Clinical Nursing Skills
Midterm Exam
Course Introduction
Clinical Nursing Skills is a comprehensive course designed to equip nursing students with the essential hands-on techniques and competencies required for safe and effective patient care. The course emphasizes both foundational and advanced nursing procedures, including patient assessment, medication administration, wound care, infection control, intravenous therapy, and documentation. Through a combination of classroom instruction, laboratory practice, and supervised clinical experiences, students develop critical thinking, clinical judgment, and confidence in applying theoretical knowledge to real-world patient scenarios. Mastery of these skills prepares students to meet the challenges of diverse clinical settings and to uphold the highest standards of nursing practice.
Recommended Textbook
The Nurse The Math The Meds Drug Calculations Using Dimensional Analysis 3rd Edition by Joyce
Available Study Resources on Quizplus 14 Chapters
428 Verified Questions
428 Flashcards
Source URL: https://quizplus.com/study-set/1942 Page 2
Chapter 1: Math Review
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98 Verified Questions
98 Flashcards
Source URL: https://quizplus.com/quiz/38676
Sample Questions
Q1) Write the Roman numeral for 10.
Answer: X
Q2) Which number is the exponent in 5<sup>6</sup>?
Answer: 6
Q3) Hold the medication for a pulse less than 50.Write the symbol for the italicized words.
Answer: <
Q4) Which number is the exponent in 5<sup>2</sup>?
Answer: 2
Q5) Write the square root of 9.
Answer: 11ea588c_ef52_382b_b1cd_41a090ba89fa_TB5095_11 = 3
Q6) Write the product of 9 and 5.
Answer: 45
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Chapter 2: Dimensional Analysis Method
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/38675
Sample Questions
Q1) Directions: Analyze the problem for the desired answer.Set up a dimensional analysis-style equation in the space provided using the available data.Ensure that all undesired units will be canceled before doing the math.Do not use shortcuts to solve the equations even if the answer is known.For credit,show all work.Label answers.Evaluate each equation for correct setup and desired answer units. How many pounds are in 22 kg?
Conversion formula: 1 kg = 2.2 lb
DA equation: Evaluation:
Answer: 11ea588c_ef4e_b56a_b1cd_5368a9b45543_TB5095_00
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4
Chapter 3: Metric System and Medication Calculations
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/38674
Sample Questions
Q1) The patient is supposed to drink 8 ounces of fluid every waking hour.How many quarts should be consumed in 12 hours?
Conversion factors: 16 oz = 1 pint,2 pints = 1 quart
DA equation:
Answer: # of qt : 11ea588c_ef4e_6743_b1cd_61a86fbb2666_TB5095_11
Q2) The hospital assigns 4 interns to every resident.There are 7 residents.How many interns will the hospital need?
DA equation:
Answer: # of interns : 11ea588c_ef4e_191a_b1cd_d790e6c9d8e6_TB5095_11
Q3) Change 0.35
A)to a percentage:
B)to a fraction:
C)and reduce to lowest terms:
Answer: A)35%
B)35/100
C)7/20
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Page 5
Chapter 4: Metric Units and Conversions
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/38672
Sample Questions
Q1) Write the metric equivalents: milliliters to liter: _____________
Q2) A nurse will administer 0.3g of a medication.How many milligrams will this be?
Estimate:
DA verification:
Q3) The nurse practitioner ordered 40 mcg of a medication.Move the decimal point to obtain the milligram equivalent and then verify the answer using a conversion formula and DA-style equation.
Q4) Write the abbreviations using the appropriate notation.
A)10 milligrams:
B)15 kilograms:
C)10 ounces:
D)5 liters:
Q5) An incision measures 12 cm.Approximately how many inches will this be?
Estimate:
DA verification:
Q6) Complete the conversion formulas.
A)_____ cm = 1 m
B)_____ m = 1 km
Q7) If a newborn weighs 3 kg,what is the gram equivalent?
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Chapter 5: Patient Records, medication Orders, and Medication Labels
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/38673
Sample Questions
Q1) What is meant by a "scored" tablet? How is a scored tablet treated differently from an unscored tablet?
Q2) Write out the following order: ibuprofen ent tab 400 mg stat and tid pc.
