CLINICAL NURSING SKILLS AND TECHNIQUES LATEST EDITION 2022/2023
What is the purpose of performing hand hygiene? - ans=To prevent the spread of infection
When is it appropriate to use an alcohol-based hand rub to perform hand hygiene? - ans=If
the hands are not visibly soiled
When washing the hands with soap and water, which procedure should the nurse follow? -
ans=Use plenty of lather and friction and wash for at least 15 to 20 seconds
When using soap and water to perform hand hygiene, how much soap should the nursing
assistant use? - ans=1 teaspoon of soap to the hands
As part of performing hand hygiene, how should the nursing assistant dry the hands -
ans=Use clean, dry paper towels
Which personal protective equipment will the nurse wear if there is a risk of a blood splash
when caring for a patient - ans=Gown, gloves, mask, and eye protection
What will the nurse do first when preparing to apply personal protective equipment before
caring for a patient in isolation - ans=Perform hand hygiene
The nurse is discussing the guideline for proper use of PPE by nursing assistive personal.
Which statement made by the NAP require follow-up by the nurse? - ans="I really dislike
wearing a mask, so it's the first thing I take off."
When removing a gown worn as personal protective equipment while caring for a patient in
isolation, why does the nurse avoid touching the outside of the gown? - ans=To prevent
touching contaminated material with unprotected hands
When delegating patient care that requires nursing assistive personnel to use personal
protective equipment, it is necessary for the nurse to do what first? - ans=Review the patient's
need for a specific isolation precaution
Which action would the nurse perform first when preparing to apply sterile gloves? -
ans=Assess the glove packaging for wetness or tears
When are sterile nonlatex gloves recommended for a sterile procedure? - ans=When there is
possible sensitivity issue
What is the most important step the nurse can take to minimize the risk of tearing a sterile
glove when applying it to the hands? - ans=Selecting the proper glove size
After applying sterile gloves, the patient states she is uncomfortable and would like to move
to her left side. What is the best way for the nurse to keep the gloves sterile while waiting for
, nursing assistive personnel to position the patient for a sterile dressing change? -
ans=Interlocking the fingers and keeping the hands above waist level
Which protocol does not vary among institutions regards sterile procedures? - ans=Use of
sterile gloves for sterile procedures
The nurse is preparing to perform a sterile procedure for a patient. Which action will best
minimize the risk of infection during the procedure? - ans=Follow sterile technique during
the procedure
While preparing a sterile field, the nurse determines that additional supplies are needed. What
will the nurse do to ensure that the sterile field is maintained? - ans=Ask the assistant who
has been helping with the procedure to bring the necessary supplies
What direction would the nurse provide to nursing assistive personnel while establishing and
maintaining a sterile field? - ans="Remember, reaching over the sterile field constitutes a
break in sterile technique"
While preparing a sterile field, the nurse notes that a portion of the sterile drape has come into
contact with the patient's gown. Which action is most appropriate in this situation? -
ans=Collect the supplies necessary and establish a new sterile field
Why might the nurse offer the patient a bedpan before establishing a sterile field? -
ans=Anticipating what the patient might need during a lengthy sterile procedure will
minimize patient movement
What is the major health problem resulting from a pulse deficit? - ans=Decreased cardiac
output
What should the nurse do when a pulse deficit is suspected? - ans=Ask another health care
provider to count the radial pulse while the nurse counts the apical pulse
Which action should the nurse perform after identifying a pulse deficit? - ans=Assess the
patient for signs of decreased cardiac outpu
You have the following information:
Radial pulse 112 weak, thready
Apical pulse 117, regular
What is the pulse deficit? - ans=5
Which of the following is an early manifestation of decreased cardiac output? - ans=Fatigue
During the admissions process, the nurse initially assesses the patient's radial pulse primarily
for what purpose? - ans=Establishment of a baseline as a part of the patient's vital signs
What will the nurse instruct nursing assistive personnel to do when measuring an adult
patient's radial pulse? - ans=Palpate the patient's inner wrist on the thumb side with the
fingertips of your two middle fingers
What is the purpose of performing hand hygiene? - ans=To prevent the spread of infection
When is it appropriate to use an alcohol-based hand rub to perform hand hygiene? - ans=If
the hands are not visibly soiled
When washing the hands with soap and water, which procedure should the nurse follow? -
ans=Use plenty of lather and friction and wash for at least 15 to 20 seconds
When using soap and water to perform hand hygiene, how much soap should the nursing
assistant use? - ans=1 teaspoon of soap to the hands
As part of performing hand hygiene, how should the nursing assistant dry the hands -
ans=Use clean, dry paper towels
Which personal protective equipment will the nurse wear if there is a risk of a blood splash
when caring for a patient - ans=Gown, gloves, mask, and eye protection
What will the nurse do first when preparing to apply personal protective equipment before
caring for a patient in isolation - ans=Perform hand hygiene
The nurse is discussing the guideline for proper use of PPE by nursing assistive personal.
