Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2023) Chapter 1-16 | All Chapters
5 views 0 purchase
Course
Clinical Nursing Skills, Callahan, 4th Edition
Institution
Clinical Nursing Skills, Callahan, 4th Edition
Test Bank - Clinical Nursing Skills: A Concept-Based Approach, 4th Edition (Callahan, 2023) Chapter 1-16 | All Chapters. Assessment General Assessment Vital Signs Physical Assessment Physical Assessment for the Newborn Critical Thinking Options for Unexpected Outcomes Caring Interventions Bed Care ...
TEST BANK
CLINICAL NURSING SKILLS: A
CONCEPT-BASED APPROACH
FOR MORE AFFORDABLE FILES CHECK OUT US ON: WWW.MEDTESTBANKS.COM
Barbara Callahan 4th Edition
ALL CHAPTERS ORIGINAL FROM PUBLISHER PDF DOWNLOAD
M
EMAIL US ON MEDTESTBANKS@GMAIL.COM
ED
CO
NN
OI
SS
EU
R
,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson)
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.
M
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.
ED
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
CO
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
Standards: Nursing Process: Assessment | Learning Outcome: 1.1 | QSEN Competencies:
Patient-Centered Care
NN
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
OI
will the nurse question the UAP using?
A) Oral
B) Rectal
SS
C) Scanner
D) Tympanic
Answer: A
EU
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.
R
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
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
M
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
CO
noninvasive diagnostic test will the nurse implement to know that the client is receiving enough
oxygen?
A) Chest x-ray
NN
B) Pulse oximeter
C) Arterial blood gasses
D) Assessment of respiratory rate
Answer: B
OI
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
SS
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
EU
diagnostic test.
Page Ref: 21
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
R
, 5) The nurse is preparing to assess a client's musculoskeletal system. Which question should the
nurse ask before beginning this assessment?
A) "Do you exercise every day?"
B) "Do you have a history of any sports injuries?"
C) "Do you take a hot bath to relax your muscles?"
D) "Do you want pain medication before I begin?"
Answer: B
Explanation: A) Knowing if a client exercises is an important question but knowing if there are
any sports injuries to know about first, is most important before doing a routine musculoskeletal
assessment.
B) It is important to note if the client has a history of any sports injuries first to know what the
client will or will not be able to do during a routine musculoskeletal assessment.
M
C) Knowing if the client takes a hot bath to relax the muscles is not the most important thing to
ask before performing a routine musculoskeletal assessment.
D) To know if a client is experiencing any pain is an important question; however, this question
ED
is assuming the client is in pain by asking if the client wants a pain medication before beginning
a routine musculoskeletal assessment.
Page Ref: 62
Cognitive Level: Applying
CO
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: Nursing Process: Assessment | Learning Outcome: 1.5 | QSEN Competencies: Safety
AACN Domains and Comps.: Domain 5: Quality and Safety
NN
NLN Competencies: Quality & Safety
6) An adult child mentions that the client seems to have a decline in mental status and seems to
be forgetting many things in their conversation since being hospitalized. Which response should
OI
the nurse make?
A) "Give your mom time, because it will take her a little longer when answering questions."
B) "Let me check the cranial nerve function to see if there is a defect in her mental status."
SS
C) "You do not need to worry. This decline is part of the normal process of aging."
D) "If you bring some things from her home, it might reduce the confusion."
Answer: D
EU
Explanation: A) This is expected to give some older adults time to respond, but the daughter is
concerned about her forgetting, not the length of the response.
B) Cranial nerve function is an assessment of the cranial nerves and not the mental status of a
client.
R
C) A decline in mental status is not a normal result of aging, so this response is not true.
D) The stress of being in unfamiliar situations can cause confusion in some older adults.
Page Ref: 75
Cognitive Level: Applying
Client Need/Sub: Psychosocial Integrity
Standards: Nursing Process: Planning | Learning Outcome: 1.6 | QSEN Competencies: Patient-
Centered Care
AACN Domains and Comps.: Domain 2: Person-Centered Care
NLN Competencies: Context and Environment
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MedConnoisseur. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
