NURSING SKILLS TEST BANK
Source Text: Nursing Skills, 2nd Edition (Open RN)
500+ High-Yield NCLEX-Style Multiple Choice Questions
Chapters 1 to 23
,Contents
Chapter 1: General Survey ................................................................................................................................................... 4
Section 2: Quick Answer Key ............................................................................................................................................ 9
Section 3: Detailed Rationales & References ................................................................................................................. 10
Chapter 2: Health History .................................................................................................................................................. 14
Section 2: Quick Answer Key .......................................................................................................................................... 19
Section 3: Detailed Rationales & References ................................................................................................................. 20
Chapter 3: Blood History ................................................................................................................................................... 24
Section 2: Quick Answer Key .......................................................................................................................................... 29
Section 3: Detailed Rationales & References ................................................................................................................. 30
Chapter 4: Aseptic Technique ............................................................................................................................................ 34
Section 2: Quick Answer Key .......................................................................................................................................... 39
Section 3: Detailed Rationales & References ................................................................................................................. 40
Chapter 5: Math Calculation .............................................................................................................................................. 44
Section 2: Quick Answer Key .......................................................................................................................................... 49
Section 3: Detailed Rationales & References ................................................................................................................. 50
Chapter 6: Neurological Assessment ................................................................................................................................. 54
Section 2: Quick Answer Key .......................................................................................................................................... 59
Section 3: Detailed Rationales & References ................................................................................................................. 60
Chapter 7: Head to Neck Assessment ................................................................................................................................ 64
Section 2: Quick Answer Key .......................................................................................................................................... 69
Section 3: Detailed Rationales & References ................................................................................................................. 70
Chapter 8: Eye-Ear Assessment ......................................................................................................................................... 74
Section 2: Quick Answer Key .......................................................................................................................................... 79
Section 3: Detailed Rationales & References ................................................................................................................. 80
Chapter 9: Cardio Vascular Assessment ............................................................................................................................ 84
Section 2: Quick Answer Key .......................................................................................................................................... 89
Section 3: Detailed Rationales & References ................................................................................................................. 90
Chapter 10: Respiratory Assessment .................................................................................................................................. 94
Section 1: Examination Questions .................................................................................................................................. 94
Section 2: Quick Answer Key .......................................................................................................................................... 99
Section 3: Detailed Rationales & References ............................................................................................................... 100
Chapter 11: Oxygen Therapy ........................................................................................................................................... 104
Section 1: Examination Questions ................................................................................................................................ 104
Section 2: Quick Answer Key ........................................................................................................................................ 109
Section 3: Detailed Rationales & References ............................................................................................................... 110
Chapter 12: Abdominal Assessment ............................................................................................................................. 114
Section 1: Examination Questions ................................................................................................................................ 114
Section 2: Quick Answer Key ........................................................................................................................................ 119
Section 3: Detailed Rationales & References ............................................................................................................... 120
Chapter 13: Musculoskeletal Assessment ........................................................................................................................ 124
,Section 1: Examination Questions ................................................................................................................................ 124
Section 2: Quick Answer Key ........................................................................................................................................ 129
Section 3: Detailed Rationales & References ............................................................................................................... 130
Chapter 14: Integumentary Assessment ........................................................................................................................... 134
Section 1: Examination Questions ................................................................................................................................ 134
Section 2: Quick Answer Key ........................................................................................................................................ 139
