NURSING REVISION MASTER SERIES
NURSING PROCEDURES & CLINICAL
SKILLS
Nursing Procedures & Clinical Skills • Safe, Practical, Evidence-Based Care
100 Multiple-Choice Questions
Four options per question • Correct answer highlighted in green • Rationale highlighted in blue
Designed for BSN-level revision, clinical judgment, and exam practice
How to use this guide
Try each question before looking at the answer. Read every rationale, including for items you answered correctly. Use your
course materials and current clinical guidelines to verify local protocols, drug doses, and policy-dependent procedures. This
resource supports study and does not replace clinical supervision or institutional guidance.
Contents
• Medication safety
• Asepsis and PPE
• Vital signs and assessment
• Mobility and skin care
• IV and specimen care
• Emergency response
• Ethics and documentation
BSN Nursing Revision • Educational study resource Page 1
,Question 1 | Medication safety
Before administering a medication, the nurse should first:
A. Prepare medication for several patients together without labels.
B. Document administration before giving it.
C. Use two approved patient identifiers and verify the order/allergies.
D. Use the room number as the sole identifier.
Correct answer: C. Use two approved patient identifiers and verify the order/allergies.
Rationale: Patient identification, medication/order verification, allergy review, and safe preparation are core
medication-safety steps.
Question 2 | Asepsis
Which action is appropriate when a sterile field becomes wet?
A. Touch it to check whether it is clean.
B. Dry it with a nonsterile towel and proceed.
C. Continue because moisture does not affect sterility.
D. Consider it contaminated and re-establish the sterile field.
Correct answer: D. Consider it contaminated and re-establish the sterile field.
Rationale: Moisture can allow microorganisms to pass through by strike-through; treat the field as contaminated and
replace it.
Question 3 | Infection prevention
Which hand-hygiene practice is correct?
A. Wash only when hands look dirty.
B. Use the same gloves between patients.
C. Use the recommended hand-hygiene method before and after patient contact.
D. Wear gloves instead of performing hand hygiene.
Correct answer: C. Use the recommended hand-hygiene method before and after patient contact.
Rationale: Hand hygiene is required at indicated moments; gloves do not replace it and must be changed between
patients and tasks.
Question 4 | Mobility and safety
A patient becomes dizzy when standing after bed rest. What should the nurse do?
A. Give an unprescribed medication.
B. Leave the patient standing.
C. Encourage the patient to walk alone.
D. Assist the patient to sit or lie down and assess vital signs/symptoms.
Correct answer: D. Assist the patient to sit or lie down and assess vital signs/symptoms.
Rationale: Dizziness may indicate orthostatic hypotension. Prevent falls, assess, and use gradual position changes and
prescribed precautions.
BSN Nursing Revision • Educational study resource Page 2
,Question 5 | Vital signs
When obtaining a manual blood pressure, the cuff should be:
A. The correct size with the arm supported at heart level.
B. As small as possible.
C. Placed over thick clothing.
D. Positioned on a dangling arm.
Correct answer: A. The correct size with the arm supported at heart level.
Rationale: Correct cuff size, bare arm, supported at heart level, and appropriate technique improve accuracy.
Question 6 | Respiratory care
Which action is correct when a patient is receiving oxygen by nasal cannula?
A. Verify the prescribed flow and assess respiratory status and skin.
B. Adjust to any flow without an order or protocol.
C. Ignore fire-safety precautions.
D. Use petroleum jelly around the cannula.
Correct answer: A. Verify the prescribed flow and assess respiratory status and skin.
Rationale: Use the prescribed flow or authorized protocol, monitor response and skin, and maintain oxygen fire safety.
Avoid petroleum-based products near oxygen.
Question 7 | Nutrition and swallowing
A patient with dysphagia is being fed. Which action reduces aspiration risk?
A. Rush the meal.
B. Give thin liquids regardless of assessment.
C. Feed while lying flat.
D. Position upright, use prescribed texture/strategies, and monitor swallowing.
Correct answer: D. Position upright, use prescribed texture/strategies, and monitor swallowing.
Rationale: Upright positioning, prescribed texture and pacing, and assessment of swallowing reduce aspiration risk;
follow the individualized plan.
Question 8 | Communication
Which information is essential in a nursing handoff?
