NURSING SKILLS TEST BANK
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
NURSING SKILLS
TEST BANK
116 challenge-level multiple-choice questions
Detailed rationales, explanations of every wrong option, and page-referenced answers
Covers all 23 chapters of Nursing Skills 2e (Open RN)
Question format Single-best-answer MCQ, four options (A to D), NCLEX-style stems
Cognitive levels Application, Analysis, and Prioritization. Recall-only items are intentionally
excluded
Each answer Why the correct option is right, why each distractor fails, and a chapter, section,
includes and page citation
Bonus High-yield numbers sheet and a chapter-by-chapter self-score tracker
Source and attribution. Questions are original and are based on the content of Nursing Skills 2e by Ernstmeyer & Christman
(Eds.), Open Resources for Nursing (Open RN), WisTech Open, Eau Claire, Wisconsin, licensed under CC BY 4.0
(creativecommons.org/licenses/by/4.0/). This test bank is a derivative work, adapted and condensed into question form. It is
not endorsed by the original authors or publisher.
Page 1
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
How to Use This Test Bank
Work through the questions in Part 1 without notes, then check yourself against the answer key in Part 2 and
read the full rationale in Part 3. Reading the explanation for every option you got wrong (and the ones you
guessed right) is where most of the learning happens.
Difficulty tags
Application - apply a fact or calculation to a realistic scenario.
Analysis - interpret findings, distinguish look-alike concepts, or spot the flaw in a plausible option.
Prioritization - decide what to do first or what must not be missed (the NCLEX-style "best action").
Suggested study plan
• Take one chapter block at a time (4 to 8 questions) and score it on the tracker in Appendix B.
• Re-do any chapter below 80% after reviewing the cited pages.
• Use the High-Yield Numbers sheet (Appendix A) for last-minute review before skills check-offs and
exams.
• Calculation items (Chapter 5): set up dimensional analysis on paper, then confirm against the
rationale.
About page references
Page numbers refer to the printed pagination of Nursing Skills 2e (the numbers shown in the book’s own
table of contents). If you are using the PDF viewer, add 18 to the printed page number to find the PDF page.
Contents at a glance
Ch. Topic Questions Q numbers
1 General Survey 7 1-7
2 Health History 4 8-11
3 Blood Pressure 6 12-17
4 Aseptic Technique 6 18-23
5 Math Calculations 8 24-31
6 Neurological Assessment 7 32-38
7 Head and Neck Assessment 3 39-41
8 Eye and Ear Assessment 4 42-45
9 Cardiovascular Assessment 6 46-51
10 Respiratory Assessment 4 52-55
11 Oxygen Therapy 6 56-61
12 Abdominal Assessment 4 62-65
13 Musculoskeletal Assessment 4 66-69
14 Integumentary Assessment 5 70-74
15 Administration of Enteral Medications 6 75-80
16 Administration of Medications Via Other Routes 4 81-84
17 Enteral Tube Management 4 85-88
Page 2
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
Ch. Topic Questions Q numbers
18 Administration of Parenteral Medications 7 89-95
19 Specimen Collection 2 96-97
20 Wound Care 5 98-102
21 Facilitation of Elimination 5 103-107
22 Tracheostomy Care & Suctioning 4 108-111
23 IV Therapy Management 5 112-116
Page 3
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
Part 1 | Questions
Chapter 1: General Survey
1. [Prioritization]
A nurse walks into a patient's room and finds the patient has just lost consciousness. Which action is the
priority in the vital sign sequence?
A. Obtain a tympanic temperature
B. Apply a blood pressure cuff and obtain a manual reading
C. Place the pulse oximeter probe and wait for a stable waveform
D. Check the carotid pulse
2. [Analysis]
An RN delegates routine vital signs on a stable patient to an unlicensed assistive personnel (UAP). Which
statement best reflects the RN's responsibility?
A. The RN remains accountable for analyzing the results and instituting appropriate interventions
B. Accountability transfers to the UAP once the UAP has been trained
C. The UAP may decide whether an abnormal value needs to be reported to the provider
D. Vital signs may never be delegated in any practice setting
3. [Application]
A patient finished drinking a cup of hot tea 5 minutes ago. The nurse needs an oral temperature. What is
the best action?
A. Measure now, because the 5-minute interval applies to hot beverages
B. Delay the oral measurement until 15 to 25 minutes after the beverage (or use another route
according to agency policy)
C. Measure now and subtract 0.5°C from the result
D. Obtain a rectal temperature, since it is required whenever oral readings are unreliable in adults
4. [Application]
A nurse obtains a tympanic temperature of 37.6°C. Based on the usual relationship between tympanic
and oral readings, the patient's oral temperature would be expected to be approximately:
A. 37.9 to 38.2°C
B. 36.0 to 36.4°C
C. 37.0 to 37.3°C
D. 37.6°C (the two routes are identical)
5. [Prioritization]
A patient with COPD is receiving oxygen at 2 L/min by nasal cannula. SpO2 is 90%, respiratory rate is 16,
and the patient is resting comfortably. What is the nurse's best action?
