TEST BANK For Clinical Nursing Skills: A Concept-Based Approach, 4th Edition Volume III by Pearson Education, ISBN 978-0136909491 COMPLETE GUIDE WITH RATIONALES 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
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by Pearson Education Chapters 1 - 16
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,Test Bank for Clinical Nursing Skills: A Concept-
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Based Approach 4th Edition Pearsonii
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,Clinical Nursing Skills: A Concept- A S A S AS A S




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 ac
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tion will theiinurse implement first?
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A) Call the healthcare provider.
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B) Administer pain medication. A S A S




C) Reassess a new set of vital signs. A S A S A S A S A S A S




D) Turn client from supine to l AS AS AS AS AS




ateral.iiANSWER: C A S




Explanation: A) The nurse will need to reassess the client first, before calling the he
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althcareprovider.
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
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is a change iniicondition.
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D) The nurse will need to reassess the client first, before moving the client, to a
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void making theiichange in client's condition worse.
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Page Ref: 2 A S A S




Cognitive Level: Applying A S




Client Need/Sub: A S




Physiological Integrity: Reduction of Risk Potential A S A S A S AS A S AS




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

2) The nurse is observing the UAP taking the temperature of an unconscious cli
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ent. Which routeiiwill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic
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Explanation: A) The temperature of an unconscious client is never taken by mouth.
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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 is
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preferred.Page Ref: 24 A S A S




Cognitive Level: Applying A S




Client Need/Sub: A S




Safe and Effective Care Environment: Safety and Infection Control A S A S A S AS A S AS A S A S AS




Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencie
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s: SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies: A S Quality & Safety A S A S




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
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A Snurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic membra AS




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




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 o
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r older.Page Ref: 29
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Cognitive Level: Applying A S




Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencie
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s: 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 disease (COP
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D). Whichiinoninvasive diagnostic test will the nurse implement to know that the clien
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t is receiving enough oxygen?
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A) Chest x-ray A S




B) Pulse oximeter A S




C) Arterial blood gasses A S A S




D) Assessment of respiratory AS AS AS




rateiiANSWER: B A S




Explanation: A) A chest x-ray is not an intervention a nurse completes.
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B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxyg
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en saturation, in the blood and provides a pulse reading, which is especially helpful for
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the clientiiwith a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test. A S A S A S A S A S A S A S




D) Assessing a respiratory rate is important for the nurse to implement; however
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, it is not aiidiagnostic test.
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Page Ref: 21 A S A S




Cognitive Level: Applying A S




Client Need/Sub: A S




Physiological Integrity: Reduction of Risk Potential Stan A S A S A S AS A S AS




dards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN C
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ompetencies:Informatics
AACN Domains and Comps.: Domain 5: Quality and Safet
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y NLN Competencies: Quality & Safety
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