Nurse Competency Assessment

What is the correct procedure for changing a patient's wound dressing?

Cleanse the wound with saline solution, remove the old dressing, put on gloves, and apply a new dressing

Remove the old dressing, cleanse the wound with soap and water, put on gloves, and apply a new sterile dressing

Apply a new sterile dressing without removing the old dressing

Cleanse the wound with hydrogen peroxide, remove the old dressing, put on gloves, and apply a new sterile dressing

Which of the following is an appropriate method for assessing a patient's respiratory rate? {Select all that apply}

Observing the rise and fall of the patient's chest

Counting the number of breaths the patient takes in one minute

Checking the patient's pulse oximetry reading

Measuring the patient's body temperature

Listening to the patient's lung sounds with a stethoscope

Which of the following is a common symptom of dehydration in elderly patients?

Dry mouth and tongue

Frequent urination

Excessive sweating

Increased appetite

What is the correct technique for administering eye drops to a patient? {Select all that apply}

Wash hands and put on gloves, tilt the patient's head back, hold the dropper above the eye without touching it, and instill the prescribed number of drops

Have the patient lie down with eyes closed, apply pressure to the inner corner of the eye, and squeeze the dropper to release the drops

Ask the patient to look up, pull down the lower eyelid, and place the drops onto the conjunctival sac

Rub the eye gently after instilling the drops to ensure proper distribution

Administer the drops directly onto the cornea for better absorption

What is the purpose of a Foley catheter?

To drain urine from the bladder when a patient is unable to urinate normally

To administer medication directly into the bladder

To measure the amount of urine output in critically ill patients

To prevent urinary tract infections in bedridden patients

Which of the following is an appropriate method for preventing pressure ulcers in bedridden patients? {select all that apply}

Regularly repositioning the patient to relieve pressure on bony prominences

Using specialized support surfaces, such as pressure-relieving mattresses or cushions

Applying moisturizing lotion to the skin to keep it hydrated

Keeping the patient's bed linens clean and dry

Massaging the skin vigorously to improve circulation

What is the correct technique for performing hand hygiene?

Wet hands with water, apply soap, rub hands together for at least 20 seconds, rinse thoroughly, and dry hands with a clean towel or air dryer

Use hand sanitizer without water, rub hands together until dry, and avoid rinsing with water

Only wash hands if visibly soiled, otherwise hand hygiene is not necessary

Rinse hands with hot water to kill bacteria, then dry with a paper towel

What is the appropriate way to assist a patient with ambulation using a walker?

Stand behind the patient, provide support at the waist or under the arms, and walk slightly behind and to the side of the patient

Hold the walker in front of the patient and push it while they walk independently

Walk ahead of the patient and pull the walker towards you as they move forward

Have the patient hold onto your arm for support and guide them forward

What is the correct technique for administering intramuscular injections?

Z-track method

Subcutaneous injection

Intravenous injection

Intradermal injection

Which of the following is an appropriate method for preventing falls in elderly patients?{Select all that apply}

Which of the following is an appropriate method for preventing surgical site infections? {select all that apply}

Proper hand hygiene

Administering prophylactic antibiotics

Maintaining sterile technique during surgery

Using sterile drapes and gowns

Leaving wounds open to air

What is the correct procedure for performing cardiopulmonary resuscitation (CPR) on an adult?

Perform chest compressions at a rate of 100-120 per minute

Give rescue breaths every 10 seconds

Check for a pulse before starting compressions

Perform abdominal thrusts if the person is choking

Which of the following is an appropriate method for preventing medication errors? {Select all that apply}

Double-checking medication orders with another nurse

Using barcode scanning technology, if available

Administering medications without checking the patient's identification

Keeping medication storage areas organized

Educating patients about their medications

What is the correct technique for performing a sterile dressing change?

Wash hands, put on sterile gloves, remove old dressing, clean wound, apply new dressing

Put on sterile gloves, remove old dressing, clean wound, wash hands, apply new dressing

Wash hands, remove old dressing, clean wound, put on sterile gloves, apply new dressing

Remove old dressing, clean wound, wash hands, put on sterile gloves, apply new dressing

Which of the following factors should the home health care nurse consider when planning care for a client in the home?

All care should be completed in a designated period of time

The nurse will perform physical therapy exercises if needed

The family should be included in all care rendered in the home

The client is the only one designated to receive services

Which of the following is an appropriate method for preventing catheter-associated urinary tract infections (CAUTIs)? {Select all that apply}

Using sterile technique during catheter insertion

Maintaining a closed drainage system

Emptying the drainage bag regularly

Leaving the catheter in place for an extended period of time

Using antimicrobial-coated catheters

What is the correct procedure for administering oxygen therapy via nasal cannula?

Place the prongs of the cannula into the patient's nostrils, adjust the flow rate as prescribed

Place the prongs of the cannula over the patient's mouth, adjust the flow rate as prescribed

Secure the cannula around the patient's neck, adjust the flow rate as prescribed

Insert the cannula into the patient's tracheostomy tube, adjust the flow rate as prescribed

What is the correct technique for performing a sterile urinary catheterization?

Wash hands, put on sterile gloves, clean perineal area, insert catheter into urethra, inflate balloon, secure catheter

Put on sterile gloves, clean perineal area, wash hands, insert catheter into urethra, inflate balloon, secure catheter

Wash hands, clean perineal area, put on sterile gloves, insert catheter into urethra, inflate balloon, secure catheter

Clean perineal area, wash hands, put on sterile gloves, insert catheter into urethra, inflate balloon, secure catheter

A home health care nurse should include which of the following when informing a client about home care service?

Home care will cost more than staying in the hospital

A dependency on the home care nurse will develop

Greater autonomy and control over self-care are fostered

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