Clinical Nursing Skills Practice Exam
Course Introduction
Clinical Nursing Skills provides students with essential foundational knowledge and hands-on practice in the core competencies required for safe and effective patient care. The course covers a range of fundamental nursing procedures, including vital sign measurement, medication administration, wound care, infection control, patient mobility, and basic assessment techniques. Emphasis is placed on developing critical thinking, communication, and clinical decision-making skills in simulated and real-world clinical settings. Through a combination of lectures, demonstrations, and supervised practice, students gain confidence and proficiency in delivering quality care while adhering to ethical and professional standards.
Recommended Textbook
Calculation of Drug Dosages A Work Text 10th Edition by Ogden
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16 Chapters
474 Verified Questions
474 Flashcards
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Chapter 1: Fractions
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Sample Questions
Q1) 4 3/10 ÷ 1 3/4 = ____________________ Answer: 2 16/35
Q2) 11/12 - 1/2 = ____________________ Answer: 5/12
Q3) 3/10 + 3/5 + ____________________ Answer: 9/10
Q4) 1 5/6 + 3 1/3 + ____________________ Answer: 5 1/6
Q5) 6 1/2 - 1 3/4 = ____________________ Answer: 4 3/4
Q6) 3 1/2 ÷ 1 1/3 = ____________________ Answer: 2 5/8
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3
Chapter 2: Decimals
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Sample Questions
Q1) 0.662 * 1000 = ____________________ Answer: 662
Q2) 16.75 - 4.6 = ____________________ Answer: 12.15
Q3) 354.6 ÷ 1000 = ____________________ Answer: 0.3546
Q4) 44.7 * 17.13 * 60 = ____________________ Answer: 45,942.66
Q5) 2.67 + 5.1 + 1.3 + 0.9 = ____________________ Answer: 9.97
Q6) 17.5 * 10 = ____________________ Answer: 175
Q7) 4.4 ÷ 0.5 = ____________________ Answer: 8.8
Q8) 1.1 + 50.6 + 30.9 + 6.75 = ____________________ Answer: 89.35
Q9) 258.7 ÷ 100 = ____________________ Answer: 2.587
4
Q10) 120.005 - 95.88 = ____________________ Answer: 24.125
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Page 5
Chapter 3: Percents
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Sample Questions
Q1) What is 25% of 75? ____________________ Answer: 18.75
Q2) Change 67.9% to a decimal. ____________________ Answer: 0.679
Q3) Change 44% to a proper fraction. ____________________ Answer: 11/25
Q4) Change 1/4 to a percent. ____________________ Answer: 25%
Q5) What percent of 400 is 125? ____________________ Answer: 31.25%
Q6) Change 7/16 to a percent. ____________________ Answer: 43 3/4%
Q7) Change 0.77 to a percent. ____________________ Answer: 77%
Q8) Change 15% to a decimal. ____________________ Answer: 0.15
Q9) What percent of 150 is 75? ____________________ Answer: 50%
Q10) Change 16.8% to a proper fraction. ____________________ Answer: 21/125 Page 6
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Page 7
Chapter 4: Ratios
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Sample Questions
Q1) Change 7:20 to a decimal number. ____________________
Q2) Change 1.66 to a ratio. ____________________
Q3) Change 3/10:2/5 to a fraction. ____________________
Q4) Change 2/7% to a ratio. ____________________
Q5) Change 1/7 ÷ 4/21 to a ratio. ____________________
Q6) Change 44:88 to a percent. ____________________
Q7) Change 15:75 to a percent. ____________________
Q8) Change 3/8 ÷ 5/12 to a ratio. ____________________
Q9) Change 25:100 to a fraction. ____________________
Q10) Change 0.12 to a ratio. ____________________
Q11) Change 35:14 to a decimal number. ____________________
Q12) Change 27% to a ratio. ____________________
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8
Chapter 5: Proportions
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Sample Questions
Q1) 14 : x :: 28 : 7 ____________________
Q2) x : 0.7 :: 21.21 : 3 ____________________
Q3) x : 1/4 :: 3/4: 32 ____________________
Q4) 33% : 66 :: x% : 15 ____________________
Q5) 16 : x :: 45 : 15____________________
Q6) x : 0.54 :: 0.6 : 0.8 ____________________
Q7) 2/3 : x :: 8/9 : 12 ____________________
Q8) 125 : 20 :: 300 : x ____________________
Q9) 25 : 40 :: 75.5 : x ____________________
Q10) 30 : 600 :: x : 150 ____________________
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Chapter 6: Metric and Household Measurements
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Sample Questions
Q17) 3 oz = _____ mL
Q18) 15 mg = _________ g
Q19) 1 mg = _________ g
Q20) 9415 mcg = ____________________ mg
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11
Chapter 7: Calculations Used in Patient Assessments
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Sample Questions
Q1) 90 kg = ____________________ lb
Q2) Calculate the output.
