THIS DOCUMENT BELONGS TO TESTBANKSPROF
Test Bank for Clinical Nursing Skills: A Concept-Based
Approach 4th Edition
by Pearson Education
All Chapters (1-16) |Q&A Verified with Explanations | Graded
A+
ISBN 9780136909491
~1~
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
TABLE OF CONTENTS
Chapter 1: Assessment........................................................................................ 3
Chapter 2: Caring Interventions ....................................................................... 18
Chapter 3 Comfort ............................................................................................ 36
Chapter 4 Elimination....................................................................................... 51
Chapter 5 Fluids and Electrolytes..................................................................... 67
Chapter 6 Infection ........................................................................................... 84
Chapter 7 Intracranial Regulation.................................................................... 98
Chapter 8 Metabolism..................................................................................... 110
Chapter 9 Mobility .......................................................................................... 125
Chapter 10 Nutrition ...................................................................................... 140
Chapter 11 Oxygenation ................................................................................. 153
Chapter 12 Perfusion ...................................................................................... 168
Chapter 13 Perioperative Care ....................................................................... 181
Chapter 14 Reproduction ............................................................................... 194
Chapter 15 Safety ............................................................................................ 210
Chapter 16 Tissue Integrity ............................................................................ 223
~2~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1: Assessment
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.
CORRECT 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) Tympanic
CORRECT ANSWER: A
~3~
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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
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
CORRECT 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
~4~
Test Bank for Clinical Nursing Skills: A Concept-Based
Approach 4th Edition
by Pearson Education
All Chapters (1-16) |Q&A Verified with Explanations | Graded
A+
ISBN 9780136909491
~1~
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
TABLE OF CONTENTS
Chapter 1: Assessment........................................................................................ 3
Chapter 2: Caring Interventions ....................................................................... 18
Chapter 3 Comfort ............................................................................................ 36
Chapter 4 Elimination....................................................................................... 51
Chapter 5 Fluids and Electrolytes..................................................................... 67
Chapter 6 Infection ........................................................................................... 84
Chapter 7 Intracranial Regulation.................................................................... 98
Chapter 8 Metabolism..................................................................................... 110
Chapter 9 Mobility .......................................................................................... 125
Chapter 10 Nutrition ...................................................................................... 140
Chapter 11 Oxygenation ................................................................................. 153
Chapter 12 Perfusion ...................................................................................... 168
Chapter 13 Perioperative Care ....................................................................... 181
Chapter 14 Reproduction ............................................................................... 194
Chapter 15 Safety ............................................................................................ 210
Chapter 16 Tissue Integrity ............................................................................ 223
~2~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1: Assessment
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.
CORRECT 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) Tympanic
CORRECT ANSWER: A
~3~
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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
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
CORRECT 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
~4~
