NCLEX CRUSADE ACADEMY TEST - 1 SKILLS AND PROCEDURES

1. A nurse is preparing to suction a patients endotracheal tube. Which catheter should be used for deep airway suctioning?. Yankauer catheter. Flexible suction catheter. Foley catheter. Nasal cannula.

2. Which infection control measure is required when suctioning a patients endotracheal tube?. Clean gloves only. No gloves required. Strict sterile gloves. Hand sanitizer only.

3. What is the correct catheter sizing rule for airway suctioning?. Catheter must equal airway diameter. Catheter should be less than 25% of airway diameter. Catheter must not exceed half of airway diameter. Catheter should be twice the airway diameter.

4. Which type of suctioning requires disconnecting the patient from the ventilator?. Closed suctioning. Inline suctioning. Open suctioning. Continuous suctioning.

5. Which advantage is associated with closed (in line) suctioning?. Increased oxygen loss. Minimal infection exposure. Requires ventilator disconnection. Higher aspiration risk.

6. Before suctioning a ventilated patient, the nurse should first: Apply suction immediately. Pre oxygenate with 100% oxygen. Place patient flat. Turn off ventilator.

7. How long should suction be applied during each pass?. 5 seconds. 10-15 seconds. 30 seconds. 60 seconds.

8. During suctioning, when should suction pressure be applied?. During insertion. While withdrawing the catheter. Before insertion. After removal.

9. Which complication of suctioning may cause severe bradycardia?. Hypoxia. Vagal stimulation. Pulmonary edema. Aspiration.

10. Which nursing intervention helps prevent ventilator associated pneumonia?. Flat bed position. Head of bed 30-45 degrees. No oral care. Low oxygen levels.

11. What cuff pressure is recommended for an endotracheal tube?. 5-10 cm H2O. 10-15 cm H2O. 20-30 cm H2O. 40-50 cm H2O.

12. When a ventilator alarm sounds, what is the nurses first action?. Silence alarm. Check ventilator tubing. Assess the patient. Increase oxygen.

13. A patient accidentally extubates their airway. What is the priority action?. Call family. Call rapid response. Obtain chest X ray. Document event.

14. Which device provides short term vascular access for medications and fluids?. Central line. Peripheral IV. Arterial line. PICC.

15. What is a primary complication of peripheral IV therapy?. Pneumothorax. Air embolism. Infiltration. Stroke.

16. Where does a central venous catheter terminate?. Right atrium. Superior vena cava. Left ventricle. Pulmonary artery.

17. What must be confirmed before using a newly inserted central line?. Pulse oximetry. Blood pressure. Chest X ray. ECG.

18. Which lumen of a triple lumen catheter is used for TPN?. Proximal lumen. Medial lumen. Distal lumen. Any lumen.

19. Which lumen is best for rapid blood transfusion and CVP monitoring?. Proximal lumen. Medial lumen. Distal lumen. None.

20. Which action helps prevent CLABSI infections?. Skipping hub cleaning. Scrubbing hub for 15 seconds. No dressing change. Using tap water.

21. What dressing is used at central line insertion sites to reduce infection risk?. Gauze only. Cotton wrap. Chlorhexidine bio patch. Tape.

22. Which position is used to treat suspected air embolism from a central line?. High Fowlers. Left lateral Trendelenburg. Supine. Prone.

23. Which symptom may indicate an air embolism?. Bradycardia only. Sudden shortness of breath. Rash. Fever.

24. Which type of enema is safest for routine bowel cleansing?. Hypertonic enema. Soap suds enema. Saline isotonic enema. Oil retention enema.

25. Which enema type should be avoided in dehydrated patients?. Oil retention. Hypertonic. Saline. Medicated.

26. What is the purpose of an oil retention enema?. Stimulate peristalsis. Deliver medication. Soften impacted stool. Clean colon.

27. Which position is used for enema administration?. Supine. Prone. Left Sims. Trendelenburg.

28. What should the nurse do if the patient experiences severe cramping during an enema?. Remove tube immediately. Stop or slow infusion. Increase fluid speed. Ignore symptoms.

29. Which priority framework should guide clinical decision making on NCLEX?. Pain scale. ABCs. Nutrition. Mobility.

30. Which condition should be prioritized over psychosocial concerns?. Anxiety. Hypoxia. Fear. Depression.