CLINICAL SKILLS QUIZ #2 QUESTIONS
WITH CORRECT ANSWERS
The nurse measures a patient's oxygen saturation level as being 83%. What would
the nurse do first?
A. Reassess the oxygen saturation in a different location.
B. Promptly report the assessment data to the charge nurse.
C. Encourage the patient to rest quietly in bed for 30 minutes.
D. Ask the patient whether he or she is having trouble breathing. - Answer-D. Ask
the patient whether he or she is having trouble breathing.
The nurse is preparing to measure the oxygen saturation level of a patient with
obesity. Which action would help ensure an adequate measurement?
A. Place the sensor on the ear.
B. Place the sensor on the bridge of the nose.
C. Place the sensor on a finger.
D. Use a disposable tape-on sensor. - Answer-D. Use a disposable tape-on sensor.
A patient is prescribed continuous oxygen saturation monitoring. The nurse would
confirm that the alarms have been set to which limits?
A. Low of 85% and high of 100%
B. Low of 80% and high of 100%
C. Low of 75% and high of 90%
D. Low of 82% and high of 95% - Answer-A. Low of 85% and high of 100%
Which action is part of the preparation for nasotracheal suctioning?
A. Place the patient in a supine position.
B. Preoxygenate the patient with 100% oxygen.
C. Suction 100 mL of warm tap water to flush the suction catheter.
D. Place water-soluble lubricant onto the open sterile catheter package. - Answer-D.
Place water-soluble lubricant onto the open sterile catheter package.
Lubricant facilitates the insertion of the catheter. The patient should be in the semi-
Fowler's position or sitting upright. Preoxygenation is not needed before
nasotracheal suctioning. Sterile water or sterile 0.9% sodium chloride is used to flush
the catheter.
Which response would the nurse report immediately if it occurred in association with
nasotracheal suctioning?
A. Patient complains of discomfort during the procedure.
B. Patient has a severe bout of nonproductive coughing and complains of sore
throat.
C. After oxygen delivery device has been reapplied on completion of the procedure,
patient's pulse oximetry reading falls to 88%.
D. Patient's pulse rate increases by 10 bpm. - Answer-C. After oxygen delivery
device has been reapplied on completion of the procedure, patient's pulse oximetry
reading falls to 88%.
, While suctioning the nasotracheal airway, the nurse notes that a patient's pulse rate
has fallen from 102 bpm to 80 bpm. What is the best course of action?
A. Encourage the patient to take several deep breaths.
B. Interrupt suction to the catheter for at least 10 seconds.
C. Discontinue suctioning by removing the suction catheter.
D. Assess the patient's pulse oximetry reading to see if oxygenation is adequate. -
Answer-C. Discontinue suctioning by removing the suction catheter.
As a nasotracheal catheter is inserted to suction the airway, a patient begins to gag
and says, "I feel like I'm going to throw up." What is the nurse's best response?
A. Complete the catheter insertion in 5 seconds or less.
B. Remove the catheter.
C. Encourage the patient to take several deep breaths to minimize the nausea.
D. Stop advancing the catheter, and allow the patient to rest for several minutes. -
Answer-B. Remove the catheter.
How does the nurse evaluate the effect of nasotracheal suctioning on a patient's
respiratory status?
A. Asking the patient about symptoms of respiratory difficulty.
B. Comparing respiratory assessment data from before and after the suctioning
procedure.
C. Confirming that the patient's pulse oximetry value is >90%.
D. Auscultating the patient's chest after suctioning. - Answer-B. Comparing
respiratory assessment data from before and after the suctioning procedure.
Which action would the nurse perform when preparing to suction a patient's
oropharynx?
A. Apply sterile gloves.
B. Place the patient in a semi-Fowler's or sitting position.
C. Remove the nasal cannula.
D. Flush the suction catheter with 200 mL of warm tap water. - Answer-B. Place the
patient in a semi-Fowler's or sitting position.
After oropharyngeal suctioning, what does the nurse do with the supplies?
A. Place the Yankauer catheter in a clean, dry area.
B. Place all disposable equipment into the wrapper of the suction catheter before
discarding it in a trash receptacle.
C. Fold the paper drape with the outer surface inward, and dispose of it in a
biohazard receptacle.
D. Place dirty gloves in the biohazard receptacle in the patient's room. - Answer-A.
Place the Yankauer catheter in a clean, dry area.
When preparing to suction a patient's oral cavity, why would the nurse first suction a
small amount of sterile water through the catheter?
A. To moisten the exterior of the plastic catheter
B. To ensure that the catheter's suction is functioning properly
C. To minimize friction as the catheter moves within the oral cavity
D. To avoid startling the patient with the sound created by the suction - Answer-B. To
ensure that the catheter's suction is functioning properly
WITH CORRECT ANSWERS
The nurse measures a patient's oxygen saturation level as being 83%. What would
the nurse do first?
