TESTBANKS BY TESTBANKSNERD
Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Volume 3
by Pearson Education
All Chapters |Expert Verified Answers| Graded A+
, TESTBANKS BY TESTBANKSNERD
TABLE OF CONTENTS
Chapter 1. Assessment
Chapter 2. Caring Interventions
Chapter 3. Comfort
Chapter 4. Elimination
Chapter 5. Fluids and Electrolytes
Chapter 6. Infection
Chapter 7. Intracranial Regulation
Chapter 8. Metabolism
Chapter 9. Mobility
Chapter 10. Nutrition
Chapter 11. Oxygenation
Chapter 12. Perfusion
Chapter 13. Perioperative Care
Chapter 14. Reproduction
Chapter 15. Safety
Chapter 16. Tissue Integrity
, Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test Bank
Chapter 1: Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which action
will the nurse implement first?
A) Call the healthcare provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to
lateral.
Answer: C
Explanation: A) The nurse will need to reassess the client first, before calling the
healthcare provider.
B) The nurse will need to reassess the client first, before administering pain medication.
C) The nurse needs to implement a new set of vital signs first when there is a
change in condition.
D) The nurse will need to reassess the client first, before moving the client, to avoid
making the change in client's condition worse.
Page Ref: 2
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN
Competencies: Patient-Centered Care
AACN Domains and Comps.: Domain 2: Person-Centered Care
NLN Competencies: Relationship Centered Care
2) The nurse is observing the UAP taking the temperature of an unconscious client. Which
route will the nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) Tympani
c
Answer:A
Explanation: A) The temperature of an unconscious client is never taken by mouth. The
rectal, tympanic, or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is
preferred. Page Ref: 24
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies:
Safety AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
1|Page
, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to
touch. Which method should the nurse use to check the baby's temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
membrane
Answer: C
Explanation: A) Oral is used for age 3 or older.
B) The rectal route is the least desirable.
C) The axillary route may not be as accurate as other routes for detecting fevers in children.
D) The tympanic membrane may be used for 3 months or
older. Page Ref: 29
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies:
Safety AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD).
Which noninvasive diagnostic test will the nurse implement to know that the client is
receiving enough oxygen?
A) Chest x-ray
B) Pulse oximeter
C) Arterial blood gasses
D) Assessment of respiratory
rate
Answer: B
Explanation: A) A chest x-ray is not an intervention a nurse completes.
B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or
oxygen saturation, in the blood and provides a pulse reading, which is especially helpful
for the client with a respiratory illness or disease.
C) Arterial blood gases are an invasive diagnostic test.
D) Assessing a respiratory rate is important for the nurse to implement; however, it is
not a diagnostic test.
Page Ref: 21
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
Competencies: Informatics
AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
2|Page
Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Volume 3
by Pearson Education
All Chapters |Expert Verified Answers| Graded A+
, TESTBANKS BY TESTBANKSNERD
TABLE OF CONTENTS
Chapter 1. Assessment
Chapter 2. Caring Interventions
Chapter 3. Comfort
Chapter 4. Elimination
Chapter 5. Fluids and Electrolytes
Chapter 6. Infection
Chapter 7. Intracranial Regulation
Chapter 8. Metabolism
Chapter 9. Mobility
Chapter 10. Nutrition
Chapter 11. Oxygenation
Chapter 12. Perfusion
Chapter 13. Perioperative Care
Chapter 14. Reproduction
Chapter 15. Safety
Chapter 16. Tissue Integrity
, Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test Bank
Chapter 1: Assessment
1) A client on the medical/surgical unit complains of sudden chest pains. Which action
will the nurse implement first?
A) Call the healthcare provider.
B) Administer pain medication.
C) Reassess a new set of vital signs.
D) Turn client from supine to
lateral.
Answer: C
Explanation: A) The nurse will need to reassess the client first, before calling the
healthcare provider.
B) The nurse will need to reassess the client first, before administering pain medication.
C) The nurse needs to implement a new set of vital signs first when there is a
change in condition.
D) The nurse will need to reassess the client first, before moving the client, to avoid
making the change in client's condition worse.
Page Ref: 2
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN
Competencies: Patient-Centered Care
AACN Domains and Comps.: Domain 2: Person-Centered Care
NLN Competencies: Relationship Centered Care
2) The nurse is observing the UAP taking the temperature of an unconscious client. Which
route will the nurse question the UAP using?
A) Oral
B) Rectal
C) Scanner
D) Tympani
c
Answer:A
Explanation: A) The temperature of an unconscious client is never taken by mouth. The
rectal, tympanic, or scanner method is preferred.
B) The rectal, tympanic, or scanner method is preferred.
C) The rectal, tympanic, or scanner method is preferred.
D) The rectal, tympanic, or scanner method is
preferred. Page Ref: 24
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: Nursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies:
Safety AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
1|Page
, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to
touch. Which method should the nurse use to check the baby's temperature?
A) Oral
B) Rectal
C) Axillary
D) Tympanic
membrane
Answer: C
Explanation: A) Oral is used for age 3 or older.
B) The rectal route is the least desirable.
C) The axillary route may not be as accurate as other routes for detecting fevers in children.
D) The tympanic membrane may be used for 3 months or
older. Page Ref: 29
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies:
Safety AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD).
Which noninvasive diagnostic test will the nurse implement to know that the client is
receiving enough oxygen?
A) Chest x-ray
B) Pulse oximeter
C) Arterial blood gasses
D) Assessment of respiratory
rate
Answer: B
Explanation: A) A chest x-ray is not an intervention a nurse completes.
B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or
oxygen saturation, in the blood and provides a pulse reading, which is especially helpful
for the client with a respiratory illness or disease.
C) Arterial blood gases are an invasive diagnostic test.
D) Assessing a respiratory rate is important for the nurse to implement; however, it is
not a diagnostic test.
Page Ref: 21
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN
Competencies: Informatics
AACN Domains and Comps.: Domain 5: Quality and Safety
NLN Competencies: Quality & Safety
2|Page
