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

Test Bank for Clinical Nursing Skills:
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A Concept-Based Approach
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4th Edition Volume III
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by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearsonii
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,Clinical Nursing Skills: A Concept- K K K K




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. Which action will
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K theiinurse implement first? K K




A) Call the healthcare provider.K K K




B) Administer pain medication. K K




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




D) Turn client from supine to la K K K K K




teral.iiANSWER: C K




Explanation: A) The nurse will need to reassess the client first, before calling the healthcarep
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rovider.
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 chan
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ge iniicondition.
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D) The nurse will need to reassess the client first, before moving the client, to avoid maki
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ng theiichange in client's condition worse.
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Page Ref: 2 K K




Cognitive Level: Applying K




Client Need/Sub: K




Physiological Integrity: Reduction of Risk Potential Sta K K K K K K




ndards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Comp
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etencies:Patient-Centered Care K




AACN Domains and Comps.: Domain 2: Person-
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Centered CareiiNLN Competencies: Relationship Centered Care
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2) The nurse is observing the UAP taking the temperature of an unconscious client. Whi
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ch routeiiwill 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 by mouth. The rect
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al,tympanic, or scanner method is preferred. K K K K K




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 pr
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eferred.Page Ref: 24 K K




Cognitive Level: Applying K




Client Need/Sub: K




Safe and Effective Care Environment: Safety and Infection Control Stan K K K K K K K K K




dards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: SafetyA
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ACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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1

, 3) The nurse is changing a 2-month-
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old client's diaper and notes the client feels warm to touch.Which method should the nurse u
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se to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra K




neiiANSWER:
C
Explanation: A) Oral is used for age 3 or older. K K K K K K K K




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 old
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er.Page Ref: 29 K K




Cognitive Level: Applying K




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies: Safe
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tyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: K Quality & Safety K K




4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD). Wh
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ichiinoninvasive diagnostic test will the nurse implement to know that the client is receiving eK K K K K K K K K K K K K K




nough oxygen? K




A) Chest x-ray K




B) Pulse oximeter K




C) Arterial blood gasses K K




D) Assessment of respiratory r K K K




ateiiANSWER: B K




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




B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
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saturation, in the blood and provides a pulse reading, which is especially helpful for the cl
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ientiiwith a respiratory illness or disease. K K K K K




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




D) Assessing a respiratory rate is important for the nurse to implement; however, it is n
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ot aiidiagnostic test.
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Page Ref: 21 K K




Cognitive Level: Applying K




Client Need/Sub: K




Physiological Integrity: Reduction of Risk Potential Standar K K K K K K




ds: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN Competen
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cies:Informatics
AACN Domains and Comps.: Domain 5: Quality and Safety NL
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N Competencies: Quality & Safety
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