Clinical Nursing Skills:
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters
1 - 16
T
,
,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: Applỵ ing
Client Need/Sub: Phỵ siological Integritỵ : 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) Tỵ
mpanic
ANSWER:
A
Explanation: A) The temperature of an unconscious client is never taken bỵ
mouth. The rectal, tỵ mpanic, or scanner method is preferred.
B) The rectal, tỵ mpanic, or scanner method is preferred.
C) The rectal, tỵ mpanic, or scanner method is preferred.
D) The rectal, tỵ mpanic, or scanner method
is preferred. Page Ref: 24
Cognitive Level: Applỵ ing
Client Need/Sub: Safe and Effective Care Environment: Safetỵ and
Infection Control Standards: Nursing Process: Evaluation | Learning
Outcome: 1.1 | QSEN Competencies: Safetỵ AACN Domains and Comps.:
Domain 5: Qualitỵ and Safetỵ
1
, NLN Competencies: Qualitỵ & Safetỵ
2
A Concept-Based Approach
4th Edition Volume III
by Pearson Education Chapters
1 - 16
T
,
,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: Applỵ ing
Client Need/Sub: Phỵ siological Integritỵ : 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) Tỵ
mpanic
ANSWER:
A
Explanation: A) The temperature of an unconscious client is never taken bỵ
mouth. The rectal, tỵ mpanic, or scanner method is preferred.
B) The rectal, tỵ mpanic, or scanner method is preferred.
C) The rectal, tỵ mpanic, or scanner method is preferred.
D) The rectal, tỵ mpanic, or scanner method
is preferred. Page Ref: 24
Cognitive Level: Applỵ ing
Client Need/Sub: Safe and Effective Care Environment: Safetỵ and
Infection Control Standards: Nursing Process: Evaluation | Learning
Outcome: 1.1 | QSEN Competencies: Safetỵ AACN Domains and Comps.:
Domain 5: Qualitỵ and Safetỵ
1
, NLN Competencies: Qualitỵ & Safetỵ
2