A patient consumes 4 oz of orange juice and 4 oz of milk for breakfast, 12 oz of coffee for lunch, and 3 oz mL of an ice pop and 4 oz mL of ice cream for dinner. The patient voided three times during the shift for 240 mL, 500 mL, and 400 mL. Calculate the output for the 6 AM to 6 PM shift.
Q3) 76 mg = ____________________ mcg
Q4) 1 g = ___________ mcg
Q5) 1 cup = ________ oz
Q6) 1 mg = _________ g
Q7) 2 1/2 cups = _____________ fl oz
Q8) 3800 g = ______ kg
Q9) Calculate the output.
A patient consumes 4 oz of orange juice and 4 oz of milk for breakfast, 12 oz of coffee for lunch, and 3 oz mL of an ice pop and 4 oz mL of ice cream for dinner. The patient voided three times during the shift for 200 mL, 360 mL, and 600 mL. Calculate the intake for the 6 AM to 6 PM shift.
Q10) 15 mg = _________ g
Q11) 220 lb = ______ kg Page 12
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Chapter 11: Oral Dosages
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Sample Questions
Q1) Lorazepam 1 mg oral every 6 hours as needed for anxiety is ordered. Lorazepam is available in 0.5-mg tablets. How many tablets would the nurse administer with each dose? ___________
Q2) The physician orders Cytomel 50 mg daily. The medication is supplied as Cytomel 25-mg tablets. How many tablets of Cytomel would the patient receive with each dose?
Q3) Pyridoxine 150 mg oral every day is ordered. The pyridoxine is supplied in 50-mg tablets. How many tablets would the nurse administer with each dose? ___________
Q4) The physician orders glipizide 5 mg oral twice a day for a patient with diabetes. Glipizide is available in 10-mg tablets. How many tablets would the nurse administer with each dose? ______
Q5) The physician orders Lanoxin elixir 80 mcg po daily for a patient with congestive heart failure. Available: 50 mcg/mL. How many milliliters will the nurse administer?
Q6) A patient with dysphagia has omeprazole 40 mg once daily per gastric tube ordered. The omeprazole elixir is supplied in a 2 mg per milliliter concentration. How many milliliters would the nurse administer with each dose? ___________
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Page 14
Chapter 12: Parenteral Dosages
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Sample Questions
Q1) The physician orders Imitrex 4 mg subcutaneous for migraine headache. The medication is supplied in 12 mg/mL. How many milliliters will the nurse administer?
Q2) Vistaril 75 mg IM is ordered for anxiety. Available: 50 mg/mL. How many milliliters will the nurse administer? ____________________
Q3) Naloxone 0.1 mg IV every 30 minutes is ordered for a respiratory rate below 8 breaths/min. The medication is available in 0.4 mg per 1-mL vials. How many milliliters would the nurse administer with each dose? __________
Q4) The physician orders Neupogen 400 mcg subcutaneous daily for neutropenia. The medication is supplied in 300 mcg/mL. How many milliliters will the nurse administer?
