CLINICAL NURSING SKILLS EXAM 1
STUDY GUIDE QUESTIONS AND
ANSWERS
When providing oral hygeine to an unconscious patient, you should position a
patient_______, and Turn their ______ down toward the mattress. - Answer-on their
side/head
Place ____ on opposite side of leg involved. Place ___ forward 6-10 inches. Move
involved leg forward, even with ____. Advanced uninvolved leg past ____. Move
involved leg even with ____. - Answer-Cane
Move right crutch forward 10 inches. Move left foot forward, even with crutch. Move
left crutch forward 10 inches. Move right foot even with crutch. - Answer-Four point
Begin in tripod position. Move both crutches and affected leg forward. Move stronger
leg forward, stepping on floor. - Answer-Three point
Move left crutch and right foot forward. Move right crutch and left foot forward. -
Answer-Two point
Advance unaffected leg to stair. Align crutches with unaffected leg on stair. - Answer-
Up stairs
Crutches move down stair. Move affected leg to crutches. Patient moves unaffected
leg to stair. - Answer-Down stairs
Lift ____ forward. Set it down. Take a step forward one foot at a time. - Answer-
Walker
Supported Fowlers - Answer-Head of bed 45-60 degree angle. NOT semi-sitting
A 72-year-old client is admitted to have the right kidney removed after a diagnosis of
cancer. The surgeon removed the left kidney. Medicare will no longer pay for
preventable medical errors known as ________________. Hospital Acquired
Infections also fit into this category. - Answer-Never events
_____are a method of tracking and measuring a variety of evidence-based,
scientifically researched standards of care in medicine which have been shown to
result in improved clinical outcomes for patients. - Answer-Core measures
Which one of this is a correctly formulated pico question?
1. What is the best way to measure blood pressure?
2. How often should my unit make rounds?
3.In patients with moderate depression, is St. John's Wort vs. traditional SSRI's
effective in relieving symptoms with fewer adverse effects? - Answer-3.
, 1Ask a clinical question.
2Collect the most-relevant and best evidence.
3Critically appraise the evidence you gather.
4Apply or integrate evidence along with your clinical expertise, patient preferences,
and values in making a practice decision or change.
5Evaluate the practice decision or change.
6Communicate your results. - Answer-the steps of EBP
HAIs affect nearly ______ people annualy, causing ______ deaths. - Answer-
2,000,000/80,000
Incidents that involve unexpected death or serious injury or the risk of death and
serious injury that is not related to the natural course of the client's condition. -
Answer-Sentinel events
The nurse can ________ for skin conditions, mobility, and self-care deficits while
bathing the patient. - Answer-assess
Place in order the sequence that you would use in bathing a patient who is unable to
assist.
1. Legs 2. Arms 3. Face 4. Back 5. Abdomen
3,2,5,1,4
3,1,2,5,4
4,3,2,1,5
5,4,3,2,1 - Answer-3,2,5,1,4
You are caring for a 42 year old male patient who came in with a broken leg. He has
had surgery and is unable to bathe himself without assistance. He is refusing a bath.
