Practical
Nursing
NOTE: Sample Job Application in Separate file
2015
Regional Contest
Practical Nursing
Table of Contents
School Facilitator Packet ------------------------------------------------
3-4
Site and Materials Requirement
Judge’s Packet
-------------------------------------------------------
5-41
Scoring Directions and Contest
(Including Written Test and Key)
Grievance Form -------------------------------------------------------------
9
Written Test Answer Key --------------------------------------------------
38
Contestant Packet --------------------------------------------------------
42-71
Complete Contest (Including Written Test and Answer Sheet)
Instructor Information Packet ------------------------------------------
72-73
Tools and Equipment Needed by Student
For Information on Contest
2015 – Regional Contest
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Host School
Facilitator
Packet
2015 – Regional Contest
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Practical Nursing
Materials supplied by host school:



All instruments, equipment and materials required for the contest.
All necessary information and furnishings for judges and technical committee.
NOTE: You have 13 Scenario’s available. Select minimum of 7 for the competition plus #12 or #13.
Scenario #1 - Stethoscope, BP cuff, thermometer, watch, pen pencil, patient’s chart/nurses notes.
Scenario #2 - MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher,
syringe, vial of tetanus toxoid.
Scenario #3 - Doctors order, dressing supplies, tape, cleansing solution, sterile field,
pen.
Scenario #4 - IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s
chart, Doctors order.
Scenario #5 - CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart
Scenario #6 - Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter,
Admission Forms.
Scenario #7 - Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape,
nose secure, pen. Suction machine, suction tubing, and Doctors order
Scenario #8 - Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of
gloves, Blue Chux Pad, Patients chart.
Scenario #9 - Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm
water and towel and wash cloth, tape or catheter holder, extra light,
gloves, patient’s chart, and doctors order.
Scenario #10 - Isolation equipment, pen, pencil &paper.
Scenario #11 – HOTS - Assessment and evaluation of student performing multiple tasks in an
emergency situation.
Scenario #12 - Job application, Pen.
NOTE: See attached folder for sample job application form
Scenario #13 – Room for testing
Contest Set-up:



Provide for ample area for contestants
Provide seating for the 3 judges with a writing area.
Provide observation area that will is away from the contestants
Provided by Regional Coordinator:

Judges copy of contest, answer sheet for written test (if used), and scoring sheets.
Supplied by the contestant:









A watch with a second hand
A pen with black ink
Stethoscope
Scissors for removing bandages
Bandage scissors
Eye protection, shield, or goggles
Two # 2 pencils
Penlight or small flash light
one-page, typewritten résumé
Observers:
2015 – Regional Contest
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
Provide an observation area, if possible.
Judges
Packet
2015 – Regional Contest
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Practical Nursing
Project Information
Skill Performance
The contest will assess fundamentals of the clinical problem-solving process, caring, communications
and documentation. All skills demonstrated will be based on nationally accepted accreditation and
certification standards. Contestants, as part of the demonstration, should voluntarily express pertinent
information. Situations or case studies may be presented to test the contestants’ ability to make
judgment decisions.
Contest Guidelines




Contestants perform procedures or skills selected from the following list of Standards and
Competencies as determined by the Florida SkillsUSA health occupations technical
committee.
All procedures must be performed using safety precautions and correct body mechanics.
All skills demonstrated will be based on nationally accepted accreditation and certification
standards.
Contestants, as part of the demonstration, should voluntarily express pertinent information.
Health Occupation Core
 Academic Foundations
o Apply knowledge of human structure and function to client care situations.
o Apply concepts of basic human needs to client care.
o Apply knowledge of nutrition.
o Apply basic mathematical concepts.
 Communication Skills – Core
o Demonstrate oral, written and telephone communication skills with patients, families
and staff.
o Modify communication to meet client needs.
o Spell, pronounce, define and utilize medical terms and abbreviations.
o Observe, report, and document pertinent patient data.
o Demonstrate effective interpersonal relationships
o Be sensitive to multicultural and multilingual needs.
o Provide for emotional support of client during procedure/treatment.
 Safety – Core
o Report and/or correct safety hazards.
o Apply principles of body mechanics.
o Maintain equipment in proper working order.
o Maintain a safe client environment.
o Follow emergency procedures.
o Verify identity of client.
o Use precautions in the presence of ionizing radiation.
o Manage hazardous materials.
 Infection Control and Asepsis – Core
o Perform correct hand washing technique.
o Utilize appropriate personal protective equipment.
o Utilize standard precaution outlined by the CDC.
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JUDGES GENERAL INSTRUCTIONS - REGIONAL and STATE SkillsUSA
Skill and Leadership Contests
Thank you for giving your time and talent to evaluate our students. Your evaluation of their
performance will assist them in their drive to become successful in their chosen occupation.
l.
Please remember that the contestants are students with job entry
level skills. Please judge them accordingly.
2.
Allow time to orient all contestants prior to the contest. Have students draw for a
demonstration time. (Post the times)
3.
Make sure that each student has an I.D. badge with their contestant number showing. Don't
ask student their names or school they are from. Use the contestant list provided to you, to
check off the students present. Do not assign contestant I.D.’s to any student that is not on
the list. Immediately contact the Regional Coordinator.
4.
If a student arrives late, IF POSSIBLE, allow them to start the contest. They will not be
allowed extra time unless the Regional Coordinator gives the OK.
5.
There are to be no Cell phones in the contest area.
6.
If contestants need assistance in bringing equipment into room, 1 person can help them but in
no case can any other person assist them in setting up.
7.
Select or appoint a head judge who will oversee the contest and be responsible for tallying and
certifying the contest rules.
8.
Select a judge to keep time and notify the contestant of the time remaining.
9.
You are to judge every contestant.
