Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2025 UPDATED!!!!)

TESTBANK i




CLINICAL NURSING SKILLS:
i i




A Concept-Based Approach
i i




4th Edition, Pearson Education
i
i i




TESTBANK i

,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
i i i i i i i i i i i


Education
i




Table of Contents
i i




Chapter 1. Assessment
i i




Chapter 2. Caring Interventions
i i i




Chapter 3. Comfort
i i




Chapter 4. Elimination
i i




Chapter 5. Fluids and Electrolytes
i i i i




Chapter 6. Infection
i i




Chapter 7. Intracranial Regulation
i i i




Chapter 8. Metabolism
i i




Chapter 9. Mobility
i i




Chapter 10. Nutrition
i i




Chapter 11. Oxygenation
i i




Chapter 12. Perfusion
i i




Chapter 13. Perioperative Care
i i i




Chapter 14. Reproduction
i i




Chapter 15. Safety
i i




Chapter 16. Tissue Integrity
i i i

,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test Bank
i i i i i i i i i i


Chapter 1: Assessment
i i i




1) A client on the medical/surgical unit complains of sudden chest pains. Which action will the
i i i i i i i i i i i i i i


nurse implement first?
i i i


A) Call the healthcare provider. i i i


B) Administer pain medication. i i


C) Reassess a new set of vital signs. i i i i i i


D) Turn client from supine to lateral. i i i i i


Answer: C
i i


Explanation: A) The nurse will need to reassess the client first, before calling the healthcare i i i i i i i i i i i i i i


provider.
i


B) The nurse will need to reassess the client first, before administering pain medication.
i i i i i i i i i i i i


C) The nurse needs to implement a new set of vital signs first when there is a change in
i i i i i i i i i i i i i i i i i


condition.
i


D) The nurse will need to reassess the client first, before moving the client, to avoid making the
i i i i i i i i i i i i i i i i


change in client's condition worse.
i i i i i


Page Ref: 2 i i


Cognitive Level: Applying i i i


Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
i i i i i i i i


Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies:
i i i i i i i i i i


Patient-Centered Care
i i


AACN Domains and Comps.: Domain 2: Person-Centered Care
i i i i i i i


NLN Competencies: Relationship Centered Care
i i i i i




2) The nurse is observing the UAP taking the temperature of an unconscious client. Which route
i i i i i i i i i i i i i i


will the nurse question the UAP using?
i i i i i i i


A) Oral
B) Rectal
C) Scanner
D) Tympanic
Answer: A
i i


Explanation: A) The temperature of an unconscious client is never taken by mouth. The rectal, i i i i i i i i i i i i i i


tympanic, or scanner method is preferred.
i i i i i i


B) The rectal, tympanic, or scanner method is preferred.
i i i i i i i


C) The rectal, tympanic, or scanner method is preferred.
i i i i i i i


D) The rectal, tympanic, or scanner method is preferred.
i i i i i i i


Page Ref: 24
i i i


Cognitive Level: Applying i i i


Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control Standards:
i i i i i i i i i i i


iNursing Process: Evaluation | Learning Outcome: 1.1 | QSEN Competencies: Safety AACN
i i i i i i i i i i i


Domains and Comps.: Domain 5: Quality and Safety
i i i i i i i i


NLN Competencies: Quality & Safety
i i i i i




1

, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch.
i i i i i i i i i i i i i i i


Which method should the nurse use to check the baby's temperature?
i i i i i i i i i i i


A) Oral
B) Rectal
C) Axillary
D) Tympanic membrane i


Answer: C
i i


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


B) The rectal route is the least desirable.
i i i i i i


C) The axillary route may not be as accurate as other routes for detecting fevers in children.
i i i i i i i i i i i i i i i


D) The tympanic membrane may be used for 3 months or older.
i i i i i i i i i i


Page Ref: 29
i i i


Cognitive Level: Applying i i i


Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
i i i i i i i i


Standards: Nursing Process: Evaluating | Learning Outcome: 1.2 | QSEN Competencies: Safety
i i i i i i i i i i i


AACN Domains and Comps.: Domain 5: Quality and Safety
i i i i i i i i i


NLN Competencies: Quality & Safety
i i i i i




4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD). Which
i i i i i i i i i i i i


noninvasive diagnostic test will the nurse implement to know that the client is receiving enough
i i i i i i i i i i i i i i i


oxygen?
i


A) Chest x-ray i


B) Pulse oximeter i


C) Arterial blood gasses i i


D) Assessment of respiratory rate i i i


Answer: B
i i


Explanation: A) A chest x-ray is not an intervention a nurse completes.
i i i i i i i i i i i i


B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
i i i i i i i i i i i


saturation, in the blood and provides a pulse reading, which is especially helpful for the client
i i i i i i i i i i i i i i i i


with a respiratory illness or disease.
i i i i i i


C) Arterial blood gases are an invasive diagnostic test.i i i i i i i


D) Assessing a respiratory rate is important for the nurse to implement; however, it is not a
i i i i i i i i i i i i i i i


diagnostic test.
i i


Page Ref: 21
i i


Cognitive Level: Applying i i i


Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
i i i i i i i i


Standards: Nursing Process: Implementation | Learning Outcome: 1.3 | QSEN Competencies:
i i i i i i i i i i


Informatics
i


AACN Domains and Comps.: Domain 5: Quality and Safety NLN
i i i i i i i i i


Competencies: Quality & Safety
i i i i




2