A. Current condition, relevant risks, recent changes, and pending tasks.
B. Only the patient's room number.
C. Unverified rumors.
D. Personal opinions unrelated to care.
Correct answer: A. Current condition, relevant risks, recent changes, and pending tasks.
Rationale: Structured handoff communicates patient status, safety risks, changes, and outstanding actions clearly and
concisely.
BSN Nursing Revision • Educational study resource Page 3
, Question 9 | Documentation
When documenting care, the nurse should:
A. Chart care before it occurs.
B. Record objective, timely facts and interventions according to policy.
C. Use vague judgmental labels.
D. Alter a record to hide an error.
Correct answer: B. Record objective, timely facts and interventions according to policy.
Rationale: Documentation should be timely, accurate, objective, and compliant with policy; never falsify or obscure
records.
Question 10 | Medication safety
Which action is appropriate when a medication error occurs?
A. Assess the patient, report promptly, notify the appropriate clinician, and follow policy.
B. Wait until the end of the week.
C. Hide the error if no symptoms appear.
D. Alter the medication record.
Correct answer: A. Assess the patient, report promptly, notify the appropriate clinician, and follow policy.
Rationale: Immediate patient assessment and timely reporting allow treatment and system learning. Follow disclosure
and incident-reporting policy.
Question 11 | Point-of-care testing
For a blood glucose finger-stick, the nurse should:
A. Use appropriate PPE, a single-use lancet, and sharps disposal.
B. Leave the used lancet on the bedside table.
C. Reuse lancets between patients.
D. Skip patient identification.
Correct answer: A. Use appropriate PPE, a single-use lancet, and sharps disposal.
Rationale: Use standard precautions, a single-use safety lancet, correct identification, and immediate sharps disposal.
Question 12 | Mobility
Which action is safest when transferring a weak patient from bed to chair?
A. Ask the patient to stand without support.
B. Ignore dizziness and footwear.
C. Pull the patient by the arms.
D. Assess ability, use appropriate assistance/equipment, and lock wheels.
Correct answer: D. Assess ability, use appropriate assistance/equipment, and lock wheels.
Rationale: Assess mobility, use safe body mechanics and transfer aids, lock equipment, and obtain enough help to
prevent falls and staff injury.
BSN Nursing Revision • Educational study resource Page 4
NURSING PROCEDURES & CLINICAL
SKILLS
Nursing Procedures & Clinical Skills • Safe, Practical, Evidence-Based Care
100 Multiple-Choice Questions
Four options per question • Correct answer highlighted in green • Rationale highlighted in blue
Designed for BSN-level revision, clinical judgment, and exam practice
How to use this guide
Try each question before looking at the answer. Read every rationale, including for items you answered correctly. Use your
course materials and current clinical guidelines to verify local protocols, drug doses, and policy-dependent procedures. This
resource supports study and does not replace clinical supervision or institutional guidance.
Contents
• Medication safety
• Asepsis and PPE
• Vital signs and assessment
• Mobility and skin care
• IV and specimen care
• Emergency response
• Ethics and documentation
BSN Nursing Revision • Educational study resource Page 1
,Question 1 | Medication safety
Before administering a medication, the nurse should first:
A. Prepare medication for several patients together without labels.
B. Document administration before giving it.
C. Use two approved patient identifiers and verify the order/allergies.
D. Use the room number as the sole identifier.
Correct answer: C. Use two approved patient identifiers and verify the order/allergies.
Rationale: Patient identification, medication/order verification, allergy review, and safe preparation are core
medication-safety steps.
Question 2 | Asepsis
Which action is appropriate when a sterile field becomes wet?
A. Touch it to check whether it is clean.
B. Dry it with a nonsterile towel and proceed.
C. Continue because moisture does not affect sterility.
D. Consider it contaminated and re-establish the sterile field.
Correct answer: D. Consider it contaminated and re-establish the sterile field.
Rationale: Moisture can allow microorganisms to pass through by strike-through; treat the field as contaminated and
replace it.
Question 3 | Infection prevention
Which hand-hygiene practice is correct?
A. Wash only when hands look dirty.
B. Use the same gloves between patients.
C. Use the recommended hand-hygiene method before and after patient contact.
D. Wear gloves instead of performing hand hygiene.
Correct answer: C. Use the recommended hand-hygiene method before and after patient contact.
Rationale: Hand hygiene is required at indicated moments; gloves do not replace it and must be changed between
patients and tasks.