A. Increase the flow to 6 L/min until SpO2 reaches 100%
B. Switch to a non-rebreather mask at 15 L/min
C. Activate the rapid response team for hypoxemia
D. Continue the current oxygen therapy and monitor, because 88% to 92% is the usual target range for
COPD
Page 4
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
NURSING SKILLS
TEST BANK
116 challenge-level multiple-choice questions
Detailed rationales, explanations of every wrong option, and page-referenced answers
Covers all 23 chapters of Nursing Skills 2e (Open RN)
Question format Single-best-answer MCQ, four options (A to D), NCLEX-style stems
Cognitive levels Application, Analysis, and Prioritization. Recall-only items are intentionally
excluded
Each answer Why the correct option is right, why each distractor fails, and a chapter, section,
includes and page citation
Bonus High-yield numbers sheet and a chapter-by-chapter self-score tracker
Source and attribution. Questions are original and are based on the content of Nursing Skills 2e by Ernstmeyer & Christman
(Eds.), Open Resources for Nursing (Open RN), WisTech Open, Eau Claire, Wisconsin, licensed under CC BY 4.0
(creativecommons.org/licenses/by/4.0/). This test bank is a derivative work, adapted and condensed into question form. It is
not endorsed by the original authors or publisher.
Page 1
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
How to Use This Test Bank
Work through the questions in Part 1 without notes, then check yourself against the answer key in Part 2 and
read the full rationale in Part 3. Reading the explanation for every option you got wrong (and the ones you
guessed right) is where most of the learning happens.
Difficulty tags
Application - apply a fact or calculation to a realistic scenario.
Analysis - interpret findings, distinguish look-alike concepts, or spot the flaw in a plausible option.
Prioritization - decide what to do first or what must not be missed (the NCLEX-style "best action").
Suggested study plan
• Take one chapter block at a time (4 to 8 questions) and score it on the tracker in Appendix B.
• Re-do any chapter below 80% after reviewing the cited pages.
• Use the High-Yield Numbers sheet (Appendix A) for last-minute review before skills check-offs and
exams.
• Calculation items (Chapter 5): set up dimensional analysis on paper, then confirm against the
rationale.
About page references
Page numbers refer to the printed pagination of Nursing Skills 2e (the numbers shown in the book’s own
table of contents). If you are using the PDF viewer, add 18 to the printed page number to find the PDF page.
Contents at a glance
Ch. Topic Questions Q numbers
1 General Survey 7 1-7
2 Health History 4 8-11
3 Blood Pressure 6 12-17
4 Aseptic Technique 6 18-23
5 Math Calculations 8 24-31
6 Neurological Assessment 7 32-38
7 Head and Neck Assessment 3 39-41
8 Eye and Ear Assessment 4 42-45
9 Cardiovascular Assessment 6 46-51
10 Respiratory Assessment 4 52-55
11 Oxygen Therapy 6 56-61
12 Abdominal Assessment 4 62-65
13 Musculoskeletal Assessment 4 66-69
14 Integumentary Assessment 5 70-74
15 Administration of Enteral Medications 6 75-80
16 Administration of Medications Via Other Routes 4 81-84
17 Enteral Tube Management 4 85-88
Page 2
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
Ch. Topic Questions Q numbers
18 Administration of Parenteral Medications 7 89-95
19 Specimen Collection 2 96-97
20 Wound Care 5 98-102
21 Facilitation of Elimination 5 103-107
22 Tracheostomy Care & Suctioning 4 108-111
23 IV Therapy Management 5 112-116
Page 3
, Nursing Skills Test Bank | Based on Nursing Skills 2e (CC BY 4.0)
Part 1 | Questions
Chapter 1: General Survey
1. [Prioritization]
A nurse walks into a patient's room and finds the patient has just lost consciousness. Which action is the
priority in the vital sign sequence?
A. Obtain a tympanic temperature
B. Apply a blood pressure cuff and obtain a manual reading
C. Place the pulse oximeter probe and wait for a stable waveform
D. Check the carotid pulse
2. [Analysis]
An RN delegates routine vital signs on a stable patient to an unlicensed assistive personnel (UAP). Which
statement best reflects the RN's responsibility?
A. The RN remains accountable for analyzing the results and instituting appropriate interventions
B. Accountability transfers to the UAP once the UAP has been trained
C. The UAP may decide whether an abnormal value needs to be reported to the provider
D. Vital signs may never be delegated in any practice setting
3. [Application]
A patient finished drinking a cup of hot tea 5 minutes ago. The nurse needs an oral temperature. What is
the best action?
A. Measure now, because the 5-minute interval applies to hot beverages
B. Delay the oral measurement until 15 to 25 minutes after the beverage (or use another route
according to agency policy)
C. Measure now and subtract 0.5°C from the result
D. Obtain a rectal temperature, since it is required whenever oral readings are unreliable in adults
4. [Application]
A nurse obtains a tympanic temperature of 37.6°C. Based on the usual relationship between tympanic
and oral readings, the patient's oral temperature would be expected to be approximately:
A. 37.9 to 38.2°C
B. 36.0 to 36.4°C
C. 37.0 to 37.3°C
D. 37.6°C (the two routes are identical)
5. [Prioritization]
A patient with COPD is receiving oxygen at 2 L/min by nasal cannula. SpO2 is 90%, respiratory rate is 16,
and the patient is resting comfortably. What is the nurse's best action?
A. Increase the flow to 6 L/min until SpO2 reaches 100%
B. Switch to a non-rebreather mask at 15 L/min
C. Activate the rapid response team for hypoxemia
D. Continue the current oxygen therapy and monitor, because 88% to 92% is the usual target range for
COPD
Page 4