Q5) Arixtra 2.5 mg subcutaneous every morning is ordered for prevention of deep vein thrombosis. The Arixtra is available in 5 mg per 0.4-mL vials. How many milliliters would the nurse administer with each dose? __________
Q6) The physician orders KCl 10 mEq in 1000 mL of D<sub>5</sub> NS to infuse at 100 mL/h. Available: 10 mEq/5 mL. How many milliliters of KCl will the nurse add to the IV?
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Page 15
Chapter 13: Dosages Measured in Units
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Sample Questions
Q1) The physician orders heparin 5500 units subcutaneous for deep vein thrombosis prevention. The medication is supplied in 10,000 units/mL. How many milliliters will the nurse administer? ____________________
Q2) Heparin 10,000 units subcutaneous every 12 hours is ordered for a patient after a stent placement. The heparin is available in 20,000 units per 1-mL concentration. How many milliliters would the nurse administer with each dose? __________
Q3) The physician orders heparin 5000 units subcutaneous every 12 hours for a patient with a deep vein thrombosis. The heparin is available in 20,000 units per 1-mL concentration. How many milliliters would the nurse administer with each dose?
Q4) A patient has orders for Fragmin 10,000 international units twice a day for deep vein thrombosis prevention. The Fragmin is available in 5000 international units per 0.4 milliliter vials. How many milliliters would the nurse administer with each dose?
Q5) A patient has orders for Fragmin 2500 international units twice a day for deep vein thrombosis prevention. The Fragmin is available in 5000 international units per 0.4 milliliter vials. How many milliliters would the nurse administer with each dose?
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Chapter 14: Reconstitution of Medications
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Sample Questions
Q1) The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
Q2) The physician orders Ancef 500 mg IV for a urinary tract infection. After reconstitution, the medication is available as 330 mg/mL. How many milliliters will the nurse administer?
Q3) The physician orders Amoxil 200 mg po for a sinus infection. After the reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?
Q4) The physician orders penicillin G 350,000 units IM for an infection. After reconstitution, the medication is available as 200,000 units/mL. How many milliliters will the nurse administer?
Q5) The physician orders Ampicillin 150 mg IM for a systemic infection. After reconstitution, the medication is available as 125 mg/mL. How many milliliters will the nurse administer?
Q6) The physician orders Vancocin 375 mg po for a staph infection. After reconstitution, the medication is available as 250 mg/5 mL. How many milliliters will the nurse administer?
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Page 17
Chapter 15: Intravenous Flow Rates
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Sample Questions
Q1) The physician orders 40 mEq of potassium chloride in 100 mL 0.9% NS to infuse over 2 hours. Calculate the flow rate in milliliters per hour. ____________________
Q2) The physician orders a continuous IV morphine drip to infuse at 6 mg/h. The medication is supplied in 50 mg/50 mL. Calculate the flow rate in milliliters per hour.
Q3) The patient has vancomycin 1250 mg ordered once daily. The vancomycin is available in 250 mL of NS and should infuse over 1 hour. Using an IV pump, how many milliliters per hour should the vancomycin be infused? ___________
Q4) The physician orders Doribax 250 mg twice a day. The Doribax is dissolved in 250 mL of NS and is to be infused over 2 hours. Using tubing with a drop factor of 10 gtt/mL, how many drops per minute should be infused? __________
Q5) The physician orders erythromycin 1 g in 100 mL of D<sub>5</sub>W to infuse in 30 minutes. Calculate the flow rate in milliliters per hour. ____________________
Q6) The physician orders Doribax 250 mg twice a day. The Doribax is dissolved in 250 mL of NS and is to be infused over 2 hours. Using an IV controller, how many milliliters per hour should the Doribax be infused? ___________
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Chapter 16: Intravenous Flow Rates for Dosages Measured
in Units
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Sample Questions
Q1) Calculate the units of heparin required for the bolus dose. Round the final answer to the nearest hundredth place.
Order: Begin a heparin drip per the facility's protocol. The patient's weight is 76 kg.