10.
Familiarize yourself with the score sheet. The point ranges shown are possible points and
you should give the number of points you feel are deserved. Remember to judge on the basis
of entry level skills.
11.
Do NOT discuss your scoring with anyone. This includes other judges, contestants, or
advisors. Results should be kept confidential. Do not discuss who #l, 2, 3 should be - use the
tallies from the score sheets as given. Only the head judge deducts timing, clothing, and
Resume penalties.
12.
DO NOT allow contestants to talk to ANYONE except other judges. Contestants should not
leave the contest or holding area for any reason. No advisors or teachers will be allowed to
speak with contestants or to be in the contest or holding area EVER. If there is a problem with
advisors, contact the regional coordinator or state director at once.
13.
Be consistent in your judging
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14.
THERE ARE NO TIES when awarding 1st, 2nd, and 3rd place. Remember if contestants
have an equal score, the judges must refer to the score obtained on the SkillsUSA knowledge
test to break the tie. It is not necessary to select a medal winner if no contestant scores 70%
or higher of the possible points for the contest.
15.
Judges are not to alter or change the contests or score sheets. All written materials; score
sheets, judge’s sheets, written tests, etc., should be placed in a large manila envelope and
turned in to the contest coordinator at the conclusion of the contest.
16.
There are no uniform or clothing requirements for the regional contests. However, safety
items including safety glasses, hard hats, work shoes, etc., will be mandatory as required.
Cosmetology contestants must wear the proper clinical shoes - no high heels allowed.
17.
If any problems arise, notify the regional coordinator or the state director.
18.
If one contestant discovers an error in the contest or any other problem that needs a judges’
help, it should be shared with all contestants.
19.
No judge or facilitator may disqualify ANY contestant without the expressed permission of the
regional coordinator or state director.
20.
Resumes shall be collected at orientation, a fifty point deduction of the total contestant score
shall be made if the contestant fails to provide a one page resume.
NOTE:
If a contestant feels that a rule violation occurred during the contest, the contestant may file a
grievance. The grievance form may be obtained from the head contest judge and must be returned
to same. The head judge must accept the grievance and must make a ruling on the grievance.
If the head judge cannot rectify the grievance to the satisfaction of the contestant, then and only then
may the contestant ask that the grievance be presented to the official grievance committee for
consideration.
All grievances must start with the head judge of each contest while the contest is in progress. Time
missed while making a grievance report to the judge will be given to the contestant to complete
his/her contest without penalty.
No grievances will be filed after the contests are concluded.
Final interpretations of all contest rules will be made by the Florida State Director or the
Regional Coordinator at the regional contests.
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FLORIDA SkillsUSA
GRIEVANCE FORM
Grievances:
A Grievances will be accepted for a Rule Violation only
Procedure for filing a Grievance:
1.
Only contestants may file grievances. No Advisors or Spectators.
2.
Grievances must be filed DURING the Contest with the LEAD (Head) Judge prior to the
ending of the Contest. The Contestant ONLY must file grievances!! The Contestant may only
file a Grievance based on a rule infraction, which impacts ONLY the Contestant.
Final interpretations of all contest rules will be made by the Florida State Director or the
Regional Coordinator at the regional contests.
Contestant Number: _____
Contest being grieved: __________________
Describe the Rule Violation: _____________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
________________
Contestant Signature: ______________________________
Advisor Signature: ________________________________
Lead Judge Signature: _____________________________
Resolution by Grievance Committee: _________________
Committee Chair Signature: ________________________
Date: _________
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Materials supplied by host school:



All instruments, equipment and materials required for the contest.
All necessary information and furnishings for judges and technical committee.
NOTE: You have 13 Scenario’s available. Select minimum of 7 for the competition plus #12 or #13.
Scenario #1 - Stethoscope, BP cuff, thermometer, watch, pen pencil, patient’s chart/nurses notes.
Scenario #2 - MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water pitcher,
syringe, vial of tetanus toxoid.
Scenario #3 - Doctors order, dressing supplies, tape, cleansing solution, sterile field,
pen.
Scenario #4 - IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s
chart, Doctors order.
Scenario #5 - CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart
Scenario #6 - Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter,
Admission Forms.
Scenario #7 - Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape,
nose secure, pen. Suction machine, suction tubing, and Doctors order
Scenario #8 - Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of
gloves, Blue Chux Pad, Patients chart.
Scenario #9 - Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm
water and towel and wash cloth, tape or catheter holder, extra light,
gloves, patient’s chart, and doctors order.
Scenario #10 - Isolation equipment, pen, pencil &paper.
Scenario #11 – HOTS - Assessment and evaluation of student performing multiple tasks in an
emergency situation.
Scenario #12 - Job application, Pen.
NOTE: See attached folder for sample job application form
Scenario #13 – Room for testing
Contest Set-up:



Provide for ample area for contestants
Provide seating for the 3 judges with a writing area.
Provide observation area that will is away from the contestants
Provided by Regional Coordinator:

Judges copy of contest, answer sheet for written test (if used), and scoring sheets.
Supplied by the contestant:









A watch with a second hand
A pen with black ink
Stethoscope
Scissors for removing bandages
Bandage scissors
Eye protection, shield, or goggles
Two # 2 pencils
Penlight or small flash light
one-page, typewritten résumé
Observers:

Provide an observation area, if possible.
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Scenario #1
Vital Signs
Assessment and evaluation of student performing vital signs on patient with CVA.
