Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Volume III by Pearson Education Chapters 1 - 16
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Course
Clinical Nursing Skills
Institution
Clinical Nursing Skills
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
Test Bank for Clinical Nursing Skills:
...
,Test Bank for Clinical Nursing Skills: A Concept-Based Approach 4th Edition Pearson
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,Clinical Nursing Skills: A Concept-Based Approach, 4e (Pearson) Education Test
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BankChapter 1: Assessment
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1) A client on the medical/surgical unit complains of sudden chest pains. Which action will
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thenurse implement first?
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A) Call the healthcare provider. IIll IIll IIll
B) Administer pain medication. IIll IIll
C) Reassess a new set of vital signs. IIll IIll IIll IIll IIll IIll
D) Turn client from supine to IIll IIll IIll IIll
lateral.ANSWER: C
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Explanation: A) The nurse will need to reassess the client first, before calling the IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
healthcareprovider.
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B) The nurse will need to reassess the client first, before administering pain medication.
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C) The nurse needs to implement a new set of vital signs first when there is a
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change incondition.
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D) The nurse will need to reassess the client first, before moving the client, to avoid making
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thechange in client's condition worse.
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Page Ref: 2 IIll IIll
Cognitive Level: Applying IIll I I l l
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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CareNLN Competencies: Relationship Centered Care
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2) The nurse is observing the UAP taking the temperature of an unconscious client. Which
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routewill the nurse question the UAP using?
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A) Oral
B) Rectal
C) Scanner
D) Tympanic Il
ANSWER: A IIll
Explanation: A) The temperature of an unconscious client is never taken by mouth. The IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
rectal,tympanic, or scanner method is preferred.
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B) The rectal, tympanic, or scanner method is preferred.
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C) The rectal, tympanic, or scanner method is preferred.
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D) The rectal, tympanic, or scanner method isIIll IIll IIll IIll IIll IIll
preferred.Page Ref: 24
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Cognitive Level: Applying IIll I I l l
Client Need/Sub: Safe and Effective Care Environment: Safety and Infection Control
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SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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1
, 3) The nurse is changing a 2-month-old client's diaper and notes the client feels warm to
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touch.Which method should the nurse use to check the baby's temperature?
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A) Oral
B) Rectal
C) Axillary
D) Tympanic
membraneANSWER: C
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Explanation: A) Oral is used for age 3 or older. I I l l IIll IIll IIll IIll IIll IIll IIll IIll
B) The rectal route is the least desirable.
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C) The axillary route may not be as accurate as other routes for detecting fevers in children.
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D) The tympanic membrane may be used for 3 months or
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older.Page Ref: 29
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Cognitive Level: Applying IIll I I l l
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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SafetyAACN Domains and Comps.: Domain 5: Quality and Safety
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NLN Competencies:
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4) A client comes in with exacerbation of chronic obstructive pulmonary disease (COPD).
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Whichnoninvasive diagnostic test will the nurse implement to know that the client is
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receiving enough oxygen?
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A) Chest x-ray IIll
B) Pulse oximeter IIll
C) Arterial blood gasses IIll IIll
D) Assessment of respiratory IIll IIll
rateANSWER: B
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Explanation: A) A chest x-ray is not an intervention a nurse completes. I I l l IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
B) A pulse oximeter provides a noninvasive method of measuring oxygenation, or oxygen
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saturation, in the blood and provides a pulse reading, which is especially helpful for the
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clientwith a respiratory illness or disease.
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C) Arterial blood gases are an invasive diagnostic test. IIll IIll IIll IIll IIll IIll IIll
D) Assessing a respiratory rate is important for the nurse to implement; however, it is
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not adiagnostic test.
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Page Ref: 21 IIll IIll
Cognitive Level: Applying IIll I I l l
Client Need/Sub: Physiological Integrity: Reduction of Risk Potential
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