Level 4 Written Skills Study - MGCCC
Nursing Exam Questions and Answers
100% Pass
Position for tube feedings? - ✔✔Semi-Fowlers
How often is tube placement checked w/ continuous NG feedings? - ✔✔every 24 hours
How often are feeding containers and tubing changed for continuous NG feeding? -
✔✔every 24 hours
How do you check tube placement on a 2 day old NG tube? - ✔✔Chest X ray
How do you measure to place an NG tube? - ✔✔nose, ear, xiphoid process
What is the margin size of a sterile field? - ✔✔1 inch
How often is an IV site changed? - ✔✔96 hours
How often is an IV site assessed? - ✔✔with every pt assessment and med given
For an average sized adult what gauge catheter is used? - ✔✔22G
Briefly describe how eye drops are administered? - ✔✔place in supine position, head
back, pull eyelid down, press down on bony orbit exposing conjunctival sac, look up, 1-
2 cm above, administer
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
, Briefly describe how ear drops are administered and the difference between child and
adult. - ✔✔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 - ✔✔abdomen, arm, back
What angle are subcutaneous injections administered? - ✔✔90 degrees
Do you massage insulin after administration and why? - ✔✔No, too quick absorption
Steps of mixing NPH and Regular insulin - ✔✔Air into NPH , air into regular, pull up
regular, pull up NPH
Preferred site of injection for heparin? - ✔✔abdomen
Needle size for average adult for heparin administration? - ✔✔25 G 5/8 inch needle, 90
Degree angle
Is massage indicated with heparin injection? - ✔✔No, too quick absorption
Lovenox prefilled syringe comes with an air bubble, is this removed prior to injection? -
✔✔No
Identify site for IM injection - ✔✔deltoid, vastus lateralis, ventrogluteal
Is massage indicated with IM injection? - ✔✔No
Describe Z-Track method - ✔✔seal med in muscle tissue - pull skin back 1-1 1/2 in,
insert needle, aspirate, inject med, wait 10 seconds, remove needle, release skin,
massage
What solution is used to fill foley catheter retention balloons? - ✔✔sterile water, 10ml
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 2
Nursing Exam Questions and Answers
100% Pass
Position for tube feedings? - ✔✔Semi-Fowlers
How often is tube placement checked w/ continuous NG feedings? - ✔✔every 24 hours
How often are feeding containers and tubing changed for continuous NG feeding? -
✔✔every 24 hours
How do you check tube placement on a 2 day old NG tube? - ✔✔Chest X ray
How do you measure to place an NG tube? - ✔✔nose, ear, xiphoid process
What is the margin size of a sterile field? - ✔✔1 inch
How often is an IV site changed? - ✔✔96 hours
How often is an IV site assessed? - ✔✔with every pt assessment and med given
For an average sized adult what gauge catheter is used? - ✔✔22G
Briefly describe how eye drops are administered? - ✔✔place in supine position, head
back, pull eyelid down, press down on bony orbit exposing conjunctival sac, look up, 1-
2 cm above, administer
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
, Briefly describe how ear drops are administered and the difference between child and
adult. - ✔✔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 - ✔✔abdomen, arm, back
What angle are subcutaneous injections administered? - ✔✔90 degrees
Do you massage insulin after administration and why? - ✔✔No, too quick absorption
Steps of mixing NPH and Regular insulin - ✔✔Air into NPH , air into regular, pull up
regular, pull up NPH
Preferred site of injection for heparin? - ✔✔abdomen
Needle size for average adult for heparin administration? - ✔✔25 G 5/8 inch needle, 90
Degree angle
Is massage indicated with heparin injection? - ✔✔No, too quick absorption
Lovenox prefilled syringe comes with an air bubble, is this removed prior to injection? -
✔✔No
Identify site for IM injection - ✔✔deltoid, vastus lateralis, ventrogluteal
Is massage indicated with IM injection? - ✔✔No
Describe Z-Track method - ✔✔seal med in muscle tissue - pull skin back 1-1 1/2 in,
insert needle, aspirate, inject med, wait 10 seconds, remove needle, release skin,
massage
What solution is used to fill foley catheter retention balloons? - ✔✔sterile water, 10ml
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 2
