CLINICAL SKILLS STUDY REVIEW
EXAM QUESTIONS WITH COMPLETE
ANSWERS
The nurse is preparing to ambulate a patient with left-sided weakness. Which action
demonstrates appropriate care of this patient during ambulation?
o 1Assign the strongest health care worker to ambulate her.
o 2Stand on the left side of the patient during ambulation.
o 3The patient holds her cane in her left hand while the nurse is behind her during
ambulation.
o 4The nurse should walk on the patient's right side. - Answer-4. The nurse should
walk on the patient's right side.
A patient who is going to be using crutches asks about wearing shoes with varying
size heels. What statement by the nurse is most accurate?
o 1"You should wear shoes with the same size heel."
o 2"Try to wear the same shoes for stability and safety."
o 3"If you change heel sizes, the crutches will need adjusting."
o 4"Wearing shoes with different heel sizes is fine as long as you're comfortable." -
Answer-3. "If you change heel sizes, the crutches will need adjusting."
A patient with a left-sided weakness uses a cane. Where should the nurse stand
while ambulating this patient?
o 1On the patient's left side
o 2On the patient's right side
o 3Slightly in front on the patient's left side
o 4Slightly behind the patient's right side - Answer-1. On the patient's left side
A patient requires oral care every 2 hours. Indicate which order should be followed to
safely prepare the patient for oral care.
o 1Assess environment for safety and provide privacy.
o 2Lower side rail.
o 3Raise bed to working height.
o 4Arrange supplies on over-bed table.
o 5Position patient. - Answer-1 ,4 ,3 ,2 ,5
A patient using a continuous passive motion (CPM) machine reports a sore area on
the heel of the affected leg. Which intervention by the nurse would be done first?
o 1Checking the functioning of the CPM machine
o 2Performing skin care on the affected extremity
o 3Notifying the health care provider
o 4Assessing the skin on both lower extremities - Answer-4. Assessing the skin on
both lower extremities
,The nurse is helping a patient to the side of the bed and recognizes that the patient
is experiencing orthostatic hypotension. Which of the following signs and symptoms
alert the nurse to this condition? (Select all that apply.)
o 1Pallor
o 2Bradycardia
o 3Nausea
o 4Dizziness
o 5.Irritability - Answer-1,3,4
Provide bathing at regular intervals to:
o 1Restore normal pH of the skin from acidic to alkaline.
o 2Remove resident bacteria that normally cause disease.
o 3Clean the outer layer of skin and remove dead skin cells.
o 4Promote the maturation of new skin cells. - Answer-3. Clean the outer layer of
skin and remove dead skin cells.
Some patients require special positioning precautions when the hair is shampooed.
Special positioning precautions are most appropriate for which patient?
o 1A patient with diabetes who has hypertension
o 2A patient with a hearing deficit
o 3A patient who has an endotracheal tube
o 4A patient with arthritis in her cervical spine - Answer-4. A patient with arthritis in
her cervical spine
An 88-year-old patient diagnosed with dementia frequently becomes very agitated
and aggressive with caregivers. Which approach for bathing this patient would be
most appropriate?
o 1Help the patient with a shower
o 2Provide a complete bed bath
o 3Avoid bathing until the patient becomes more relaxed
o 4Provide a disposable bed bath in bed - Answer-4. Provide a disposable bed bath
in bed
A Muslim woman needs to have a bed bath. Which adjustment does the female
nurse need to make when performing perineal care?
o 1She needs to use gloves when performing perineal care.
o 2She needs to have another nurse in attendance while doing perineal care.
o 3She needs to use her left hand when doing perineal care.
o 4She needs to use her dominant hand when doing perineal care. - Answer-3. She
needs to use her left hand when doing perineal care.