1. Obtain baseline vital signs
2. Scenario: Assessment of patient with acute episode of CVA
3. Chart both findings
Supplies:
Stethoscope, BP cuff, thermometer, watch, pen pencil, patients
chart/nurses notes.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
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Scenario #2
Medication and Communication
Assessment and evaluation of student performing medication administration and
communication involved in procedure,
1. Scenario: Medication Administration
2. Confidentiality issues
3. Charting your procedure….on the MAR. and nurses notes?
Supplies:
MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water
pitcher, syringe, vial of tetanus toxoid.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Scenario #3
Dressing Change
Assessment and evaluation of student performing a simple dressing change.
1. Scenario: Simple dressing change. Have a patient with a leg incision from a
car accident.
2. Perform a simple dressing change according to the scenario.
3. Charting your procedure
Supplies:
Doctors order, dressing supplies, tape, cleansing solution, sterile field,
pen.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Scenario #4
Intravenous Station
Assessment and evaluation of student performing IV insertion and fluid
administration.
1. Start an IV
a. Assemble Equipment:
i. Prime a primary line
ii. Choose site
iii. Cleanse site
iv. Apply Tourniquet
v. Cannulate the vein
vi. Attach Main line
vii. Secure the site
viii. Adjust the flow
ix. Chart the procedure
Supplies:
IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s
chart, Doctors order.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
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CPR Adult & Child
Scenario #5
Assessment and evaluation of student performing CPR in and Adult and Child.
1.
2.
3.
4.
Perform CPR on and Adult Patient
Perform CPR on a Child
Perform CPR on and infant
Use AED on Adult Patient
Supplies:
CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Scenario #6
Admission Assessment
Assessment and evaluation of student performing an Admission Assessment.
1.
2.
3.
4.
5.
Introduce yourself to the Patient
Explain procedure
Obtain the admission forms
Fill out forms completely
Perform a head to toe assessment/Or a modified Assessment:
a. Neuro Exam
b. Lung Assessment
c. Skin Assessment
d. Extremity assessment
e. Bowel Sounds
f. Heart Assessment
Supplies:
Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter,
Admission Forms.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Scenario #7
Insertion of Nasogastric Tube
(Page 1 of 3)
Assessment and evaluation of student performing NG Tube insertion and
maintenance.
1.
2.
3.
4.
5.
6.
Read the scenario
Check Doctors Order
Explain Procedure to the patient
Assemble Equipment
Perform the Procedure
Chart the procedure
Supplies:
Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape,
nose secure, pen. Suction machine, suction tubing, and Doctors order
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Practical Nursing
Scenario #7
Insertion of Nasogastric Tube
(Page 2 of 3)
Time: 15 minutes
Situation # A
You are a LPN working on the medical surgical unit at a local community hospital you have received An
order to place a Nasogastric tube in the patient in room 739 A. He is a direct admission from Dr. Smith’s
office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He and is admitted with a small
bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10
scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10
scale.
Performance of Nasogastric Intubation
1. check the doctors order
2. explain the procedure to the patient
3. check the airflow through the nares, choose a side
4. gather all equipment needed
5. position the patient 30-90 degrees
6. raise the bed, good body mechanics
7. hand the patient a small cup of water
8. have on hand an emesis basin and tissue in case the patient vomits
9. agree on a hand signal that will instruct you to stop if patient experiences too much discomfort
10. Put on Gloves
11. Measure the distance the tube is to be inserted, Nose ear  xiphoid process. Mark the tubing
with tape.
12. Lubricate the tip
13. have patient put chin on chest and have them swallow sips of water as the tube is inserted past the
gag reflex.
14. check mouth with tongue depressor to check position of tube. check placement of the tube, making
sure it is in the stomach.
a. By using a 60ml syringe and aspirating gastric contents
b. Inject 10-20 ml of air into tube listening in the epigastric area for swooshing sound.
15. Secure the tube in place with tape
16. attach NG tube to suction Machine and put on low intermittent suction setting.
17. you will need to chart the procedure and your findings.
Supplies:
Doctors order, Stethoscope, Pen, flashlight or penlight, gloves, emesis basin, cup of water,
straw, tape, tongue blade, water soluble lubricant, plug for tube, suction tubing, suction
machine, tissues, saline solution, connecting tree, and safety pin
Contestant Number ___________
2015 – Regional Contest
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Scenario #7
Insertion of Nasogastric Tube
(Page 3 of 3)
Time: 15 minutes
Situation# ____________
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
5
Does contestant explain procedure
10
Does contestant Wash hands
10
Does contestant assemble necessary equipment
15
Does contestant communication with client
15
Does contestant perform the task efficiently
20
Chart the procedure properly
10
Does contestant utilize safety procedures
15
Time penalty
-5
SCORE
Contestant Number ___________
2015 – Regional Contest
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Scenario #8
Urinary Drainage Insertion
(Page 1 of 4)
Assessment and evaluation of student performing urinary catheterization.
1.
2.
3.
4.
5.
6.
Read the scenario
Check Doctors Order
Explain Procedure to the patient
Assemble Equipment
Perform the Procedure
Chart the procedure
Supplies:
Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of
gloves, Blue Chux Pad, Patients chart.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Practical Nursing
Scenario #8
Urinary Drainage Insertion
Contestant Information
(Page 2 of 4)
Time: 20 minutes
You are an LPN working on the medical surgical unit at a local community hospital. You
Part 1
Mrs. Carr is a 72 year old African American female, admitted to your unit with a diagnosis of rule out
CVA. She presents to your floor in stable condition. Upon entering her room for the first time, you
note that she is A &O to person, and slightly confused about time and place. She reorients easily but
still is confused at times. She is pleasant and cooperative with a complaint of inability to urinate. The
RN has obtained an order from the doctor to insert at Foley catheter. You do not need to obtain a
specimen.
Demonstrate proper technique for insertion of an indwelling Foley catheter. Chart
your procedure.
Supplies:
Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water
and towel and wash cloth, tape or catheter holder, extra light, gloves,
patient’s chart, and doctors order.