Your best action is
A. Say, "OK fine with me, see you later"
B. Tell is wife
C. Explain the purpose of the bath and request his participation, if he continues to
refuse; accept his wishes
D. Order a Psych consult - Answer-C
Current guidelines from the U.S. Department of Health and Human Services
advocate no skin massage on reddened skin or skin that has a potential for
breakdown because massage causes ____ and ____. - Answer-friction/shearing
You are assigned to provide oral care to an 88 year old CVA patient who is
unconscious. The major safety action for this procedure is to
A.Position patient on side (Sim's position)
B.Keep a suction bulb or equipment at the bedside
C.Use a tongue blade to keep the mouth open
D.Don clean gloves to prevent the spread of bacteria - Answer-A
You are providing oral care to a patient with dentures. He is unable to clean the
dentures himself. Your actions include all of the following except
A.When brushing dentures place a paper towel or washcloth in the sink
B.Rinse the dentures with hot water
STUDY GUIDE QUESTIONS AND
ANSWERS
When providing oral hygeine to an unconscious patient, you should position a
patient_______, and Turn their ______ down toward the mattress. - Answer-on their
side/head
Place ____ on opposite side of leg involved. Place ___ forward 6-10 inches. Move
involved leg forward, even with ____. Advanced uninvolved leg past ____. Move
involved leg even with ____. - Answer-Cane
Move right crutch forward 10 inches. Move left foot forward, even with crutch. Move
left crutch forward 10 inches. Move right foot even with crutch. - Answer-Four point
Begin in tripod position. Move both crutches and affected leg forward. Move stronger
leg forward, stepping on floor. - Answer-Three point
Move left crutch and right foot forward. Move right crutch and left foot forward. -
Answer-Two point
Advance unaffected leg to stair. Align crutches with unaffected leg on stair. - Answer-
Up stairs
Crutches move down stair. Move affected leg to crutches. Patient moves unaffected
leg to stair. - Answer-Down stairs
Lift ____ forward. Set it down. Take a step forward one foot at a time. - Answer-
Walker
Supported Fowlers - Answer-Head of bed 45-60 degree angle. NOT semi-sitting
A 72-year-old client is admitted to have the right kidney removed after a diagnosis of
cancer. The surgeon removed the left kidney. Medicare will no longer pay for
preventable medical errors known as ________________. Hospital Acquired
Infections also fit into this category. - Answer-Never events
_____are a method of tracking and measuring a variety of evidence-based,
scientifically researched standards of care in medicine which have been shown to
result in improved clinical outcomes for patients. - Answer-Core measures
Which one of this is a correctly formulated pico question?
1. What is the best way to measure blood pressure?
2. How often should my unit make rounds?
3.In patients with moderate depression, is St. John's Wort vs. traditional SSRI's
effective in relieving symptoms with fewer adverse effects? - Answer-3.
, 1Ask a clinical question.
2Collect the most-relevant and best evidence.
3Critically appraise the evidence you gather.
4Apply or integrate evidence along with your clinical expertise, patient preferences,
and values in making a practice decision or change.
5Evaluate the practice decision or change.
6Communicate your results. - Answer-the steps of EBP
HAIs affect nearly ______ people annualy, causing ______ deaths. - Answer-
2,000,000/80,000
Incidents that involve unexpected death or serious injury or the risk of death and
serious injury that is not related to the natural course of the client's condition. -
Answer-Sentinel events
The nurse can ________ for skin conditions, mobility, and self-care deficits while
bathing the patient. - Answer-assess
Place in order the sequence that you would use in bathing a patient who is unable to
assist.
1. Legs 2. Arms 3. Face 4. Back 5. Abdomen
3,2,5,1,4
3,1,2,5,4
4,3,2,1,5
5,4,3,2,1 - Answer-3,2,5,1,4
You are caring for a 42 year old male patient who came in with a broken leg. He has
had surgery and is unable to bathe himself without assistance. He is refusing a bath.
Your best action is
A. Say, "OK fine with me, see you later"
B. Tell is wife
C. Explain the purpose of the bath and request his participation, if he continues to
refuse; accept his wishes
D. Order a Psych consult - Answer-C
Current guidelines from the U.S. Department of Health and Human Services
advocate no skin massage on reddened skin or skin that has a potential for
breakdown because massage causes ____ and ____. - Answer-friction/shearing
You are assigned to provide oral care to an 88 year old CVA patient who is
unconscious. The major safety action for this procedure is to
A.Position patient on side (Sim's position)
B.Keep a suction bulb or equipment at the bedside
C.Use a tongue blade to keep the mouth open
D.Don clean gloves to prevent the spread of bacteria - Answer-A
You are providing oral care to a patient with dentures. He is unable to clean the
dentures himself. Your actions include all of the following except
A.When brushing dentures place a paper towel or washcloth in the sink
B.Rinse the dentures with hot water