Section 3: Detailed Rationales & References ............................................................................................................... 140
Chapter 15: Administration of Enteral Medications......................................................................................................... 144
Section 1: Examination Questions ................................................................................................................................ 144
Section 2: Quick Answer Key ........................................................................................................................................ 149
Section 3: Detailed Rationales & References ............................................................................................................... 150
Chapter 16: Administration of Medication Via Other Routes .......................................................................................... 154
Section 1: Examination Questions ................................................................................................................................ 154
Section 2: Quick Answer Key ........................................................................................................................................ 159
Section 3: Detailed Rationales & References ............................................................................................................... 160
Chapter 17: Enteral Tube Management ............................................................................................................................ 164
Section 1: Examination Questions ................................................................................................................................ 164
Section 2: Quick Answer Key ........................................................................................................................................ 169
Section 3: Detailed Rationales & References ............................................................................................................... 170
Chapter 18: Administration of Parental Medications ....................................................................................................... 174
Section 1: Examination Questions ................................................................................................................................ 174
Section 2: Quick Answer Key ........................................................................................................................................ 179
Section 3: Detailed Rationales & References ............................................................................................................... 180
Chapter 19: Specimen Collection ..................................................................................................................................... 184
Section 1: Examination Questions ................................................................................................................................ 184
Section 2: Quick Answer Key ........................................................................................................................................ 189
Section 3: Detailed Rationales & References ............................................................................................................... 190
Chapter 20: Wound Care .................................................................................................................................................. 194
Section 1: Examination Questions ................................................................................................................................ 194
Section 2: Quick Answer Key ........................................................................................................................................ 199
Section 3: Detailed Rationales & References ............................................................................................................... 200
Chapter 21: Facilitation of Elimination ............................................................................................................................ 204
Section 1: Examination Questions ................................................................................................................................ 204
Section 2: Quick Answer Key ........................................................................................................................................ 209
Section 3: Detailed Rationales & References ............................................................................................................... 210
Chapter 22: Tracheostomy Care & Suctioning ................................................................................................................ 214
Section 1: Examination Questions ................................................................................................................................ 214
Section 2: Quick Answer Key ........................................................................................................................................ 219
Section 3: Detailed Rationales & References ............................................................................................................... 220
Chapter 23: IV Therapy Management .............................................................................................................................. 224
Section 1: Examination Questions ................................................................................................................................ 224
,Section 2: Quick Answer Key ........................................................................................................................................ 229
Section 3: Detailed Rationales & References ............................................................................................................... 230
Chapter 1: General Survey
,Section 1: Examination questions
1. A nurse writes in the chart, "Patient appears anxious." How should this documentation be classified?
A. Objective data, because it was observed by the nurse
B. Subjective data, because it is an inference made by the nurse
C. Objective data, because anxiety is a measurable vital sign
D. Secondary data, because it came from a family member
2. A patient's daughter tells the nurse, "My dad seems more forgetful lately." This is an example of which
type of data?
A. Primary objective data
B. Secondary subjective data
C. Primary subjective data
D. Secondary objective data
3. A nurse delegates vital sign measurement to unlicensed assistive personnel (UAP) for a stable patient.
Which statement best reflects the nurse's ongoing responsibility?
A. The nurse has no further responsibility once vital signs are delegated
B. The nurse remains accountable for analyzing the results and following up on abnormal findings
C. The UAP is solely responsible for interpreting the results
D. Delegation of vital signs is never permitted regardless of agency policy
4. Which hand hygiene practice is correct according to CDC guidance discussed in this chapter?
A. Hand sanitizer may be used routinely, but soap and water must be used if hands are visibly soiled or
the patient has suspected C. difficile
B. Hand sanitizer is preferred over soap and water in all situations, including C. difficile precautions
C. Gloves are an acceptable substitute for hand hygiene between patients
D. Hand sanitizer should be applied for 5 seconds to be effective
5. A patient drank a hot cup of coffee 10 minutes ago. The nurse should do which of the following before
obtaining an oral temperature?