Resource: Textbook: Fundamental concepts and skills for nursing: Susan DeWitt, Elsevier, copyright
2005.
.
2015 – Regional Contest
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Scenario #8
Urinary Drainage Insertion
(Page 3 of 4)
Time: 20 minutes
Demonstrate proper technique for taking insertion of a Foley catheter.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
Introduce self to patient and check name band
check doctors orders and check allergies
explain the procedure
close door for privacy
assemble Equipment:
wash hands
position and drape the patient
assure good lighting
Open the kit: use outer covering as trash bag
maintain sterile field
put sterile under pad under patient
don sterile gloves
open completely the package
x. loosen the cotton balls and prepare with antiseptic solution
xi. open lubricant for catheter
xii. remove sterile sleeve from catheter
xiii. attach sterile water to balloon port of catheter
xiv. pre check the balloon
xv. with non-dominant hand open labia to view meatus
xvi. Cleanse meatus with forceps and cotton balls, and discard
xvii. Pick up catheter about 3 inches from tip and insert it about 2 to 3 inches or
until you visualize urine flow. You may insert another ½ inch (*per
Fundamental’s textbook)
xviii. Hold catheter in place and fill balloon
xix. Do not obtain specimen
xx. Secure the catheter to the bed
xxi. Clean up your used kit. Make sure patient is comfortable, return bed to low
position
xxii. Chart the procedure
If the client is in need of personal hygiene prior to catheterization, use washcloth, soap and towel to
cleanse area before starting the procedure.
Contestant Number ___________
2015 – Regional Contest
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Practical Nursing
Scenario #8
Urinary Drainage Insertion
(Page 4 of 4)
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
5
Does contestant explain procedure
5
Does contestant Wash hands
10
Does contestant assemble necessary equipment
10
Does contestant communication with client
15
Does contestant perform the task efficiently
20
Chart the procedure properly
10
Does contestant utilize safety procedures
10
Does contestant calculate the infusion rate correctly
15
Time penalty
-5
SCORE
Contestant Number ___________
2015 – Regional Contest
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Scenario #9
Preoperative Teaching
(Page 1 of 3)
Assessment and evaluation of student performing preoperative teaching.
1.
2.
3.
4.
5.
6.
Read the scenario
Check Surgery Order
Explain Procedure to the patient
Assemble Equipment
Perform the Procedure
Chart the procedure
Supplies:
Surgery order, incentive spirometer, Patients chart.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Scenario #9
Preoperative Teaching
(Page 2 of 3)
Time: 15 minutes
Situation # A
You are a LPN working on the medical surgical unit at a local community hospital. He is a
direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian
American. He is admitted with a small bowel obstruction. He was having moderate to severe
amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He
was medicated in the ED. Now his pain is a 3 on a 0-10 scale. You just placed a Nasogastric
tube on and have now received word that your patient will be going to surgery. All consents
have been signed prior to being medicated in the ED. He is alert enough for you to teach him
Coughing and Deep Breathing Exercises and the use of an incentive spirometer.
Preoperative Teaching
Deep Breathing
6. instruct the patient to deep breath to inflate the whole lung
7. inspiration should last about 3 seconds
8. 10 deep breaths per hour while awake
Coughing
1. instruct the patient to cough, deeply to clear lung secretions in the bottom of the lungs
2. Should do coughing along with deep breathing, the breathing loosens secretions and
coughing them up helps rid the body of possible bacteria.
3. Coughing and deep breaths should be done approximately 10 times per hour while awake
Incentive Spirometer
Incentive spirometry is a tool used for coughing and deep breathing. When the patient takes a
deep breath a ball or several balls move upward. Try to hold the ball up for at least 3-5
seconds. This is a visible reminder for the patient. Instudt the patient on the use of the
spirometer.
Chart your preoperative Teaching
Supplies:
Incentive Spirometer,
Contestant Number ___________
2015 – Regional Contest
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Scenario #9
Preoperative Teaching
(Page 3 of 3)
Time: 15 minutes
Situation# ____________
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
4
Does contestant explain procedure
11
Does contestant Wash hands
8
Does contestant assemble necessary equipment
11
Does contestant communication with client
11
Does contestant perform the task efficiently
11
Chart the procedure properly
8
Does contestant utilize safety procedures
11
Time penalty
-5
SCORE
Contestant Number ___________
2015 – Regional Contest
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Scenario #10
Patient Safety
(Page 1 of 3)
Assessment and evaluation of student evaluating a safe environment.
1. Read the scenario
2. Perform the Procedure
3. Document the information
Supplies:
Isolation equipment, pen, pencil &paper.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2015 – Regional Contest
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Practical Nursing
Scenario #10
Patient Safety
(Page 2 of 3)
Time: 15 minutes
Subject: Patient Safety
Mrs. Stewart is your patient for the day. She is a 58 y.o. female, with a total right knee
replacement. She also has Clostridium Diffucile and is on isolation precautions. She has just
been provided her lunch. She is on a regular diet. Go into her room and identify fifteen (15)
hazards and write a corrective action for each
Contestant Number ___________
2015 – Regional Contest
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Scenario #10
Patient Safety
(Page 3 of 3)
Scenario # 12
Patient Safety
Time: 15 minutes
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
8
Does contestant explain procedure
8
Does contestant Wash hands after removing attire
8
Does contestant Dress in appropriate Isolation attire
15
Does contestant find the hazards
10
Does contestant write corrective action
10
Does contestant utilize safety procedures
8
Does the contestant communicate to the patient what is
occurring
8
Time penalty
-5
SCORE
Contestant Number ___________
2015 – Regional Contest
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Practical Nursing
Scenario #11
HOTS (Higher Order Thinking Station )
Assessment and evaluation of student performing multiple tasks in an emergency
situation.