A. Reassess the oxygen saturation in a different location.
B. Promptly report the assessment data to the charge nurse.
C. Encourage the patient to rest quietly in bed for 30 minutes.
D. Ask the patient whether he or she is having trouble breathing. - Answer-D. Ask
the patient whether he or she is having trouble breathing.
The nurse is preparing to measure the oxygen saturation level of a patient with
obesity. Which action would help ensure an adequate measurement?
A. Place the sensor on the ear.
B. Place the sensor on the bridge of the nose.
C. Place the sensor on a finger.
D. Use a disposable tape-on sensor. - Answer-D. Use a disposable tape-on sensor.
A patient is prescribed continuous oxygen saturation monitoring. The nurse would
confirm that the alarms have been set to which limits?
A. Low of 85% and high of 100%
B. Low of 80% and high of 100%
C. Low of 75% and high of 90%
D. Low of 82% and high of 95% - Answer-A. Low of 85% and high of 100%
Which action is part of the preparation for nasotracheal suctioning?
A. Place the patient in a supine position.
B. Preoxygenate the patient with 100% oxygen.
C. Suction 100 mL of warm tap water to flush the suction catheter.
D. Place water-soluble lubricant onto the open sterile catheter package. - Answer-D.
Place water-soluble lubricant onto the open sterile catheter package.
Lubricant facilitates the insertion of the catheter. The patient should be in the semi-
Fowler's position or sitting upright. Preoxygenation is not needed before
nasotracheal suctioning. Sterile water or sterile 0.9% sodium chloride is used to flush
the catheter.
Which response would the nurse report immediately if it occurred in association with
nasotracheal suctioning?
A. Patient complains of discomfort during the procedure.
B. Patient has a severe bout of nonproductive coughing and complains of sore
throat.
C. After oxygen delivery device has been reapplied on completion of the procedure,
patient's pulse oximetry reading falls to 88%.
D. Patient's pulse rate increases by 10 bpm. - Answer-C. After oxygen delivery
device has been reapplied on completion of the procedure, patient's pulse oximetry
reading falls to 88%.
, While suctioning the nasotracheal airway, the nurse notes that a patient's pulse rate
has fallen from 102 bpm to 80 bpm. What is the best course of action?
A. Encourage the patient to take several deep breaths.
B. Interrupt suction to the catheter for at least 10 seconds.
C. Discontinue suctioning by removing the suction catheter.
D. Assess the patient's pulse oximetry reading to see if oxygenation is adequate. -
Answer-C. Discontinue suctioning by removing the suction catheter.
As a nasotracheal catheter is inserted to suction the airway, a patient begins to gag
and says, "I feel like I'm going to throw up." What is the nurse's best response?
A. Complete the catheter insertion in 5 seconds or less.
B. Remove the catheter.
C. Encourage the patient to take several deep breaths to minimize the nausea.
D. Stop advancing the catheter, and allow the patient to rest for several minutes. -
Answer-B. Remove the catheter.
How does the nurse evaluate the effect of nasotracheal suctioning on a patient's
respiratory status?
A. Asking the patient about symptoms of respiratory difficulty.
B. Comparing respiratory assessment data from before and after the suctioning
procedure.
C. Confirming that the patient's pulse oximetry value is >90%.
D. Auscultating the patient's chest after suctioning. - Answer-B. Comparing
respiratory assessment data from before and after the suctioning procedure.
Which action would the nurse perform when preparing to suction a patient's
oropharynx?
A. Apply sterile gloves.
B. Place the patient in a semi-Fowler's or sitting position.
C. Remove the nasal cannula.
D. Flush the suction catheter with 200 mL of warm tap water. - Answer-B. Place the
patient in a semi-Fowler's or sitting position.
After oropharyngeal suctioning, what does the nurse do with the supplies?
A. Place the Yankauer catheter in a clean, dry area.
B. Place all disposable equipment into the wrapper of the suction catheter before
discarding it in a trash receptacle.
C. Fold the paper drape with the outer surface inward, and dispose of it in a
biohazard receptacle.
D. Place dirty gloves in the biohazard receptacle in the patient's room. - Answer-A.
Place the Yankauer catheter in a clean, dry area.
When preparing to suction a patient's oral cavity, why would the nurse first suction a
small amount of sterile water through the catheter?
A. To moisten the exterior of the plastic catheter
B. To ensure that the catheter's suction is functioning properly
C. To minimize friction as the catheter moves within the oral cavity
D. To avoid startling the patient with the sound created by the suction - Answer-B. To
ensure that the catheter's suction is functioning properly
