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 Volume III
By Pearson Education Chapters 1 - 16

,TestQBankQforQClinicalQNursingQSkills:QAQConcept-
BasedQApproachQ4thQEditionQPearsonQ

,ClinicalQNursingQSkills:QAQConcept-
BasedQApproach,Q4eQ(Pearson)QEducationQTestQBankQChapterQ1:QAssessment

1) AQclientQonQtheQmedical/surgicalQunitQcomplainsQofQsuddenQchestQpains.QWhichQacti
onQwillQtheQnurseQimplementQfirst?
A) CallQtheQhealthcareQprovider.
B) AdministerQpainQmedication.
C) ReassessQaQnewQsetQofQvitalQsigns.
D) TurnQclientQfromQsupineQtoQlat
eral.QANSWER:Q C
Explanation:QA)QTheQnurseQwillQneedQtoQreassessQtheQclientQfirst,QbeforeQcallingQthe
QhealthcareQprovider.
B) TheQnurseQwillQneedQtoQreassessQtheQclientQfirst,QbeforeQadministeringQpainQmedication.
C) TheQnurseQneedsQtoQimplementQaQnewQsetQofQvitalQsignsQfirstQwhenQthereQi
sQaQchangeQinQcondition.
D) TheQnurseQwillQneedQtoQreassessQtheQclientQfirst,QbeforeQmovingQtheQclient,QtoQavoi
dQmakingQtheQchangeQinQclient'sQconditionQworse.
PageQRef:Q2
CognitiveQLevel:Q Applying
ClientQNeed/Sub:Q PhysiologicalQIntegrity:QReductionQofQRiskQPotential
Standards:QNursingQProcess:QAssessmentQ|QLearningQOutcome:Q1.1Q|QQSENQCompe
tencies:QPatient-CenteredQCare
AACNQDomainsQandQComps.:QDomainQ2:QPerson-
CenteredQCareQNLNQCompetencies:Q RelationshipQCenteredQC
are

2) TheQnurseQisQobservingQtheQUAPQtakingQtheQtemperatureQofQanQunconsciousQclient.Q
WhichQrouteQwillQtheQnurseQquestionQtheQUAPQusing?
A) Oral
B) Rectal
C) Scanner
D) Tympanic
QANSWER:
QA
Explanation:QA)QTheQtemperatureQofQanQunconsciousQclientQisQneverQtakenQbyQmouth.Q
TheQrectal,Qtympanic,QorQscannerQmethodQisQpreferred.
B) TheQrectal,Qtympanic,QorQscannerQmethodQisQpreferred.
C) TheQrectal,Qtympanic,QorQscannerQmethodQisQpreferred.
D) TheQrectal,Qtympanic,QorQscannerQmethodQisQpre
ferred.QPageQRef:Q24
CognitiveQLevel:Q Applying
ClientQNeed/Sub:QQQ SafeQandQEffectiveQCareQEnvironment:QSafetyQandQInfectionQContro
lQStandards:Q NursingQProcess:QEvaluationQ|QLearningQOutcome:Q1.1Q|QQSENQCompetenc
ies:QSafetyQAACNQDomainsQandQComps.:Q DomainQ5:QQualityQandQSafety
NLNQCompetencies:Q QualityQ&QSafety




1

, 3) TheQnurseQisQchangingQaQ2-month-
oldQclient'sQdiaperQandQnotesQtheQclientQfeelsQwarmQtoQtouch.QWhichQmethodQshouldQt
heQnurseQuseQtoQcheckQtheQbaby'sQtemperature?
A) Oral
B) Rectal
C) Axillary
D) TympanicQmembran
eQANSWER:Q C
Explanation:Q A)QOralQisQusedQforQageQ3QorQolder.
B) TheQrectalQrouteQisQtheQleastQdesirable.
C) TheQaxillaryQrouteQmayQnotQbeQasQaccurateQasQotherQroutesQforQdetectingQfeversQinQchildren.
D) TheQtympanicQmembraneQmayQbeQusedQforQ3QmonthsQ
orQolder.QPageQRef:Q29
CognitiveQLevel:Q Applying
ClientQNeed/Sub:Q PhysiologicalQIntegrity:QReductionQofQRiskQPotential
Standards:Q NursingQProcess:QEvaluatingQ|QLearningQOutcome:Q1.2Q|QQSENQCompetencie
s:QSafetyQAACNQDomainsQandQComps.:Q DomainQ5:QQualityQandQSafety
NLNQCompetencies:Q QualityQ&QSafety

4) AQclientQcomesQinQwithQexacerbationQofQchronicQobstructiveQpulmonaryQdiseaseQ(COP
D).QWhichQnoninvasiveQdiagnosticQtestQwillQtheQnurseQimplementQtoQknowQthatQtheQclien
tQisQreceivingQenoughQoxygen?
A) ChestQx-ray
B) PulseQoximeter
C) ArterialQbloodQgasses
D) AssessmentQofQrespiratoryQr
ateQANSWER:Q B
Explanation:Q A)QAQchestQx-rayQisQnotQanQinterventionQaQnurseQcompletes.
B) AQpulseQoximeterQprovidesQaQnoninvasiveQmethodQofQmeasuringQoxygenation,QorQ
oxygenQsaturation,QinQtheQbloodQandQprovidesQaQpulseQreading,QwhichQisQespeciallyQ
helpfulQforQtheQclientQwithQaQrespiratoryQillnessQorQdisease.
C) ArterialQbloodQgasesQareQanQinvasiveQdiagnosticQtest.
D) AssessingQaQrespiratoryQrateQisQimportantQforQtheQnurseQtoQimplement;Qhowever,
QitQisQnotQaQdiagnosticQtest.
PageQRef:Q21
CognitiveQLevel:Q Applying
ClientQNeed/Sub:Q PhysiologicalQIntegrity:QReductionQofQRiskQPotential
Standards:QNursingQProcess:QImplementationQ|QLearningQOutcome:Q1.3Q|QQSENQCompete
ncies:QInformatics
AACNQDomainsQandQComps.:Q DomainQ5:QQualityQandQSaf
etyQNLNQCompetencies:Q QualityQ&QSafety




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