Q3) Directions: Change the traditional time to the international 24-hour clock: 1:00 AM: ___________
Q4) Directions: Change the traditional time to the international 24-hour clock: 12:30 PM: _____________
Q5) Define the following medical abbreviations:
A)NPO:
B)IV:
C)IM:
D)ID (route):
E)NG:
F)PO:
G)SL:
H)subcut:
I)stat:
J)bid:
Q7) Name six basic patient rights. Page 7
Q6) It is recommended that HS be written out: What are two possible meanings for HS?
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Page 8
Chapter 7: Syringe Measurements
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/38678
Sample Questions
Q1) Supply the nearest measurable syringe.For 1-mL syringes,specify size and insulin or tuberculin type syringe.
Amount to be measured: 7.2 mL
Selected syringe size:
Q2) Which size syringe would you select for 5.2 mL of a medicine to be added to an IV?
Q3) Which needle size has the largest diameter: 25 gauge or 18 gauge?
Q4) Supply the nearest measurable syringe.For 1-mL syringes,specify size and insulin or tuberculin type syringe.
Amount to be measured: 2.6 mL
Selected syringe size:
Q5) Can tuberculin and insulin syringes be interchanged?
Q6) Name two serious viral diseases that can be transmitted via needlestick injuries.
Q7) What size syringe is most commonly used for adult intramuscular injections?
Q8) Which size syringe would you select for 2.8 mL of a medicine?
Q9) How must used needles and syringes be discarded?
Q10) A size 18 needle gauge has a smaller or larger diameter than a size 22 needle gauge?
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Chapter 8: Reconstitution of Medications
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/38679
Sample Questions
Q1) What information must be placed on a label for a multidose reconstituted medication vial that is to be stored for subsequent use?
Q2) May the nurse substitute SW for bacteriostatic SW for dilution? Where would this information be obtained? Reconstituted medications have a shorter shelf life.
Q3) Ordered: 100 mL q2h of a 25 % solution for an irrigation.
A)How many mL of the active ingredient will you prepare?
B)What is the ratio of the active ingredient to the inactive ingredient?
Q4) Can the nurse prepare a medication from a container that has been reconstituted on an unknown date? If so why; if not,why not?
Q5) Which has a shorter shelf life: reconstituted or unreconstituted medications?
Q6) The nurse prepares an oral medication of 7.4 mL.
A)How many mL will be placed in the medicine cup?
B)How many mL will be added with a syringe?
Q7) If you were preparing 100 mL of a 10% solution of hydrogen peroxide for an irrigation,how much peroxide and how much water would you use?
Q8) The nurse prepares an oral medication of 24.2 mL.
A)How many mL will be placed in the medicine cup?
B)How many mL will be added with a syringe?
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Chapter 9: Injectable Medications
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/38680
Sample Questions
Q1) Would a small gauge or a large gauge needle be used for a skin test?
Q2) Which size zone should be avoided around umbilicus when giving abdominal subcutaneous injections?
Q3) Name the three approved sites for intramuscular injections.
Q4) What is the value of estimating medication doses before calculation and preparation?
Q5) What is the descriptor for medications that,when combined in one syringe or solution,interact and cause undesired changes in composition or effect (such as crystallization)?
Q6) What are the two most common diluents for injectable medications?
Q7) A skin test is administered with which size syringe?
Q8) What is the name of the kind of reference a nurse must consult before mixing two or more medications in one syringe or IV solution?
Q9) Does the nurse have to measure the dose in a prefilled syringe? If so,why; if not,why not?
Q10) What is the reason for mixing two or more medications in one syringe for an intramuscular injection?
Page 11
Q11) Can the nurse legally administer a medication after the expiration date?
Q12) Which site is not recommended for intramuscular injections? Why?
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Chapter 10: Basic Intravenous Calculations
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/38681
Sample Questions
Q1) A medicated IVPB 30 mL is ordered to be infused over 60 minutes.What flow rate will the nurse set on the EID in mL per hr?
Q2) Directions: Calculate the IV flow rates with DA equations where requested.For credit,show work.Label all answers.Label flow rates in milliliters per hour or drops per minutes,as needed.
