran
ereANSWER:e r C
Explanation:e r A)erOraleriserusederforerageer3erorerolder.
B) Theerrectalerrouteerisertheerleasterdesirable.
C) Theeraxillaryerrouteermayernoterbeeraseraccurateeraserothererrouteserforerdetectingerfeverserinerchildren.
D) Theertympanicermembraneermayerbeerusederforer3ermonthserorer
older.rePageerRef:er29
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:e r NursingerProcess:erEvaluatinger|erLearningerOutcome:er1.2er|erQSENerCompetencies:erS
afetyreAACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafety
NLNerCompetencies:e r Qualityer&erSafety
4) Aerclientercomeserinerwitherexacerbationeroferchronicerobstructiveerpulmonaryerdiseaseer(COPD).er
Whichrn e oninvasiveerdiagnosticertesterwillertheernurseerimplementertoerknowerthatertheerclienteriserrece
ivingerenougheroxygen?
A) Chesterx-ray
B) Pulseeroximeter
C) Arterialerbloodergasses
D) Assessmenteroferrespiratoryerra
tereANSWER:e r B
Explanation:e r A)erAerchesterx-rayerisernoteranerinterventioneraernurseercompletes.
B) Aerpulseeroximetererprovideseraernoninvasiveermethoderofermeasuringeroxygenation,eroreroxyg
enersaturation,erinertheerblooderanderprovideseraerpulseerreading,erwhicheriserespeciallyerhelpfulerfo
rertheerclientrewitheraerrespiratoryerillnesserorerdisease.
C) Arterialerbloodergaseserareeranerinvasiveerdiagnosticertest.
D) Assessingeraerrespiratoryerrateeriserimportanterforertheernurseertoerimplement;erhowever,erit
erisernoterarediagnosticertest.
PageerRef:er21
CognitiveerLevel:e r Applying
ClienterNeed/Sub:e r PhysiologicalerIntegrity:erReductioneroferRiskerPotential
Standards:erNursingerProcess:erImplementationer|erLearningerOutcome:er1.3er|erQSENerCompetenci
es:erInformatics
AACNerDomainseranderComps.:e r Domainer5:erQualityeranderSafetyreNL
NerCompetencies:e r Qualityer&erSafety
2
