Clinical Skills by Elsevier 2025: Complete Guide, Step-by-Step Procedures, Practice
Checklists & Skills Validation for Healthcare Students and Professionals
Explore Clinical Skills by Elsevier with this comprehensive 2025 guide. Learn how to master step-
by-step nursing and healthcare procedures, use skills checklists, and complete competency
validation using Elsevier’s trusted Clinical Skills platform
• Clinical Skills Elsevier
• Elsevier Clinical Skills
• Elsevier nursing clinical skills
• clinical skills online Elsevier
What can the nurse do to help protect the patient from infiltration of IV medication?
A. Use the most proximal insertion port on the existing primary tubing.
B. Ensure that the syringe has been securely loaded into the mini-infusion pump.
C. Set the pump to deliver the medication over the prescribed time period.
D. Check the IV site for placement before and after the infusion. correct answers Check the IV
site for placement before and after the infusion.
Which response might the nurse give to nursing assistive personnel (NAP) who reports that the
alarm is sounding on a patient's electronic infusion device (EID)?
A. "Assess the IV site for signs of inflammation."
B. "Be sure to change the dressing on the IV site."
C. "I'll check the IV site and pump."
D. "Turn off the alarm." correct answers "I'll check the IV site and pump."
,How would the infusion of the IV fluids be affected if the tubing were unintentionally dislodged
from the chamber of the control mechanism of the EID?
A. The infusion would slow to a "keep vein open" rate.
B. The patient would receive a bolus of fluid.
C. The infusion would continue at the prescribed rate.
D. The flow of fluid would stop. correct answers The flow of fluid would stop.
A patient is prescribed 1000 mL of intravenous (IV) normal saline to run over 8 hours. The initial
fluid is hung at 0800. How many milliliters of fluid will have infused by 1200?
A. 125 mL
B. 250 mL
C. 500 mL
D. 625 mL correct answers 500 mL
Which task might the nurse delegate to nursing assistive personnel (NAP) caring for a patient
receiving IV medication via mini-infusion pump?
A. Assessing the IV site frequently for signs of infiltration
B. Notifying the nurse if the pump alarm sounds
C. Informing the physician that the patient is allergic to the prescribed medication
D. Ensuring that the medications being delivered intravenously are compatible correct answers
Notifying the nurse if the pump alarm sounds
Which action by the nurse would reduce his or her exposure to bloodborne pathogens while
administering fluids to a patient by mini-infusion pump?
A. Cleaning the injection port with an antiseptic swab
,B. Applying clean gloves
C. Recapping the end of the mini-infusion tubing after use
D. Performing hand hygiene prior to administration correct answers Applying clean gloves
Which step to protect the patient from infection is of special concern when preparing a mini-
infusion pump to deliver an analgesic?
A. Ensure that the syringe is secure within the mini-infusion pump.
B. Identify any history of allergic reaction to the prescribed analgesic.
C. Use an antiseptic swab to wipe the proximal injection port on the primary tubing.
D. Carefully depress the syringe plunger to fill the tubing with medication. correct answers Use
an antiseptic swab to wipe the proximal injection port on the primary tubing.
What is the most important nursing intervention to ensure the patient's safety when initiating
infusion of an analgesic by mini-infusion pump?
A. Checking the flow rate of the primary infusion
B. Staying with the patient during the first few minutes of the infusion
C. Explaining the purpose of the medication to the patient
D. Documenting the patient's expected response to the analgesic correct answers Staying with
the patient during the first few minutes of the infusion
The nurse calculates that the patient is to receive 125 mL of intravenous (IV) normal saline per
hour. After programming the infusion pump to deliver at that rate, how would the nurse ensure
accurate fluid administration?
, A. First verify that the fluid is dripping, and then check the level of fluid remaining in the
container every hour.
B. Ask another nurse to assess the programming of the pump.
C. Set the pump alarm to sound when half of the fluid has infused.
D. Check the IV site for complications. correct answers First verify that the fluid is dripping, and
then check the level of fluid remaining in the container every hour.
Which information is not necessary for the nurse to include when documenting the use of an
EID for an intravenous infusion?
A. Location of the insertion site
B. Time at which the infusion began
C. Patient's pulse and heart rate
D. Hourly volume flow rate of the infusion correct answers Patient's pulse and heart rate
What would the nurse do if he or she were not able to insert a nasogastric tube in either of a
patient's nares?
A. Ask another nurse to attempt the insertion.
B. Document the attempts in the patient's medical record.
C. Notify the physician that the attempts were unsuccessful.
D. Allow the patient to rest for 30 minutes before resuming the process. correct answers Notify
the physician that the attempts were unsuccessful.
What would the nurse do if he or she encountered resistance when inserting a nasogastric
tube?
