RPN Clinical Skills 2

Question 1

When performing a sterile dressing change, which action would break sterile technique?

Accepted Answer

Reaching over the sterile field to retrieve an item

Answer

Reaching over a sterile field contaminates it because non-sterile clothing or ungloved arms pass over sterile items.

Question 2

A patient's blood pressure is 88/52 mmHg. What is the correct mean arterial pressure (MAP)?

Accepted Answer

64 mmHg

Answer

MAP = (SBP + 2×DBP) / 3 = (88 + 2×52) / 3 = 192 / 3 = 64 mmHg.

Question 3

Which catheter size (French) is most appropriate for a routine urinary catheterization of an adult female?

Accepted Answer

14–16 Fr

Answer

A 14–16 Fr catheter is standard for routine adult female urinary catheterization, balancing drainage and patient comfort.

Question 4

During a subcutaneous insulin injection, the nurse aspirates before injecting. Which statement is correct?

Accepted Answer

Aspiration is no longer recommended for subcutaneous injections

Answer

Current evidence and nursing guidelines no longer recommend aspiration before subcutaneous injections because the injection sites lack large blood vessels.

Question 5

A patient is placed in the Trendelenburg position. Which clinical situation is this position CONTRAINDICATED?

Accepted Answer

Increased intracranial pressure

Answer

Trendelenburg increases venous return to the head, which raises intracranial pressure and is dangerous in patients with head injury or ICP elevation.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Clinical Skills 2