1. Read the scenario
2. Perform the Procedure
3. Document the information
Supplies:
Isolation equipment, pen, pencil &paper. Equipment needed to perform
higher
level procedures.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
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Practical Nursing
Scenario #12
Job Interview
Assessment and evaluation of student performing a job interview
1. Obtain application from the receptionist
2. Fill out the application
3. Interview with the Director of Nursing
Supplies:
Job application, Pen.
Sample Questions
1. What is your greatest strength/weakness or deficiency?
2. How do you define doing a good job?
3. What makes a job enjoyable for you?
4. Under what conditions do you work best?
5. Tell me what "success" means to you.
6. What was more important on your job, written or oral communication?
7. In what areas do you typically have the least amount of patience at work?
8. Describe the best manager you ever had. The worst. What qualities did each of them have?
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
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Practical Nursing
Scenario #13
Written Test
DO NOT write in this test. Mark your answers on the sheet provided
Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
1. The smallest “living” units of structure and function in the body are:
a. organs
c. cells
b. tissues
d. systems
2. The thoracic and abdominal cavities are separated by the:
a. peritoneum
b. pleura
c. spinal column
d. diaphragm
3. The term used to describe a disease where there has been a partial or complete
disappearance of clinical and subjective characteristics of the disease is:
a. acute
b. remission
c. chronic
d. functional
4. Decide which nursing intervention assures that either the care plan is meeting the needs of
the patient or, if not, appropriate changes may be made.
a. planning
c. communication
b. evaluation
d. documentation
5. Although they are three of the six classes of essential nutrients, vitamins, minerals, and water
do not:
a. build protein
b. fight infection
c. provide energy
d. provide heat
6. Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique
in that it also contains:
a. nitrogen
b. calcium
c. sodium
d. potassium
7. The nurse was caring for a patient and failed to perform an intervention that had been
ordered, which resulted in harm to the patient. This resulted in the nurse being legally
liable for committing:
a. failure to follow the Nurse Practice Act
b. malpractice
c. harm to the patient
d. negligence
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Practical Nursing
8. The nurse is discussing the origin of the disease with a diabetic patient. The explanation
given is that this disease is caused by a dysfunction of the:
a. adrenals
b. pancreas
c. pituitary
d. thyroid
9. A group of several different kinds of tissues arranged so that together they can performa
more complex function than any tissue alone is called:
a. organs
c. cells
b. endoplasmic reticulum
d. systems
10. Failure on the part of the nurse or the employer to perform the duties listed in the contract
results in a/an:
a. unlawful performance
b. termination
c. law suit
d. breach of contract
11. Upon taking the NCLEX/CAT examination, the student has been told that the minimum
number of questions to be answered is:
a. 100
b. 90
c. 85
d. 70
12. The elements found in food that are necessary for good health that our bodies cannot make
are termed:
a. essential nutrients
b. life-saving nutrients
c. necessary nutrients
d. important nutrients
13. The nurse, involved in communication with the patient, sits in a chair near the bed, leans
forward to hear what the patient is saying, and does not interrupt. The nurse is
demonstrating:
a. active listening
c. interest
b. support
d. caring
14. The nurse recognizes that the information record for a patient must be guarded. This
assures the patient the right to:
a. protected medical record
c. unauthorized disclosure
b. privacy
d. confidentiality
15. Direction is given to the practicing nurse defining what should or should not be done for the
patient. Identify the answer which defines this direction:
a. standard of care
c. prudent practice
b. advocacy
d. scope of practice
16. When a cell engulfs or surrounds foreign material, this process is called:
a. diffusion
c. phagocytosis
b. absorption
d. pinocytosis
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Practical Nursing
17. A summary of your educational and work experience which is concise, one page,
comprehensive, well-organized, neat, accurate, and will provide your prospective employer
with the first impression of you, is called a/an:
a. resume
b. introduction
c. composite
d. review
18. The muscle tissue cells that are nonstriated and appear in the viscera or internal organs,
such as the walls of the intestines, are:
a. glial
b. smooth
c. skeletal
d. fibrous
19. The patient is telling the nurse there is no pain at this time. The nurse observes the patient is
breathing rapidly with clenched fists and is grimacing. Which form of communication will
be believed?
a. non-verbal
c. incongruent
b. verbal
d. congruent
20. As part of an assessment, the nurse asks for information from the patient. This information is
a subjective indication of illness perceived by the patient and is called a/an:
a. symptom
b. observation
c. assessment
d. sign
21. The nurse is collecting data during an initial assessment. The data which can be seen,
heard, measured, or felt and are objective are called:
a. symptoms
b. signs
c. observations
d. assessments
22. Protein, minerals, iron, and fat combine together to:
a. provide energy
b. restore body function
c. regulate body processes
d. build and repair tissue
23. Select the document in which the role and responsibilities of the vocational nurse is identified.
a. NLN accreditation
b. NAPNE code
c. American Nurses Association code
d. State Practice Act
24. Select the individual whose influence on nursing practice and education was highly significant
in the nineteenth century.
a. Dorothea Dix
c. Clara Barton
b. Florence Nightingale
d. Linda Richards
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Practical Nursing
25. Patients have expectations regarding the health care services they receive. In order to
protect these expectations, which of the following has become law?