A patient in the intensive care unit after a head injury has been unresponsive at
times and can be aroused only after painful stimuli. Which assessment by the nurse
is most crucial in determining whether it is safe to perform oral hygiene?
o 1Check the patient's pupillary response
o 2Evaluate the patient using the Glascow Coma Scale
, o 3Assess the condition of the oral cavity
o 4Determine the presence of a gag reflex - Answer-4.Determine the presence of a
gag reflex
Cleaning baths include which of the following? (Select all that apply.)
o 1Bed bath
o 2Herbal bath
o 3Tub bath
o 4Shower - Answer-1,3,4
A nurse is caring for a critically ill cardiac surgery patient who is on a ventilator.
Which of the following solutions has been shown to decrease the incidence of
ventilator-assisted pneumonia (VAP) in intubated patients?
o 1Peroxide
o 2Normal saline
o 3Chlorhexidine
o 4Tap water - Answer-3. Chlorhexidine
While giving a complete bed bath to an unconscious patient, care is taken to:
o 1Tape the eyelids shut to preserve moisture.
o 2Close the eyelids with the back of the fingertip and place an eye patch or shield in
place with tape.
o 3Place moistened cotton balls on the eyelids to moisten the eye.
o 4Allow the eyelids to stay open to help the nurse identify when the patient has
regained consciousness. - Answer-2. Close the eyelids with the back of the fingertip
and place an eye patch or shield in place with tape.
A patient requires oral care every 2 hours. Indicate which order should be followed to
safely prepare the patient for oral care.
o 1Assess environment for safety and provide privacy. (1)
o 2Lower side rail.(4)
o 3Raise bed to working height. (3)
o 4Arrange supplies on over-bed table. (2)
o 5Position patient.(5) - Answer-1 ,4 ,3 ,2 ,5
Inflammation of the mucous membrane of the mouth is called - Answer-mucositis
A patient who wears contact lenses in both eyes is scheduled for hand surgery and
will have her hand in a cast for 6 weeks. What is the priority nursing diagnosis for
this patient?
o 1Anxiety
o 2Self-health management
o 3Imbalanced nutrition: less than body requirements
o 4Disturbed personal identity - Answer-2. Self-health management
EXAM QUESTIONS WITH COMPLETE
ANSWERS
The nurse is preparing to ambulate a patient with left-sided weakness. Which action
demonstrates appropriate care of this patient during ambulation?
o 1Assign the strongest health care worker to ambulate her.
o 2Stand on the left side of the patient during ambulation.
o 3The patient holds her cane in her left hand while the nurse is behind her during
ambulation.
o 4The nurse should walk on the patient's right side. - Answer-4. The nurse should
walk on the patient's right side.
A patient who is going to be using crutches asks about wearing shoes with varying
size heels. What statement by the nurse is most accurate?
o 1"You should wear shoes with the same size heel."
o 2"Try to wear the same shoes for stability and safety."
o 3"If you change heel sizes, the crutches will need adjusting."
o 4"Wearing shoes with different heel sizes is fine as long as you're comfortable." -
Answer-3. "If you change heel sizes, the crutches will need adjusting."
A patient with a left-sided weakness uses a cane. Where should the nurse stand
while ambulating this patient?
o 1On the patient's left side
o 2On the patient's right side
o 3Slightly in front on the patient's left side
o 4Slightly behind the patient's right side - Answer-1. On the patient's left side
A patient requires oral care every 2 hours. Indicate which order should be followed to
safely prepare the patient for oral care.
o 1Assess environment for safety and provide privacy.
o 2Lower side rail.
o 3Raise bed to working height.
o 4Arrange supplies on over-bed table.
o 5Position patient. - Answer-1 ,4 ,3 ,2 ,5
A patient using a continuous passive motion (CPM) machine reports a sore area on
the heel of the affected leg. Which intervention by the nurse would be done first?
o 1Checking the functioning of the CPM machine
o 2Performing skin care on the affected extremity
o 3Notifying the health care provider
o 4Assessing the skin on both lower extremities - Answer-4. Assessing the skin on
both lower extremities
,The nurse is helping a patient to the side of the bed and recognizes that the patient
is experiencing orthostatic hypotension. Which of the following signs and symptoms
alert the nurse to this condition? (Select all that apply.)