A. Ask the patient to cough.
B. Withdraw the tube to the nasopharynx.
C. Encourage the patient to swallow.
Checklists & Skills Validation for Healthcare Students and Professionals
Explore Clinical Skills by Elsevier with this comprehensive 2025 guide. Learn how to master step-
by-step nursing and healthcare procedures, use skills checklists, and complete competency
validation using Elsevier’s trusted Clinical Skills platform
• Clinical Skills Elsevier
• Elsevier Clinical Skills
• Elsevier nursing clinical skills
• clinical skills online Elsevier
What can the nurse do to help protect the patient from infiltration of IV medication?
A. Use the most proximal insertion port on the existing primary tubing.
B. Ensure that the syringe has been securely loaded into the mini-infusion pump.
C. Set the pump to deliver the medication over the prescribed time period.
D. Check the IV site for placement before and after the infusion. correct answers Check the IV
site for placement before and after the infusion.
Which response might the nurse give to nursing assistive personnel (NAP) who reports that the
alarm is sounding on a patient's electronic infusion device (EID)?
A. "Assess the IV site for signs of inflammation."
B. "Be sure to change the dressing on the IV site."
C. "I'll check the IV site and pump."
D. "Turn off the alarm." correct answers "I'll check the IV site and pump."
,How would the infusion of the IV fluids be affected if the tubing were unintentionally dislodged
from the chamber of the control mechanism of the EID?
A. The infusion would slow to a "keep vein open" rate.
B. The patient would receive a bolus of fluid.
C. The infusion would continue at the prescribed rate.
D. The flow of fluid would stop. correct answers The flow of fluid would stop.
A patient is prescribed 1000 mL of intravenous (IV) normal saline to run over 8 hours. The initial
fluid is hung at 0800. How many milliliters of fluid will have infused by 1200?
A. 125 mL
B. 250 mL
C. 500 mL
D. 625 mL correct answers 500 mL
Which task might the nurse delegate to nursing assistive personnel (NAP) caring for a patient
receiving IV medication via mini-infusion pump?
A. Assessing the IV site frequently for signs of infiltration
B. Notifying the nurse if the pump alarm sounds
C. Informing the physician that the patient is allergic to the prescribed medication
D. Ensuring that the medications being delivered intravenously are compatible correct answers
Notifying the nurse if the pump alarm sounds
Which action by the nurse would reduce his or her exposure to bloodborne pathogens while
administering fluids to a patient by mini-infusion pump?
A. Cleaning the injection port with an antiseptic swab
,B. Applying clean gloves
C. Recapping the end of the mini-infusion tubing after use
D. Performing hand hygiene prior to administration correct answers Applying clean gloves
Which step to protect the patient from infection is of special concern when preparing a mini-
infusion pump to deliver an analgesic?
A. Ensure that the syringe is secure within the mini-infusion pump.
B. Identify any history of allergic reaction to the prescribed analgesic.
C. Use an antiseptic swab to wipe the proximal injection port on the primary tubing.
D. Carefully depress the syringe plunger to fill the tubing with medication. correct answers Use
an antiseptic swab to wipe the proximal injection port on the primary tubing.
What is the most important nursing intervention to ensure the patient's safety when initiating
infusion of an analgesic by mini-infusion pump?
A. Checking the flow rate of the primary infusion
B. Staying with the patient during the first few minutes of the infusion
C. Explaining the purpose of the medication to the patient
D. Documenting the patient's expected response to the analgesic correct answers Staying with
the patient during the first few minutes of the infusion
The nurse calculates that the patient is to receive 125 mL of intravenous (IV) normal saline per
hour. After programming the infusion pump to deliver at that rate, how would the nurse ensure
accurate fluid administration?
, A. First verify that the fluid is dripping, and then check the level of fluid remaining in the
container every hour.
B. Ask another nurse to assess the programming of the pump.
C. Set the pump alarm to sound when half of the fluid has infused.
D. Check the IV site for complications. correct answers First verify that the fluid is dripping, and
then check the level of fluid remaining in the container every hour.
Which information is not necessary for the nurse to include when documenting the use of an
EID for an intravenous infusion?
A. Location of the insertion site
B. Time at which the infusion began
C. Patient's pulse and heart rate
D. Hourly volume flow rate of the infusion correct answers Patient's pulse and heart rate
What would the nurse do if he or she were not able to insert a nasogastric tube in either of a
patient's nares?
A. Ask another nurse to attempt the insertion.
B. Document the attempts in the patient's medical record.
C. Notify the physician that the attempts were unsuccessful.
D. Allow the patient to rest for 30 minutes before resuming the process. correct answers Notify
the physician that the attempts were unsuccessful.
What would the nurse do if he or she encountered resistance when inserting a nasogastric
tube?
A. Ask the patient to cough.
B. Withdraw the tube to the nasopharynx.
C. Encourage the patient to swallow.