a. Self-Determination Act
b. American Hospital Association’s Bill of Rights
c. JCAHO rights and responsibilities of patients
d. American Hospital Association’s Standard of Care
26. Assuming responsibility for a patient’s care forms a legal relationship between the patient and
the nurse. Select the term for this relationship:
a. nurse-patient relationship
c. advocacy
b. standard of care
d. accountability
27. When comparing nursing programs, the one certified by a state agency is:
a. approved
c. exemplified
b. provisional
d. accredited
28. An interview is important. Try to make it a success. Prepare carefully and make a good
impression. The decision to hire a candidate for a job is made within the first:
a. 30 minutes
b. 30 seconds
c. 15 minutes
d. 1 hour
29. The licensing law which defines the title and regulations governing the practice of nursing,
and which states the requirements for licensure, is called the:
a. legislative act
b. nurse regulation act
c. state practice act
d. nurse practice act
30. When a nurse becomes involved in a legal action, the first step to occur is that a document is
filed in an appropriate court. This document is called a/an:
a. appeal
c. deposition
b. complaint
d. answer
31. If in your job you encounter a problem, follow the chain of command and don’t let the
situation get out of hand. Remember that any problem can best be resolved by:
a. withdrawing
b. agreement
c. argument
d. communication
32. Every state has legislation that defines and limits the scope of nursing practice in that state.
When beginning practice in a state the nurse must review this document to know the limit
of practice:
a. American Nurses Association code c. Nurse Practice Act
b. standards of care
d. regulation of practice
33. When reviewing for the NCLEX/CAT examination for licensure, the new graduate will
discover the maximum time for taking the test is:
a. 2 hours
b. 4 hours
c. 5 hours
d. 6 hours
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Practical Nursing
34. The commission of an act that a prudent nurse would not have done, or the omission of an
act a prudent nurse would have done, that results in injury to a patient, is termed:
a. disregard
b. malpractice
c. negligence
d. neglect
35. The emphasis on wellness that is being demonstrated by patients today came about as a
result of:
a. decreased hospital beds
b. increased number of health care givers
c. improved insurance payments
d. increased education concerning causes of illness
36. The largest organelle that is responsible for cell reproduction and control of other organelles
is the:
a. ribosome
b. Golgi apparatus
c. mitochondrion
d. nucleus
37. The amino acids that make up proteins can be bonded in different ways to make different
proteins. The body uses 22 common amino acids, but 9 of them must be obtained from the
diet and are considered:
a. essential
b. quality
c. replaceable
d. long lived
38. When comparing therapeutic vs. non-therapeutic communication, the therapeutic
communication:
a. assigns the patient a passive role
b. facilitates the formation of a positive nurse-patient relationship
c. requires the patient to accept what the nurse says
d. makes the patient not a mutual partner in the relationship
39. A kcal is a kilocalorie, which is a measure of energy. The greater number of kcal, the greater
the energy-giving potential. Of the nutrients that provide energy, fat provides how many
kcals/g?
a. 4 kcal/g
b. 9 kcal /g
c. 3 kcal/g
d. 7 kcal/g
40. A type of tissue that stores fat is called:
a. muscle tissue
c. adipose tissue
b. peripheral tissue
d. osseous tissue
41. Calculate the importance of an interdisciplinary approach to patient treatment.
a. prevents the fragmentation of patient care
b. reduces the number of care givers
c. shortens hospital stay
d. improves efficient care
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Practical Nursing
42. The NCLEX-PN makes it possible to practice nursing in another state if the graduate has
passed the NCLEX/CAT in their own state and meets the other state’s educational
requirements. This licensure from one state to another is called:
a. endorsement
b. auxiliary
c. co-licensure
d. reciprocal
43. In order to identify individual needs of a patient and meet those needs, which is required?
a. individualized care plan
c. the cardex
b. nurses notes
d. doctors’ order sheet
44. The nurse is preparing the patient for a thoracentesis. She recognizes that which of the
following is required before the procedure may be performed?
a. informed consent
c. interview
b. physical assessment
d. surgical check list
45. When several organs and parts are grouped together for certain functions, they form:
a. cells
c. membranes
b. tissue
d. systems
46. When the nurse assesses a person in proximal-to-distal order, the assessment is performed:
a. from head to toe
c. from the center of the body
outward
b. from the fingers toward the body
d. from front to back
47. The doctor has told you that the patient is complaining of pain in the thoracic cavity. Which of
the following is not located in this cavity?
a. lungs
c. blood vessels
b. small intestine
d. heart
48. The body’s storage form of carbohydrates, usually found in the liver and some in the
muscles, is not consumed in the diet. This storage form is called:
a. sugar
b. lipids
c. glycogen
d. glucose
49. In anatomical terminology, posterior means:
a. below the trunk
c. toward the head
b. toward the back
d. toward the tail
50. Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower
colon, rectum, urinary, and reproductive system located?
a. pelvic
b. mediastinum
c. pleural
d. abdominal
End Of Test
Turn in this test along with your answer sheet to the judge.
2015 – Regional Contest
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Practical Nursing
Written Test Answer Key
1. __C___
18. __B___
35. __D___
2. __D___
19. __B___
36. __D___
3. __D___
20. __A___
37. __A___
4. __C___
21. __B___
38. __B___
5. __C___
22. __D___
39. __B___
6. __A___
23. __D___
40. __C___
7. __B___
24. __B___
41. __A___
8. __B___
25. __B___
42. __A___
9. __A___
26. __A___
43. __A___
10. __D___
27. __A___
44. __A___
11. __C___
28. __B___
45. __D___
12. __A___
29. __D___
46. __A___
13. __A___
30. __B___
47. __B___
14. __D___
31. __D___
48. __C___
15. __A___
32. __C___
49. __B___
16. __C___
33. __C___
50. __A___
17. __A___
34. __C___
2015 – Regional Contest
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Practical Nursing
ITEMS EVALUATED
Possible
Points
Scenario #1 Vital Signs
75
Scenario#2 Medication and
Communication
75
Scenario #3 Dressing Change
75
Scenario #4 Intravenous Station
75
Scenario #5 CPR Adult & Child
75
Scenario #6 Admission
Assessment
Scenario #7 Insertion of
Nasogastic Tube
CONTESTANT NUMBER
75
75
`
Scenario #8 Urinary Drainage
Inspection
75
Scenario #9 Preoperative
Teaching
75
Scenario #10 Patient Safety
75
Scenario #11 HOTS
75
Scenario #12 Job Interview
75
Scenario #13 Written Test
100
Sub Total (1000)
Resume Penalty
Clothing Penalty (up to -50)
Safety Penalty
(up to -50)
Time Penalty
Total (1000 possible)
2012 – Florida State Contest
Page 40 of 74
Practical Nursing
TALLY SHEET
Please place all judges’ total scores on this sheet. Add the judge’s scores to determine the placement
of each student.
