Level 4 Written Skills Study - MGCCC
Nursing UPDATED ACTUAL Exam
Questions and CORRECT Answers
Position for tube feedings? - CORRECT ANSWER - Semi-Fowlers
How often is tube placement checked w/ continuous NG feedings? - CORRECT ANSWER -
every 24 hours
How often are feeding containers and tubing changed for continuous NG feeding? - CORRECT
ANSWER - every 24 hours
How do you check tube placement on a 2 day old NG tube? - CORRECT ANSWER - Chest X
ray
How do you measure to place an NG tube? - CORRECT ANSWER - nose, ear, xiphoid
process
What is the margin size of a sterile field? - CORRECT ANSWER - 1 inch
How often is an IV site changed? - CORRECT ANSWER - 96 hours
How often is an IV site assessed? - CORRECT ANSWER - with every pt assessment and med
given
For an average sized adult what gauge catheter is used? - CORRECT ANSWER - 22G
, Briefly describe how eye drops are administered? - CORRECT ANSWER - place in supine
position, head back, pull eyelid down, press down on bony orbit exposing conjunctival sac, look
up, 1-2 cm above, administer
Briefly describe how ear drops are administered and the difference between child and adult. -
CORRECT ANSWER - drops should be body temperature, on side-ear up, pinna up and back
(adult), pinna down and back (child), administer drop 1 cm above ear canal, remain side lying for
couple minutes, massage if needed.
Identify the best subcutaneous injection sites - CORRECT ANSWER - abdomen, arm, back
What angle are subcutaneous injections administered? - CORRECT ANSWER - 90 degrees
Do you massage insulin after administration and why? - CORRECT ANSWER - No, too
quick absorption
Steps of mixing NPH and Regular insulin - CORRECT ANSWER - Air into NPH , air into
regular, pull up regular, pull up NPH
Preferred site of injection for heparin? - CORRECT ANSWER - abdomen
Needle size for average adult for heparin administration? - CORRECT ANSWER - 25 G 5/8
inch needle, 90 Degree angle
Is massage indicated with heparin injection? - CORRECT ANSWER - No, too quick
absorption
Lovenox prefilled syringe comes with an air bubble, is this removed prior to injection? -
CORRECT ANSWER - No
Identify site for IM injection - CORRECT ANSWER - deltoid, vastus lateralis, ventrogluteal
Nursing UPDATED ACTUAL Exam
Questions and CORRECT Answers
Position for tube feedings? - CORRECT ANSWER - Semi-Fowlers
How often is tube placement checked w/ continuous NG feedings? - CORRECT ANSWER -
every 24 hours
How often are feeding containers and tubing changed for continuous NG feeding? - CORRECT
ANSWER - every 24 hours
How do you check tube placement on a 2 day old NG tube? - CORRECT ANSWER - Chest X
ray
How do you measure to place an NG tube? - CORRECT ANSWER - nose, ear, xiphoid
process
What is the margin size of a sterile field? - CORRECT ANSWER - 1 inch
How often is an IV site changed? - CORRECT ANSWER - 96 hours
How often is an IV site assessed? - CORRECT ANSWER - with every pt assessment and med
given
For an average sized adult what gauge catheter is used? - CORRECT ANSWER - 22G
, Briefly describe how eye drops are administered? - CORRECT ANSWER - place in supine
position, head back, pull eyelid down, press down on bony orbit exposing conjunctival sac, look
up, 1-2 cm above, administer
Briefly describe how ear drops are administered and the difference between child and adult. -
CORRECT ANSWER - drops should be body temperature, on side-ear up, pinna up and back
(adult), pinna down and back (child), administer drop 1 cm above ear canal, remain side lying for
couple minutes, massage if needed.
Identify the best subcutaneous injection sites - CORRECT ANSWER - abdomen, arm, back
What angle are subcutaneous injections administered? - CORRECT ANSWER - 90 degrees
Do you massage insulin after administration and why? - CORRECT ANSWER - No, too
quick absorption
Steps of mixing NPH and Regular insulin - CORRECT ANSWER - Air into NPH , air into
regular, pull up regular, pull up NPH
Preferred site of injection for heparin? - CORRECT ANSWER - abdomen
Needle size for average adult for heparin administration? - CORRECT ANSWER - 25 G 5/8
inch needle, 90 Degree angle
Is massage indicated with heparin injection? - CORRECT ANSWER - No, too quick
absorption
Lovenox prefilled syringe comes with an air bubble, is this removed prior to injection? -
CORRECT ANSWER - No
Identify site for IM injection - CORRECT ANSWER - deltoid, vastus lateralis, ventrogluteal
