Trivium Clinical Skills and Procedures 2

Question 1

When performing a sterile dressing change, what is the correct order of steps?

Accepted Answer

Open supplies using sterile technique, don sterile gloves, then clean the wound

Answer

Sterile supplies must be opened and the sterile field established before donning sterile gloves to maintain asepsis throughout the procedure.

Question 2

A patient's oxygen saturation drops to 88% on room air. What is the nurse's priority action?

Accepted Answer

Apply supplemental oxygen and reassess

Answer

Applying supplemental oxygen to correct hypoxia is the immediate priority before further assessment or physician notification.

Question 3

Which technique is used to confirm correct placement of a nasogastric tube before use?

Accepted Answer

Confirm by X-ray and check pH of aspirate

Answer

X-ray confirmation combined with pH testing of gastric aspirate (pH ≤5.5) is the gold standard for verifying NG tube placement.

Question 4

When inserting a urinary catheter in a female patient, the nurse accidentally contaminates the catheter tip. What should be done?

Accepted Answer

Obtain a new sterile catheter and restart the procedure

Answer

Any contamination of the catheter requires replacing it with a new sterile one to prevent urinary tract infection.

Question 5

A nurse is preparing to administer a subcutaneous injection of insulin. Which site rotation principle applies?

Accepted Answer

Rotate within one anatomical region to promote consistent absorption

Answer

Rotating within one anatomical region (e.g., the abdomen) ensures consistent insulin absorption rates compared to rotating between regions.

(Trivium) Trivium Health Care Exam Practice Test