o 1Pallor
o 2Bradycardia
o 3Nausea
o 4Dizziness
o 5.Irritability - Answer-1,3,4
Provide bathing at regular intervals to:
o 1Restore normal pH of the skin from acidic to alkaline.
o 2Remove resident bacteria that normally cause disease.
o 3Clean the outer layer of skin and remove dead skin cells.
o 4Promote the maturation of new skin cells. - Answer-3. Clean the outer layer of
skin and remove dead skin cells.
Some patients require special positioning precautions when the hair is shampooed.
Special positioning precautions are most appropriate for which patient?
o 1A patient with diabetes who has hypertension
o 2A patient with a hearing deficit
o 3A patient who has an endotracheal tube
o 4A patient with arthritis in her cervical spine - Answer-4. A patient with arthritis in
her cervical spine
An 88-year-old patient diagnosed with dementia frequently becomes very agitated
and aggressive with caregivers. Which approach for bathing this patient would be
most appropriate?
o 1Help the patient with a shower
o 2Provide a complete bed bath
o 3Avoid bathing until the patient becomes more relaxed
o 4Provide a disposable bed bath in bed - Answer-4. Provide a disposable bed bath
in bed
A Muslim woman needs to have a bed bath. Which adjustment does the female
nurse need to make when performing perineal care?
o 1She needs to use gloves when performing perineal care.
o 2She needs to have another nurse in attendance while doing perineal care.
o 3She needs to use her left hand when doing perineal care.
o 4She needs to use her dominant hand when doing perineal care. - Answer-3. She
needs to use her left hand when doing perineal care.
A patient in the intensive care unit after a head injury has been unresponsive at
times and can be aroused only after painful stimuli. Which assessment by the nurse
is most crucial in determining whether it is safe to perform oral hygiene?
o 1Check the patient's pupillary response
o 2Evaluate the patient using the Glascow Coma Scale
, o 3Assess the condition of the oral cavity
o 4Determine the presence of a gag reflex - Answer-4.Determine the presence of a
gag reflex
Cleaning baths include which of the following? (Select all that apply.)
o 1Bed bath
o 2Herbal bath
o 3Tub bath
o 4Shower - Answer-1,3,4
A nurse is caring for a critically ill cardiac surgery patient who is on a ventilator.
Which of the following solutions has been shown to decrease the incidence of
ventilator-assisted pneumonia (VAP) in intubated patients?
o 1Peroxide
o 2Normal saline
o 3Chlorhexidine
o 4Tap water - Answer-3. Chlorhexidine
While giving a complete bed bath to an unconscious patient, care is taken to:
o 1Tape the eyelids shut to preserve moisture.
o 2Close the eyelids with the back of the fingertip and place an eye patch or shield in
place with tape.
o 3Place moistened cotton balls on the eyelids to moisten the eye.
o 4Allow the eyelids to stay open to help the nurse identify when the patient has
regained consciousness. - Answer-2. Close the eyelids with the back of the fingertip
and place an eye patch or shield in place with tape.
A patient requires oral care every 2 hours. Indicate which order should be followed to
safely prepare the patient for oral care.
o 1Assess environment for safety and provide privacy. (1)
o 2Lower side rail.(4)
o 3Raise bed to working height. (3)
o 4Arrange supplies on over-bed table. (2)
o 5Position patient.(5) - Answer-1 ,4 ,3 ,2 ,5
Inflammation of the mucous membrane of the mouth is called - Answer-mucositis
A patient who wears contact lenses in both eyes is scheduled for hand surgery and
will have her hand in a cast for 6 weeks. What is the priority nursing diagnosis for
this patient?
o 1Anxiety
o 2Self-health management
o 3Imbalanced nutrition: less than body requirements
o 4Disturbed personal identity - Answer-2. Self-health management
