Test Bank for Clinical Nursing Skills A Concept-Based Approach 4th Edition Volume III by Pearson Education Chapters 1 - 16 newest version updated 2025

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
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,Clinical Nursing Skills: A Concept- rv rv rv rv




Based Approach, 4e (Pearson) Education Test BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which action will thenu
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rse implement first?
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A) Call the healthcare provider. rv rv rv




B) Administer pain medication. rv rv




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




D) Turn client from supine to lateral. rv rv rv rv rv vr




ANSWER: C rv




Explanation: A) The nurse will need to reassess the client first, before calling the healthcarepr
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ovider.
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 when there is a change inco
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ndition.
D) The nurse will need to reassess the client first, before moving the client, to avoid making thech
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ange in client's condition worse.
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Page Ref: 2 rv rv




Cognitive Level: Applying rv r v




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies:Pa
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tient-Centered Care rv




AACN Domains and Comps.: Domain 2: Person-
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Centered CareNLN Competencies: Relationship Centered Care rv vr rv rv rv rv




2) The nurse is observing the UAP taking the temperature of an unconscious client. Which routew
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ill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic vr




ANSWER: A rv




Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal,tym
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panic, 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 is preferred.
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Page Ref: 24 rv rv




Cognitive Level: Applying rv r v




Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards: N
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ursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyAACN Domains
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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- rv rv rv rv rv




old client's diaper and notes the client feels warm to touch.Which method should the nurse use t
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o check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membrane rv vr




ANSWER: C rv




Explanation: A) Oral is used for age 3 or older. r v rv rv rv rv rv rv rv rv




B) The rectal route is the least desirable.
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C) The axillary route may not be as accurate as other routes for detecting fevers in children.
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D) The tympanic membrane may be used for 3 months or older.P
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age Ref: 29 rv rv




Cognitive Level: Applying rv r v




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies: SafetyAA
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CN 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 disease (COPD). Whichno
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ninvasive diagnostic test will the nurse implement to know that the client is receiving enough oxyg
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en?
A) Chest x-ray rv




B) Pulse oximeter rv




C) Arterial blood gasses rv rv




D) Assessment of respiratory rate rv rv rv vr




ANSWER: B rv




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




B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen satu
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ration, in the blood and provides a pulse reading, which is especially helpful for the clientwith a
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respiratory illness or disease. rv rv rv




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




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




iagnostic test. rv




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Cognitive Level: Applying rv r v




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN Competencies:Info
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rmatics
AACN Domains and Comps.: Domain 5: Quality and SafetyNLN Co
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mpetencies: Quality & Safety rv rv rv




2