Remember you might have secondary (high school) and Post-Secondary (those that have graduated
from high school) in the contest. The way to determine is look at their I.D. badge.
If you have both groups you will have winners in each group
Judge
Contestant number
#1
#2
#3
#4
#5
Total
Place
Judge
Contestant number
#1
#2
#3
#4
#5
Total
Place
2012 – Florida State Contest
Page 41 of 74
Practical Nursing
Secondary
3rd Place __________________________________
2nd Place _________________________________
1st Place __________________________________
Post Secondary
3rd Place __________________________________
2nd Place _________________________________
1st Place __________________________________
2012 – Florida State Contest
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Practical Nursing
Contestant
Packet
2012 – Florida State Contest
Page 43 of 74
Practical Nursing
Directions:
 Have you given your Resume to the judge?
 Have you been given an overview of the contest and stations?
 Do you have everything you need?
 Make sure your contestant number is showing and make sure to put your number on
your work. This is to prevent confusion in judging.
 If you have a question, let the head judge know before the start of the contest.
You will be scored on the following Criteria.
Scenario #1 Vital Signs
Scenario#2 Medication and Communication
Scenario #3 Dressing Change
Scenario #4 Intravenous Station
Scenario #5 CPR Adult & Child
Scenario #6 Admission Assessment
Scenario #7 Insertion of Nasogastic Tube
Scenario #8 Urinary Drainage nspection
Scenario #9 Preoperative Teaching
Scenario #10 Patient Safety
Scenario # 11 HOTS
Scenario #12 Job Interview
Scenario #13 Written Test
75
75
75
75
75
75
75
75
75
75
75
75
100
--------Think Safety-------Upon completion of Scenario the head judge will give the OK to rotate..
*****Remember Safety is always a priority*****
2012 – Florida State Contest
Page 44 of 74
Practical Nursing
Scenario #1
Vital Signs
Assessment and evaluation of student performing vital signs on patient with CVA.
4. Obtain baseline vital signs
5. Scenario: Assessment of patient with acute episode of CVA
6. Chart both findings
Supplies:
Stethoscope, BP cuff, thermometer, watch, pen pencil, patients
chart/nurses notes.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 45 of 74
Practical Nursing
Scenario #2
Medication and Communication
Assessment and evaluation of student performing medication administration and
communication involved in procedure,
1. Scenario: Medication Administration
2. Confidentiality issues
3. Charting your procedure….on the MAR. and nurses notes?
Supplies:
MAR, Medications: skittles, m&m’s, sweet tarts. Medication cup, water
pitcher, syringe, vial of tetanus toxoid.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 46 of 74
Practical Nursing
Scenario #3
Dressing Change
Assessment and evaluation of student performing a simple dressing change.
1. Scenario: Simple dressing change. Have a patient with a leg incision from a
car accident.
2. Perform a simple dressing change according to the scenario.
3. Charting your procedure
Supplies:
Doctors order, dressing supplies, tape, cleansing solution, sterile field,
pen.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 47 of 74
Practical Nursing
Scenario #4
Intravenous Station
Assessment and evaluation of student performing IV insertion and fluid
administration.
2. Start an IV
a. Assemble Equipment:
i. Prime a primary line
ii. Choose site
iii. Cleanse site
iv. Apply Tourniquet
v. Cannulate the vein
vi. Attach Main line
vii. Secure the site
viii. Adjust the flow
ix. Chart the procedure
Supplies:
IV solution, Primary tubing, IV Catheter, IV pole, tape, opsite, Patient’s
chart, Doctors order.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 48 of 74
Practical Nursing
CPR Adult & Child
Scenario #5
Assessment and evaluation of student performing CPR in and Adult and Child.
5.
6.
7.
8.
Perform CPR on and Adult Patient
Perform CPR on a Child
Perform CPR on and infant
Use AED on Adult Patient
Supplies:
CPR Manikin, AED Trainer, Ambu Bag, Personal Mask, Patients Chart
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 49 of 74
Practical Nursing
Scenario #6
Admission Assessment
Assessment and evaluation of student performing an Admission Assessment.
9. Introduce yourself to the Patient
10. Explain procedure
11. Obtain the admission forms
12. Fill out forms completely
13. Perform a head to toe assessment/Or a modified Assessment:
a. Neuro Exam
b. Lung Assessment
c. Skin Assessment
d. Extremity assessment
e. Bowel Sounds
f. Heart Assessment
Supplies:
Patients Chart, Pen, Stethoscope, Thermometer, Pulse Oximeter,
Admission Forms.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 50 of 74
Practical Nursing
Scenario #7
Insertion of Nasogastric Tube
(Page 1 of 3)
Assessment and evaluation of student performing NG Tube insertion and
maintenance.
7. Read the scenario
8. Check Doctors Order
9. Explain Procedure to the patient
10. Assemble Equipment
11. Perform the Procedure
12. Chart the procedure
Supplies:
Salem Sump tube, 60 cc syringe, stethoscope, cup of water, straw, tape,
nose secure, pen. Suction machine, suction tubing, and Doctors order
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 51 of 74
Practical Nursing
Scenario #7
Insertion of Nasogastric Tube
(Page 2 of 3)
Time: 15 minutes
Situation # A
You are a LPN working on the medical surgical unit at a local community hospital you have received An
order to place a Nasogastric tube in the patient in room 739 A. He is a direct admission from Dr. Smith’s
office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian American. He and is admitted with a small
bowel obstruction. He was having moderate to severe amount of mid abdominal pain, rated a 9 on 0-10
scale, also with nausea and vomiting, He was medicated in the ED. Now his pain is a 3 on a 0-10
scale.
