CLINICAL NURSING SKILLS AND
TECHNIQUES, 12TH EDITION
COMPREHENSIVE TEST BANK
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE
1. When performing hand hygiene for a patient with confirmed Clostridioides difficile (C. diff),
which method is most effective for removing spores?
A. Alcohol-based hand rub
B. Soap and water
C. Antiseptic hand wipes
D. Chlorhexidine gluconate (CHG) solution
Answer: B
Conceptual Explanation: Alcohol-based hand rubs are ineffective against C. diff spores.
Mechanical friction with soap and water is required to physically remove the spores from
the skin surface.
2. A nurse is preparing to suction a patient with an endotracheal tube. Which action should
the nurse take to prevent hypoxia during the procedure?
A. Limit suctioning to 20 seconds per pass
,B. Apply suction while inserting the catheter
C. Hyperoxygenate the patient before and after passes
D. Instill normal saline into the tube to loosen secretions
Answer: C
Conceptual Explanation: Hyperoxygenation (providing 100% oxygen) is critical to
prevent a drop in oxygen saturation during the suctioning procedure. Suction should only
be applied intermittently while withdrawing the catheter, never for more than 10-15
seconds.
3. When assessing a blood pressure, which error would result in a falsely low reading?
A. Arm positioned above the level of the heart
B. Cuff wrapped too loosely
C. Deflating the cuff too slowly
D. Using a cuff that is too narrow
Answer: A
Conceptual Explanation: If the arm is above heart level, the reading will be falsely low.
Conversely, a cuff that is too narrow, wrapped too loosely, or an arm below heart level will
result in a falsely high reading.
4. While administering a Z-track intramuscular (IM) injection, the nurse should:
A. Massage the site after withdrawing the needle
, B. Pull the skin laterally 2.5 to 3.5 cm
C. Inject the medication immediately after piercing the skin
D. Use the deltoid muscle as the primary site
Answer: B
Conceptual Explanation: The Z-track method involves pulling the skin and subcutaneous
tissue laterally to seal the medication in the muscle. Massaging the site is contraindicated
as it may push medication into the subcutaneous tissue.
5. A patient is receiving an intravenous (IV) infusion and reports pain at the site. The nurse
notes edema, coolness to the touch, and pallor. These findings indicate:
A. Phlebitis
B. Thrombosis
C. Infiltration
D. Extravasation of a vesicant
Answer: C
Conceptual Explanation: Infiltration is characterized by coolness, pallor, and edema.
Phlebitis presents with warmth, redness, and a palpable cord along the vein.
6. Which of the following is the most accurate method to confirm the initial placement of a
nasogastric (NG) tube?
A. Auscultating air bolus in the epigastrium
TECHNIQUES, 12TH EDITION
COMPREHENSIVE TEST BANK
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE
1. When performing hand hygiene for a patient with confirmed Clostridioides difficile (C. diff),
which method is most effective for removing spores?
A. Alcohol-based hand rub
B. Soap and water
C. Antiseptic hand wipes
D. Chlorhexidine gluconate (CHG) solution
Answer: B
Conceptual Explanation: Alcohol-based hand rubs are ineffective against C. diff spores.
Mechanical friction with soap and water is required to physically remove the spores from
the skin surface.
2. A nurse is preparing to suction a patient with an endotracheal tube. Which action should
the nurse take to prevent hypoxia during the procedure?
A. Limit suctioning to 20 seconds per pass
,B. Apply suction while inserting the catheter
C. Hyperoxygenate the patient before and after passes
D. Instill normal saline into the tube to loosen secretions
Answer: C
Conceptual Explanation: Hyperoxygenation (providing 100% oxygen) is critical to
prevent a drop in oxygen saturation during the suctioning procedure. Suction should only
be applied intermittently while withdrawing the catheter, never for more than 10-15
seconds.
3. When assessing a blood pressure, which error would result in a falsely low reading?
A. Arm positioned above the level of the heart
B. Cuff wrapped too loosely
C. Deflating the cuff too slowly
D. Using a cuff that is too narrow
Answer: A
Conceptual Explanation: If the arm is above heart level, the reading will be falsely low.
Conversely, a cuff that is too narrow, wrapped too loosely, or an arm below heart level will
result in a falsely high reading.
4. While administering a Z-track intramuscular (IM) injection, the nurse should:
A. Massage the site after withdrawing the needle
, B. Pull the skin laterally 2.5 to 3.5 cm
C. Inject the medication immediately after piercing the skin
D. Use the deltoid muscle as the primary site
Answer: B
Conceptual Explanation: The Z-track method involves pulling the skin and subcutaneous
tissue laterally to seal the medication in the muscle. Massaging the site is contraindicated
as it may push medication into the subcutaneous tissue.
5. A patient is receiving an intravenous (IV) infusion and reports pain at the site. The nurse
notes edema, coolness to the touch, and pallor. These findings indicate:
A. Phlebitis
B. Thrombosis
C. Infiltration
D. Extravasation of a vesicant
Answer: C
Conceptual Explanation: Infiltration is characterized by coolness, pallor, and edema.
Phlebitis presents with warmth, redness, and a palpable cord along the vein.
6. Which of the following is the most accurate method to confirm the initial placement of a
nasogastric (NG) tube?
A. Auscultating air bolus in the epigastrium
