1
CLINICAL NURSING SKILLS VALIDATION EXAM
CHECK-OFF & SCENARIO-BASED QUESTIONS
AND ANSWERS 2026-27 VERSION
QUESTIONS 1–20: General Patient Care & Infection Control
1.
A patient requires full bed bath. Which is the correct sequence?
• A. Face → upper extremities → trunk → lower extremities
→ perineal area
• B. Trunk → face → lower extremities → upper extremities
→ perineal area
• C. Lower extremities → trunk → upper extremities → face
→ perineal area
• D. Perineal area → lower extremities → trunk → upper
extremities → face
Answer: A
Rationale: Always clean from cleanest to dirtiest areas, ending
with perineal area to reduce infection risk.
2.
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During hand hygiene, how long should you rub hands with
alcohol-based sanitizer?
• A. 5–10 seconds
• B. 15–20 seconds
• C. 20–30 seconds
• D. 40–60 seconds
Answer: C
Rationale: Rub hands 20–30 seconds to ensure proper
microbial reduction.
3.
A patient requires oral medication but is NPO. What is correct
action?
• A. Hold medication and notify provider
• B. Crush all tablets and give via NG tube
• C. Give medication orally anyway
• D. Skip medication
Answer: A
Rationale: Medications may be contraindicated if NPO; clarify
with provider.
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4.
When performing IV insertion, what is the first step?
• A. Apply tourniquet
• B. Identify patient and verify order
• C. Insert IV catheter
• D. Flush IV line
Answer: B
Rationale: Always verify patient identity and order before any
invasive procedure.
5.
A patient’s IV site is swollen and red. What is priority action?
• A. Discontinue IV and restart elsewhere
• B. Apply warm compress
• C. Continue infusion
• D. Lower infusion rate
Answer: A
Rationale: Signs indicate infiltration or phlebitis; stop infusion
to prevent tissue damage.
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6.
Which is the proper way to check NG tube placement?
• A. Aspirate gastric content and check pH
• B. Inject air and listen for gurgling only
• C. Ask patient if they feel discomfort
• D. Measure tube length only
Answer: A
Rationale: Confirming pH ≤5 ensures correct gastric placement
before feeding/meds.
7.
During Foley catheter insertion, which action prevents UTI?
• A. Maintain sterile technique
• B. Use clean gloves only
• C. Secure catheter loosely
• D. Flush with tap water
Answer: A
Rationale: Sterile technique prevents catheter-associated
infections.
CLINICAL NURSING SKILLS VALIDATION EXAM
CHECK-OFF & SCENARIO-BASED QUESTIONS
AND ANSWERS 2026-27 VERSION
QUESTIONS 1–20: General Patient Care & Infection Control
1.
A patient requires full bed bath. Which is the correct sequence?
• A. Face → upper extremities → trunk → lower extremities
→ perineal area
• B. Trunk → face → lower extremities → upper extremities
→ perineal area
• C. Lower extremities → trunk → upper extremities → face
→ perineal area
• D. Perineal area → lower extremities → trunk → upper
extremities → face
Answer: A
Rationale: Always clean from cleanest to dirtiest areas, ending
with perineal area to reduce infection risk.
2.
,2
During hand hygiene, how long should you rub hands with
alcohol-based sanitizer?
• A. 5–10 seconds
• B. 15–20 seconds
• C. 20–30 seconds
• D. 40–60 seconds
Answer: C
Rationale: Rub hands 20–30 seconds to ensure proper
microbial reduction.
3.
A patient requires oral medication but is NPO. What is correct
action?
• A. Hold medication and notify provider
• B. Crush all tablets and give via NG tube
• C. Give medication orally anyway
• D. Skip medication
Answer: A
Rationale: Medications may be contraindicated if NPO; clarify
with provider.
,3
4.
When performing IV insertion, what is the first step?
• A. Apply tourniquet
• B. Identify patient and verify order
• C. Insert IV catheter
• D. Flush IV line
Answer: B
Rationale: Always verify patient identity and order before any
invasive procedure.
5.
A patient’s IV site is swollen and red. What is priority action?
• A. Discontinue IV and restart elsewhere
• B. Apply warm compress
• C. Continue infusion
• D. Lower infusion rate
Answer: A
Rationale: Signs indicate infiltration or phlebitis; stop infusion
to prevent tissue damage.
, 4
6.
Which is the proper way to check NG tube placement?
• A. Aspirate gastric content and check pH
• B. Inject air and listen for gurgling only
• C. Ask patient if they feel discomfort
• D. Measure tube length only
Answer: A
Rationale: Confirming pH ≤5 ensures correct gastric placement
before feeding/meds.
7.
During Foley catheter insertion, which action prevents UTI?
• A. Maintain sterile technique
• B. Use clean gloves only
• C. Secure catheter loosely
• D. Flush with tap water
Answer: A
Rationale: Sterile technique prevents catheter-associated
infections.