A. Proceed immediately since oral temperature is unaffected by food or drink
B. Wait 15–25 minutes after the hot beverage before measuring oral temperature
C. Switch immediately to a rectal temperature instead
D. Rinse the patient's mouth with cold water first
6. A tympanic temperature is generally expected to read how compared to an oral temperature, and why?
A. 0.3–0.6°C lower, because the ear canal is cooler than the mouth
B. 0.3–0.6°C higher, because the tympanic membrane shares vascular supply with the hypothalamus
C. Identical, because both are core temperature measurements
D. 1°C higher, because of cerumen insulation
7. Which temperature measurement route is considered the gold standard for accuracy in infants?
A. Temporal
Source Text: Nursing Skills, 2nd Edition (Open RN)
500+ High-Yield NCLEX-Style Multiple Choice Questions
Chapters 1 to 23
,Contents
Chapter 1: General Survey ................................................................................................................................................... 4
Section 2: Quick Answer Key ............................................................................................................................................ 9
Section 3: Detailed Rationales & References ................................................................................................................. 10
Chapter 2: Health History .................................................................................................................................................. 14
Section 2: Quick Answer Key .......................................................................................................................................... 19
Section 3: Detailed Rationales & References ................................................................................................................. 20
Chapter 3: Blood History ................................................................................................................................................... 24
Section 2: Quick Answer Key .......................................................................................................................................... 29
Section 3: Detailed Rationales & References ................................................................................................................. 30
Chapter 4: Aseptic Technique ............................................................................................................................................ 34
Section 2: Quick Answer Key .......................................................................................................................................... 39
Section 3: Detailed Rationales & References ................................................................................................................. 40
Chapter 5: Math Calculation .............................................................................................................................................. 44
Section 2: Quick Answer Key .......................................................................................................................................... 49
Section 3: Detailed Rationales & References ................................................................................................................. 50
Chapter 6: Neurological Assessment ................................................................................................................................. 54
Section 2: Quick Answer Key .......................................................................................................................................... 59
Section 3: Detailed Rationales & References ................................................................................................................. 60
Chapter 7: Head to Neck Assessment ................................................................................................................................ 64
Section 2: Quick Answer Key .......................................................................................................................................... 69
Section 3: Detailed Rationales & References ................................................................................................................. 70
Chapter 8: Eye-Ear Assessment ......................................................................................................................................... 74
Section 2: Quick Answer Key .......................................................................................................................................... 79
Section 3: Detailed Rationales & References ................................................................................................................. 80
Chapter 9: Cardio Vascular Assessment ............................................................................................................................ 84
Section 2: Quick Answer Key .......................................................................................................................................... 89
Section 3: Detailed Rationales & References ................................................................................................................. 90
Chapter 10: Respiratory Assessment .................................................................................................................................. 94
Section 1: Examination Questions .................................................................................................................................. 94
Section 2: Quick Answer Key .......................................................................................................................................... 99
Section 3: Detailed Rationales & References ............................................................................................................... 100
Chapter 11: Oxygen Therapy ........................................................................................................................................... 104
Section 1: Examination Questions ................................................................................................................................ 104
Section 2: Quick Answer Key ........................................................................................................................................ 109
Section 3: Detailed Rationales & References ............................................................................................................... 110
Chapter 12: Abdominal Assessment ............................................................................................................................. 114
Section 1: Examination Questions ................................................................................................................................ 114
Section 2: Quick Answer Key ........................................................................................................................................ 119
Section 3: Detailed Rationales & References ............................................................................................................... 120
Chapter 13: Musculoskeletal Assessment ........................................................................................................................ 124
,Section 1: Examination Questions ................................................................................................................................ 124
Section 2: Quick Answer Key ........................................................................................................................................ 129
Section 3: Detailed Rationales & References ............................................................................................................... 130
Chapter 14: Integumentary Assessment ........................................................................................................................... 134
Section 1: Examination Questions ................................................................................................................................ 134
Section 2: Quick Answer Key ........................................................................................................................................ 139