Heparin Protocol
Bolus: Heparin 70 units/kg
Infusion: Heparin 17 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
Q2) Calculate the milliliters per hour of heparin required for the continuous infusion. Order: Begin a heparin drip per the facility's protocol. The patient's weight is 84 kg.
Heparin Protocol
Bolus: Heparin 70 units/kg
Infusion: Heparin 17 units/kg/h using a concentration of heparin 25,000 units in 250 mL of NS (100 units/mL)
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19
Chapter 17: Critical Care Intravenous Flow Rates
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Sample Questions
Q1) Round your answer to the nearest tenth. A patient with septic shock has a Neo-Synephrine drip infusing at 20 mL/h. The Neo-Synephrine concentration is 50 mg in 250 mL of NS. How many micrograms per minute is the patient receiving? _________________
Q2) Round your answer to the nearest whole number. The physician has ordered an Inocor drip at 5 mcg/kg/min for a patient with congestive heart failure. The Inocor concentration is 500 mg/250 mL D<sub>5</sub>W. How many milliliters per hour should the Inocor infuse for a patient weighing 64 kg?
Q3) Round your answer to the nearest whole number.
The physician orders procainamide IV drip at 3 mg/min for premature ventricular contractions. The medication is supplied in 2 g/500 mL of NS. Calculate the flow rate in milliliters per hour. ____________________
Q4) Round your answer to the nearest whole number.
The physician has ordered a nitroglycerin drip at 10 mcg/min for a patient with chest pain. The nitroglycerin concentration is 50 mg/250 mL. How many milliliters per hour should the nitroglycerin be infused? ___________
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Chapter 18: Pediatric Dosages
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Sample Questions
Q1) The physician orders prednisone 10 mg oral every 12 hours for a child weighing 22 lb. The prednisone syrup is available in a 5 mg/5 mL concentration. The recommended dose is 0.5 to 2 mg/kg/24 h.
a. What is the child's weight in kilograms? _____________
b. How many milligrams per kilogram per 24 hours is the patient receiving?
c. Is the order safe? _______________
d. If yes, how many milliliters are needed for each dose? _________________
Q2) The physician orders ibuprofen 200 mg oral every 6 hours for a child weighing 60 lb. The ibuprofen is available in a 100 mg/5 mL concentration. The recommended dose is 5 to 10 mg/kg/dose.
a. What is the child's weight in kilograms? _______________
b. How many milligrams per kilogram per 24 hours is the patient receiving?
c. Is the order safe? _______________
d. If yes, how many milliliters are needed for each dose? __________________
Q3) A health care provider orders 500 mL of D<sub>5</sub>0.45% NS to infuse at 50 mL/h. The tubing drop factor is 60 gtt/mL. Calculate the rate in drops per minute.
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Page 21
Chapter 19: Obstetric Dosages
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Sample Questions
Q1) Round the answer to the nearest whole number. During shift report, the nurse states that a patient is receiving a Pitocin drip at 11 milliunits per minute. The Pitocin concentration is 30 units in 500 mL of lactated Ringer's solution. The IV pump should be set for how many milliliters per hour? _____________
Q2) Round the answer to the nearest tenth.
A physician writes orders for 1 g/h of magnesium sulfate for a patient in labor. The medication comes premixed with 40 g magnesium sulfate in 500 mL of lactated Ringer's solution. The IV pump should be programmed for how many milliliters per hour?
Q3) Round the answer to the nearest whole number. With your initial rounding, you find a Pitocin drip at 8 mL/h. With a Pitocin concentration of 30 units per 1000 mL of lactated Ringer's solution, how many milliunits per minute of Pitocin is the patient receiving? _________
Q4) Round the answer to the nearest whole number.
A physician writes orders to induce labor with a Pitocin drip, beginning with 2 milliunits per minute. Pitocin 30 units is diluted in 1000 mL of lactated Ringer's solution. How many milliliters per hour should the Pitocin be infused? _________
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