CLINICAL NURSING SKILLS AND
TECHNIQUES 2027 - ADVANCED TEST
BANK QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
1. When preparing to suction a tracheostomy in an adult patient, the nurse should set the
wall suction pressure to which range?
A. 60–80 mmHg
B. 80–100 mmHg
C. 150–180 mmHg
D. 100–120 mmHg
Answer: D
Conceptual Explanation: For adult patients, suction pressure should be maintained
between 100 and 120 mmHg to effectively remove secretions without causing mucosal
damage or excessive atelectasis.
2. A nurse is administering a medication via the Z-track method. What is the primary
rationale for using this technique?
A. To ensure rapid absorption into the bloodstream
B. To allow for a larger volume of medication to be injected
,C. To reduce the pain associated with the needle puncture
D. To prevent leakage of irritating medication into subcutaneous tissue
Answer: D
Conceptual Explanation: The Z-track method seals the medication within the muscle and
prevents it from tracking back into the subcutaneous tissue, which reduces irritation and
staining.
3. While performing a sterile dressing change, the nurse’s sterile glove touches the patient’s
bed rail. What is the immediate priority action?
A. Continue the procedure if the rail looks clean
B. Clean the glove with an alcohol swab
C. Discard all sterile supplies and start the entire process over
D. Change into a new pair of sterile gloves
Answer: D
Conceptual Explanation: Contamination of a sterile glove requires immediate
replacement to maintain the integrity of the sterile field and prevent surgical site infection.
4. Which assessment finding is the most reliable indicator that a nasogastric (NG) tube is
correctly positioned in the stomach?
A. X-ray confirmation of the tube tip location
B. Presence of air bubbles when the tip is placed in water
, C. Aspirate pH of 3.5
D. Audible ‘whoosh’ when injecting 30 mL of air
Answer: A
Conceptual Explanation: Radiographic confirmation is the gold standard for verifying the
placement of a nasogastric tube before administering any fluids or medications.
5. When changing a central venous catheter dressing, which solution is preferred for cleaning
the insertion site according to evidence-based practice?
A. Povidone-iodine
B. 70% isopropyl alcohol
C. Chlorhexidine gluconate
D. Hydrogen peroxide
Answer: C
Conceptual Explanation: Chlorhexidine gluconate is the preferred antiseptic because it
has a superior residual effect on the skin compared to alcohol or iodine.
6. A nurse identifies that a patient’s peripheral IV site is cool to the touch, swollen, and pale.
These findings are consistent with:
A. Phlebitis
B. Infiltration
C. Extravasation
TECHNIQUES 2027 - ADVANCED TEST
BANK QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
1. When preparing to suction a tracheostomy in an adult patient, the nurse should set the
wall suction pressure to which range?
A. 60–80 mmHg
B. 80–100 mmHg
C. 150–180 mmHg
D. 100–120 mmHg
Answer: D
Conceptual Explanation: For adult patients, suction pressure should be maintained
between 100 and 120 mmHg to effectively remove secretions without causing mucosal
damage or excessive atelectasis.
2. A nurse is administering a medication via the Z-track method. What is the primary
rationale for using this technique?
A. To ensure rapid absorption into the bloodstream
B. To allow for a larger volume of medication to be injected
,C. To reduce the pain associated with the needle puncture
D. To prevent leakage of irritating medication into subcutaneous tissue
Answer: D
Conceptual Explanation: The Z-track method seals the medication within the muscle and
prevents it from tracking back into the subcutaneous tissue, which reduces irritation and
staining.
3. While performing a sterile dressing change, the nurse’s sterile glove touches the patient’s
bed rail. What is the immediate priority action?
A. Continue the procedure if the rail looks clean
B. Clean the glove with an alcohol swab
C. Discard all sterile supplies and start the entire process over
D. Change into a new pair of sterile gloves
Answer: D
Conceptual Explanation: Contamination of a sterile glove requires immediate
replacement to maintain the integrity of the sterile field and prevent surgical site infection.
4. Which assessment finding is the most reliable indicator that a nasogastric (NG) tube is
correctly positioned in the stomach?
A. X-ray confirmation of the tube tip location
B. Presence of air bubbles when the tip is placed in water
, C. Aspirate pH of 3.5
D. Audible ‘whoosh’ when injecting 30 mL of air
Answer: A
Conceptual Explanation: Radiographic confirmation is the gold standard for verifying the
placement of a nasogastric tube before administering any fluids or medications.
5. When changing a central venous catheter dressing, which solution is preferred for cleaning
the insertion site according to evidence-based practice?
A. Povidone-iodine
B. 70% isopropyl alcohol
C. Chlorhexidine gluconate
D. Hydrogen peroxide
Answer: C
Conceptual Explanation: Chlorhexidine gluconate is the preferred antiseptic because it
has a superior residual effect on the skin compared to alcohol or iodine.
6. A nurse identifies that a patient’s peripheral IV site is cool to the touch, swollen, and pale.
These findings are consistent with:
A. Phlebitis
B. Infiltration
C. Extravasation