Which statement made by the NAP require follow-up by the nurse? - ans="I really dislike
wearing a mask, so it's the first thing I take off."
When removing a gown worn as personal protective equipment while caring for a patient in
isolation, why does the nurse avoid touching the outside of the gown? - ans=To prevent
touching contaminated material with unprotected hands
When delegating patient care that requires nursing assistive personnel to use personal
protective equipment, it is necessary for the nurse to do what first? - ans=Review the patient's
need for a specific isolation precaution
Which action would the nurse perform first when preparing to apply sterile gloves? -
ans=Assess the glove packaging for wetness or tears
When are sterile nonlatex gloves recommended for a sterile procedure? - ans=When there is
possible sensitivity issue
What is the most important step the nurse can take to minimize the risk of tearing a sterile
glove when applying it to the hands? - ans=Selecting the proper glove size
After applying sterile gloves, the patient states she is uncomfortable and would like to move
to her left side. What is the best way for the nurse to keep the gloves sterile while waiting for
, nursing assistive personnel to position the patient for a sterile dressing change? -
ans=Interlocking the fingers and keeping the hands above waist level
Which protocol does not vary among institutions regards sterile procedures? - ans=Use of
sterile gloves for sterile procedures
The nurse is preparing to perform a sterile procedure for a patient. Which action will best
minimize the risk of infection during the procedure? - ans=Follow sterile technique during
the procedure
While preparing a sterile field, the nurse determines that additional supplies are needed. What
will the nurse do to ensure that the sterile field is maintained? - ans=Ask the assistant who
has been helping with the procedure to bring the necessary supplies
What direction would the nurse provide to nursing assistive personnel while establishing and
maintaining a sterile field? - ans="Remember, reaching over the sterile field constitutes a
break in sterile technique"
While preparing a sterile field, the nurse notes that a portion of the sterile drape has come into
contact with the patient's gown. Which action is most appropriate in this situation? -
ans=Collect the supplies necessary and establish a new sterile field
Why might the nurse offer the patient a bedpan before establishing a sterile field? -
ans=Anticipating what the patient might need during a lengthy sterile procedure will
minimize patient movement
What is the major health problem resulting from a pulse deficit? - ans=Decreased cardiac
output
What should the nurse do when a pulse deficit is suspected? - ans=Ask another health care
provider to count the radial pulse while the nurse counts the apical pulse
Which action should the nurse perform after identifying a pulse deficit? - ans=Assess the
patient for signs of decreased cardiac outpu
You have the following information:
Radial pulse 112 weak, thready
Apical pulse 117, regular
What is the pulse deficit? - ans=5
Which of the following is an early manifestation of decreased cardiac output? - ans=Fatigue
During the admissions process, the nurse initially assesses the patient's radial pulse primarily
for what purpose? - ans=Establishment of a baseline as a part of the patient's vital signs
What will the nurse instruct nursing assistive personnel to do when measuring an adult
patient's radial pulse? - ans=Palpate the patient's inner wrist on the thumb side with the
fingertips of your two middle fingers