Question 4 | Mobility and safety
A patient becomes dizzy when standing after bed rest. What should the nurse do?
A. Give an unprescribed medication.
B. Leave the patient standing.
C. Encourage the patient to walk alone.
D. Assist the patient to sit or lie down and assess vital signs/symptoms.
Correct answer: D. Assist the patient to sit or lie down and assess vital signs/symptoms.
Rationale: Dizziness may indicate orthostatic hypotension. Prevent falls, assess, and use gradual position changes and
prescribed precautions.
BSN Nursing Revision • Educational study resource Page 2
,Question 5 | Vital signs
When obtaining a manual blood pressure, the cuff should be:
A. The correct size with the arm supported at heart level.
B. As small as possible.
C. Placed over thick clothing.
D. Positioned on a dangling arm.
Correct answer: A. The correct size with the arm supported at heart level.
Rationale: Correct cuff size, bare arm, supported at heart level, and appropriate technique improve accuracy.
Question 6 | Respiratory care
Which action is correct when a patient is receiving oxygen by nasal cannula?
A. Verify the prescribed flow and assess respiratory status and skin.
B. Adjust to any flow without an order or protocol.
C. Ignore fire-safety precautions.
D. Use petroleum jelly around the cannula.
Correct answer: A. Verify the prescribed flow and assess respiratory status and skin.
Rationale: Use the prescribed flow or authorized protocol, monitor response and skin, and maintain oxygen fire safety.
Avoid petroleum-based products near oxygen.
Question 7 | Nutrition and swallowing
A patient with dysphagia is being fed. Which action reduces aspiration risk?
A. Rush the meal.
B. Give thin liquids regardless of assessment.
C. Feed while lying flat.
D. Position upright, use prescribed texture/strategies, and monitor swallowing.
Correct answer: D. Position upright, use prescribed texture/strategies, and monitor swallowing.
Rationale: Upright positioning, prescribed texture and pacing, and assessment of swallowing reduce aspiration risk;
follow the individualized plan.
Question 8 | Communication
Which information is essential in a nursing handoff?
A. Current condition, relevant risks, recent changes, and pending tasks.
B. Only the patient's room number.
C. Unverified rumors.
D. Personal opinions unrelated to care.
Correct answer: A. Current condition, relevant risks, recent changes, and pending tasks.
Rationale: Structured handoff communicates patient status, safety risks, changes, and outstanding actions clearly and
concisely.
BSN Nursing Revision • Educational study resource Page 3
, Question 9 | Documentation
When documenting care, the nurse should:
A. Chart care before it occurs.
B. Record objective, timely facts and interventions according to policy.
C. Use vague judgmental labels.
D. Alter a record to hide an error.
Correct answer: B. Record objective, timely facts and interventions according to policy.
Rationale: Documentation should be timely, accurate, objective, and compliant with policy; never falsify or obscure
records.
Question 10 | Medication safety
Which action is appropriate when a medication error occurs?
A. Assess the patient, report promptly, notify the appropriate clinician, and follow policy.
B. Wait until the end of the week.
C. Hide the error if no symptoms appear.
D. Alter the medication record.
Correct answer: A. Assess the patient, report promptly, notify the appropriate clinician, and follow policy.
Rationale: Immediate patient assessment and timely reporting allow treatment and system learning. Follow disclosure
and incident-reporting policy.
Question 11 | Point-of-care testing
For a blood glucose finger-stick, the nurse should:
A. Use appropriate PPE, a single-use lancet, and sharps disposal.
B. Leave the used lancet on the bedside table.
C. Reuse lancets between patients.
D. Skip patient identification.
Correct answer: A. Use appropriate PPE, a single-use lancet, and sharps disposal.
Rationale: Use standard precautions, a single-use safety lancet, correct identification, and immediate sharps disposal.
Question 12 | Mobility
Which action is safest when transferring a weak patient from bed to chair?
A. Ask the patient to stand without support.
B. Ignore dizziness and footwear.
C. Pull the patient by the arms.
D. Assess ability, use appropriate assistance/equipment, and lock wheels.
Correct answer: D. Assess ability, use appropriate assistance/equipment, and lock wheels.
Rationale: Assess mobility, use safe body mechanics and transfer aids, lock equipment, and obtain enough help to
prevent falls and staff injury.
BSN Nursing Revision • Educational study resource Page 4