Ordered: NS IV at 100 mL per hr.Available: NS 500 mL.How many hours (and minutes,if applicable)will the infusion last?
Q3) What the purpose of a volume control burette device?
Q4) An IV of 500 mL at 50 mL per hr is started at 0830 hours.What time will should it be completed (in 24-hour clock time)?
Q5) Agency policy states that blood is to be administered at 2 mL per minute for the first 30 minutes.How many mL per hr will be set on the EID?
Q6) What is a PCA pump used for?
Q7) What is the difference between microdrip and macrodrip tubing?
Q8) If an IV solution,medicated or unmedicated,falls behind or gets ahead of the ordered schedule,what should and shouldn't the nurse do? What are some of the concerns?
Q9) Where does the nurse find tubing factor information?
Page 13
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Chapter 11: Advanced Intravenous Calculations
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/38682
Sample Questions
Q1) Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Ordered: medicated IV at 4 mcgper kg per min.
Patient's weight: 50 kg.
A)Information requested: Micrograms per minute ordered Calculator result: B)Information requested: Micrograms per hour ordered Calculator result: C)Information requested: Milligrams per hour ordered Calculator result:
Q2) How many grams of dextrose are contained in 1 L of a D<sub>5</sub>W solution?
Q3) What is the purpose of a TPN solution?
Q4) How many approximate calories of dextrose are contained in 1 L of a D<sub>5</sub>W solution?
Q5) What are the typical contents of a TPN solution?
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14
Chapter 12: Diabetic Medications
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/38683
Sample Questions
Q1) What does U 100 on an insulin label mean exactly?
A)100 units of total contents in the bottle
B)100 units per mL
C)100 units is the usual dose
D)100 units per hr is recommended
Q2) What serious ADE could the nurse expect if the dose prepared for an order of 4 units of Regular insulin and 26 units of intermediate acting insulin was reversed?
Q3) Can long-acting insulins be given IV? If so,why; if not,why not?
Q4) When giving insulin injections subcutaneously,what area on the abdomen must be avoided and by how many inches of radius?
Q5) What is the major side effect of insulin overdose?
Q6) What is the name of the hormone that may be administered by injection for severe hypoglycemic levels?
Q7) Why are bedtime snacks such as half of a sandwich or milk ordered for patients on intermediate and long-acting or evening insulin?
Q8) A sliding scale insulin order is based on what kind of test?
Page 15
Q9) What is a normal fasting blood glucose range in mg per dL?
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Chapter 13: Anticoagulant Medications
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/38684
Sample Questions
Q1) Ordered: heparin infusion 200 units per kg to be infused over 4 hours,for a surgical patient
Patient's weight: 90 kg
Available: heparin 25,000 units per 250 mL NS
A)Total dose ordered: IV flow rate the nurse should set on the infusion pump:
B)DA equation:
C)Evaluation:
Q2) Ordered: heparin infusion 1500 units per hour
Available: heparin 20,000 units in 1000 mL Ringer's solution
When the nurse arrives on duty,the IV is flowing at 125 mL per hour. How many units per hour are being infused?
A)DA equation:
B)Evaluation: IV flow rate the nurse should have set on the infusion pump based on the order:
C)DA equation:
D)Evaluation of math and flow rate:
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Chapter 14: Pediatric Medications
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/38685
Sample Questions
Q1) Ordered: amikacin sulfate 600 mg IV infusion q8h,for a child with an infection
Pediatric SDR: 5-7.5 mg per kg q8h,not to exceed 1.5 g per 24 hr
Child's weight: 40 kg
Available: IV amikacin 1 g in 250 mL D<sub>5</sub>W
A)SDR for this child:
B)Decision: safe or unsafe order? State the reason.If safe to give, what flow rate should the nurse set on the pump?
C)DA equation:
D)Evaluation:
Q2) Ordered: Drug X 125 mg 4 times daily
SDR for children: 20-30 mg per kg per day in 4 divided doses
Child's weight: 50 lb.Use a calculator.
A)Estimated weight in kg:
B)Child's weight in kilograms to the nearest tenth:
C)Calculate the SDR for this child.Low safe dose: High safe dose:
D)Decision: safe or unsafe order? State the reason.
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