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NUR 3028L – Essentials of Nursing Practice Lab,
focusing on skills check-offs, lab practicum, and
midterm-level content. Correct answers are in bold
and rationales are in italics.
- Which pulse site is best used to assess circulation to the lower leg?
- Temporal
- Carotid
- Popliteal
- Radial
The popliteal pulse is located behind the knee and is best for
assessing circulation to the lower leg.
- What is the proper angle for inserting a needle for an intramuscular injection?
- 15 degrees
- 30 degrees
- 90 degrees
- 45 degrees
IM injections are inserted at a 90-degree angle to ensure the
medication reaches the muscle tissue.
- Which part of the sterile field is considered contaminated?
- Center of the field
- Items placed within 1 inch of the edge
- Outer 1-inch border
- Inside sterile drape
The outer 1-inch border is considered contaminated due to
potential contact during setup.
- What is the first action a nurse should take when beginning hand hygiene?
- Apply hand sanitizer
- Put on gloves
- Turn on water
- Dry hands with paper towel
The first step in proper handwashing is to turn on the water.
- Which PPE should be removed first?
Gloves are the most contaminated and should be removed first.
- What is the best way to confirm the correct placement of a nasogastric tube?
- Prone
- Left lateral Sims’
- Fowler’s
The left Sims' position aligns the rectum and allows for easier
insertion.
10.When is a prefilled saline flush syringe considered contaminated?
- If dropped on bed
- If the cap is touched before use
- After being opened for 5 minutes
- If label is unreadable
Touching the cap contaminates the sterile fluid tip.
11.What site is most appropriate for IM injection in an adult?
- Dorsogluteal
- Ventrogluteal
- Deltoid (1.5 mL)
- Vastus medialis
Ventrogluteal site is preferred due to fewer nerves and blood
vessels.
12.Which of the following is an appropriate way to break a sterile field?
- Holding hands above waist
- Turning your back to the field
- Wearing gloves
- Standing 12 inches from field
Turning your back is considered a break in sterility.
13.How long should you scrub the hub of an IV port before use?
- 2 seconds
- 5 seconds
- 15 seconds
- 30 seconds
Scrubbing the hub for at least 15 seconds helps prevent infection.
14.What is the first step in performing tracheostomy care?
- Remove inner cannula
- Suction the airway
- Assemble all needed supplies
- Remove soiled dressing
Having all supplies ready ensures a sterile and efficient procedure.
15.A patient on contact precautions needs ambulation. What PPE should the nurse wear?
- Gloves and gown
- Mask only
- Gloves only
20 seconds is the CDC-recommended minimum for effective
handwashing.
19.The best method to assess for orthostatic hypotension is to:
- Take pulse while standing
- Take BP lying, sitting, and standing
- Measure temperature
- Check pulse oximetry
Orthostatic vitals require BP measurement in all three positions.
20.When should hand hygiene be performed when using gloves?
- After removing gloves only
- Before applying gloves only
- Before and after using gloves
- Only if gloves are torn
Hand hygiene is required both before and after glove use.
21.What is the correct distance for a nurse to stand from a sterile field?
- 1 inch
- At least 12 inches
- 3 feet
- No specific distance
Maintaining a reasonable distance prevents contamination.
22.To remove a gown contaminated with blood, the nurse should:
- Pull it over the head
- Untie and roll it inward away from the body
- Cut it off
- Shake it before placing in laundry
Rolling the gown inward protects against spreading
contamination.
23.Which technique helps reduce skin breakdown from an adhesive dressing?
- Apply more adhesive
- Use alcohol to remove
- Press skin down while removing tape
- Remove it quickly
Supporting the skin while removing tape reduces damage.
24.For blood glucose monitoring, the best fingerstick site is:
- Lateral side of fingertip
- Thumb pad
- Index pad
- Center of finger
The lateral side avoids nerve endings and provides good capillary
flow.
25.What should the nurse do after administering a subcutaneous injection?
Transfer belts reduce risk of musculoskeletal strain.
29.A nurse applies a pulse oximeter. What should she ensure first?
- Patient has warm fingers
- Blood pressure is normal
- Patient just exercised
- Room light is dim
Poor circulation affects accuracy of readings.
30.When moving a patient with a weak side, what should the nurse do?
- Stand on the strong side
- Stand on the weak side
- Let the patient walk unaided
- Avoid touch
Supporting the weak side prevents falls.
31.Which intervention is appropriate after administering eye drops?
- Immediately wipe away drop
- Apply pressure to inner canthus
- Let patient rub eyes
- Flush with saline
Applying pressure prevents systemic absorption.
32.Which lab skill requires surgical asepsis?
- Urinalysis collection
- Urinary catheter insertion
- Capillary blood glucose
- Applying warm compress
Invasive procedures require sterile technique.
33.What is a safe way to remove a used gown?
- Remove sleeves first
- Untie at the waist, roll inward
- Pull over the head
- Cut with scissors
Rolling inward avoids exposure to contaminants.
34.A nurse inserts a Foley catheter and no urine appears. What should she do first?
- Inflate balloon
- Remove catheter
- Ask patient to take a deep breath
- Insert further
Relaxation helps facilitate urine flow.
35.To prevent aspiration during tube feeding, elevate the HOB:
39.For a fingerstick glucose test, the nurse should:
- Use index finger
- Wipe alcohol immediately
- Allow alcohol to dry before puncture
- Squeeze finger tightly
Drying alcohol prevents stinging and hemolysis.
40.What is the preferred site for an insulin injection?
- Abdomen
- Deltoid
- Gluteus maximus
- Thigh
The abdomen has consistent absorption for insulin.
41.Before auscultating lung sounds, the nurse should:
- Ask patient to breathe through mouth
- Have patient speak
- Lie patient flat
- Use bell of stethoscope
Mouth breathing allows clearer lung sound assessment.
42.Which action is appropriate when making an occupied bed?
- Turn patient toward you
- Raise bed to working height
- Leave side rail down on far side
- Keep all linens under patient
Raising the bed prevents back strain.
43.The correct order of removing PPE is:
- Gloves → goggles → gown → mask
- Mask → gown → gloves → goggles
- Goggles → mask → gloves → gown
- Gown → gloves → mask → goggles
Removing gloves first avoids spreading contamination.
44.When applying a nasal cannula, what should the nurse assess?
- Skin around ears and nares
- Type of nasal spray used
- Hair color
- Age of tubing
Skin breakdown is a common issue with oxygen tubing.
45.What’s the maximum volume for a deltoid IM injection in adults?
The deltoid muscle is small and holds up to 1 mL safely.
- Back to front
- Circular motion
- Use one wipe for entire area
- Front to back
Prevents spread of bacteria from anus to urethra.
50.When cleaning a wound, the nurse should:
- Use same gauze throughout
- Clean from least to most contaminated
- Scrub wound bed vigorously
- Use alcohol
This prevents introducing contaminants into cleaner areas.