Section 3: Detailed Rationales & References ............................................................................................................... 140
Chapter 15: Administration of Enteral Medications......................................................................................................... 144
Section 1: Examination Questions ................................................................................................................................ 144
Section 2: Quick Answer Key ........................................................................................................................................ 149
Section 3: Detailed Rationales & References ............................................................................................................... 150
Chapter 16: Administration of Medication Via Other Routes .......................................................................................... 154
Section 1: Examination Questions ................................................................................................................................ 154
Section 2: Quick Answer Key ........................................................................................................................................ 159
Section 3: Detailed Rationales & References ............................................................................................................... 160
Chapter 17: Enteral Tube Management ............................................................................................................................ 164
Section 1: Examination Questions ................................................................................................................................ 164
Section 2: Quick Answer Key ........................................................................................................................................ 169
Section 3: Detailed Rationales & References ............................................................................................................... 170
Chapter 18: Administration of Parental Medications ....................................................................................................... 174
Section 1: Examination Questions ................................................................................................................................ 174
Section 2: Quick Answer Key ........................................................................................................................................ 179
Section 3: Detailed Rationales & References ............................................................................................................... 180
Chapter 19: Specimen Collection ..................................................................................................................................... 184
Section 1: Examination Questions ................................................................................................................................ 184
Section 2: Quick Answer Key ........................................................................................................................................ 189
Section 3: Detailed Rationales & References ............................................................................................................... 190
Chapter 20: Wound Care .................................................................................................................................................. 194
Section 1: Examination Questions ................................................................................................................................ 194
Section 2: Quick Answer Key ........................................................................................................................................ 199
Section 3: Detailed Rationales & References ............................................................................................................... 200
Chapter 21: Facilitation of Elimination ............................................................................................................................ 204
Section 1: Examination Questions ................................................................................................................................ 204
Section 2: Quick Answer Key ........................................................................................................................................ 209
Section 3: Detailed Rationales & References ............................................................................................................... 210
Chapter 22: Tracheostomy Care & Suctioning ................................................................................................................ 214
Section 1: Examination Questions ................................................................................................................................ 214
Section 2: Quick Answer Key ........................................................................................................................................ 219
Section 3: Detailed Rationales & References ............................................................................................................... 220
Chapter 23: IV Therapy Management .............................................................................................................................. 224
Section 1: Examination Questions ................................................................................................................................ 224
,Section 2: Quick Answer Key ........................................................................................................................................ 229
Section 3: Detailed Rationales & References ............................................................................................................... 230
Chapter 1: General Survey
,Section 1: Examination questions
1. A nurse writes in the chart, "Patient appears anxious." How should this documentation be classified?
A. Objective data, because it was observed by the nurse
B. Subjective data, because it is an inference made by the nurse
C. Objective data, because anxiety is a measurable vital sign
D. Secondary data, because it came from a family member
2. A patient's daughter tells the nurse, "My dad seems more forgetful lately." This is an example of which
type of data?
A. Primary objective data
B. Secondary subjective data
C. Primary subjective data
D. Secondary objective data
3. A nurse delegates vital sign measurement to unlicensed assistive personnel (UAP) for a stable patient.
Which statement best reflects the nurse's ongoing responsibility?
A. The nurse has no further responsibility once vital signs are delegated
B. The nurse remains accountable for analyzing the results and following up on abnormal findings
C. The UAP is solely responsible for interpreting the results
D. Delegation of vital signs is never permitted regardless of agency policy
4. Which hand hygiene practice is correct according to CDC guidance discussed in this chapter?
A. Hand sanitizer may be used routinely, but soap and water must be used if hands are visibly soiled or
the patient has suspected C. difficile
B. Hand sanitizer is preferred over soap and water in all situations, including C. difficile precautions
C. Gloves are an acceptable substitute for hand hygiene between patients
D. Hand sanitizer should be applied for 5 seconds to be effective
5. A patient drank a hot cup of coffee 10 minutes ago. The nurse should do which of the following before
obtaining an oral temperature?
A. Proceed immediately since oral temperature is unaffected by food or drink
B. Wait 15–25 minutes after the hot beverage before measuring oral temperature
C. Switch immediately to a rectal temperature instead
D. Rinse the patient's mouth with cold water first
6. A tympanic temperature is generally expected to read how compared to an oral temperature, and why?
A. 0.3–0.6°C lower, because the ear canal is cooler than the mouth
B. 0.3–0.6°C higher, because the tympanic membrane shares vascular supply with the hypothalamus
C. Identical, because both are core temperature measurements
D. 1°C higher, because of cerumen insulation
7. Which temperature measurement route is considered the gold standard for accuracy in infants?
A. Temporal
