RPN Clinical Skills 3

Question 1

Which sign indicates that a wound is healing by primary intention?

Accepted Answer

Wound edges are approximated with minimal scar formation

Answer

Primary intention healing occurs when wound edges are closed and approximated, resulting in minimal scar tissue.

Question 2

A nurse notices that a patient's IV site is cool, pale, and swollen but the infusion is still running. What complication is occurring?

Accepted Answer

Infiltration

Answer

Infiltration occurs when IV fluid leaks into surrounding tissue, causing coolness, pallor, and swelling at the site.

Question 3

When performing postural drainage for a patient with secretions in the right lower lobe, what position should the nurse use?

Accepted Answer

Left lateral with foot of bed elevated

Answer

Draining the right lower lobe requires left lateral positioning with the foot of bed elevated so gravity moves secretions toward the central airways.

Question 4

A nurse is performing tracheostomy care. When should the inner cannula be replaced or cleaned?

Accepted Answer

Every 8 hours or per facility protocol

Answer

Inner cannulas are cleaned or replaced every 8 hours (or per facility protocol) to prevent secretion buildup and maintain airway patency.

Question 5

During administration of a blood transfusion, the patient develops fever, chills, and low back pain within 15 minutes. What is the priority nursing action?

Accepted Answer

Stop the transfusion and keep the IV line open with normal saline

Answer

Signs of an acute hemolytic reaction require immediately stopping the transfusion while keeping venous access with normal saline, then notifying the provider and blood bank.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Clinical Skills 3