Performance of Nasogastric Intubation
18. check the doctors order
19. explain the procedure to the patient
20. check the airflow through the nares, choose a side
21. gather all equipment needed
22. position the patient 30-90 degrees
23. raise the bed, good body mechanics
24. hand the patient a small cup of water
25. have on hand an emesis basin and tissue in case the patient vomits
26. agree on a hand signal that will instruct you to stop if patient experiences too much discomfort
27. Put on Gloves
28. Measure the distance the tube is to be inserted, Nose ear  xiphoid process. Mark the tubing
with tape.
29. Lubricate the tip
30. have patient put chin on chest and have them swallow sips of water as the tube is inserted past the
gag reflex.
31. check mouth with tongue depressor to check position of tube. check placement of the tube, making
sure it is in the stomach.
a. By using a 60ml syringe and aspirating gastric contents
b. Inject 10-20 ml of air into tube listening in the epigastric area for swooshing sound.
32. Secure the tube in place with tape
33. attach NG tube to suction Machine and put on low intermittent suction setting.
34. you will need to chart the procedure and your findings.
Supplies:
Doctors order, Stethoscope, Pen, flashlight or penlight, gloves, emesis basin, cup of water,
straw, tape, tongue blade, water soluble lubricant, plug for tube, suction tubing, suction
machine, tissues, saline solution, connecting tree, and safety pin
Contestant Number ___________
2012 – Florida State Contest
Page 52 of 74
Practical Nursing
Scenario #7
Insertion of Nasogastric Tube
(Page 3 of 3)
Time: 15 minutes
Situation# ____________
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
5
Does contestant explain procedure
10
Does contestant Wash hands
10
Does contestant assemble necessary equipment
15
Does contestant communication with client
15
Does contestant perform the task efficiently
20
Chart the procedure properly
10
Does contestant utilize safety procedures
15
Time penalty
-5
SCORE
Contestant Number ___________
2012 – Florida State Contest
Page 53 of 74
Practical Nursing
Scenario #8
Urinary Drainage Insertion
(Page 1 of 4)
Assessment and evaluation of student performing urinary catheterization.
7.
8.
9.
10.
11.
12.
Read the scenario
Check Doctors Order
Explain Procedure to the patient
Assemble Equipment
Perform the Procedure
Chart the procedure
Supplies:
Doctors order, Foley Catheter kit or Straight Cath Kit, Extra pair of
gloves, Blue Chux Pad, Patients chart.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 54 of 74
Practical Nursing
Scenario #8
Urinary Drainage Insertion
Contestant Information
(Page 2 of 4)
Time: 20 minutes
You are an LPN working on the medical surgical unit at a local community hospital. You
Part 1
Mrs. Carr is a 72 year old African American female, admitted to your unit with a diagnosis of rule out
CVA. She presents to your floor in stable condition. Upon entering her room for the first time, you
note that she is A &O to person, and slightly confused about time and place. She reorients easily but
still is confused at times. She is pleasant and cooperative with a complaint of inability to urinate. The
RN has obtained an order from the doctor to insert at Foley catheter. You do not need to obtain a
specimen.
Demonstrate proper technique for insertion of an indwelling Foley catheter. Chart
your procedure.
Supplies:
Foley catheter kit, sterile 4x4 gauze, bath blanket, basin with warm water
and towel and wash cloth, tape or catheter holder, extra light, gloves,
patient’s chart, and doctors order.
Resource: Textbook: Fundamental concepts and skills for nursing: Susan DeWitt, Elsevier, copyright
2005.
.
2012 – Florida State Contest
Page 55 of 74
Practical Nursing
Scenario #8
Urinary Drainage Insertion
(Page 3 of 4)
Time: 20 minutes
Demonstrate proper technique for taking insertion of a Foley catheter.
n.
o.
p.
q.
r.
s.
t.
u.
v.
w.
x.
y.
z.
Introduce self to patient and check name band
check doctors orders and check allergies
explain the procedure
close door for privacy
assemble Equipment:
wash hands
position and drape the patient
assure good lighting
Open the kit: use outer covering as trash bag
maintain sterile field
put sterile under pad under patient
don sterile gloves
open completely the package
x. loosen the cotton balls and prepare with antiseptic solution
xi. open lubricant for catheter
xii. remove sterile sleeve from catheter
xiii. attach sterile water to balloon port of catheter
xiv. pre check the balloon
xv. with non-dominant hand open labia to view meatus
xvi. Cleanse meatus with forceps and cotton balls, and discard
xvii. Pick up catheter about 3 inches from tip and insert it about 2 to 3 inches or
until you visualize urine flow. You may insert another ½ inch (*per
Fundamental’s textbook)
xviii. Hold catheter in place and fill balloon
xix. Do not obtain specimen
xx. Secure the catheter to the bed
xxi. Clean up your used kit. Make sure patient is comfortable, return bed to low
position
xxii. Chart the procedure
If the client is in need of personal hygiene prior to catheterization, use washcloth, soap and towel to
cleanse area before starting the procedure.
Contestant Number ___________
2012 – Florida State Contest
Page 56 of 74
Practical Nursing
Scenario #8
Urinary Drainage Insertion
(Page 4 of 4)
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
5
Does contestant explain procedure
5
Does contestant Wash hands
10
Does contestant assemble necessary equipment
10
Does contestant communication with client
15
Does contestant perform the task efficiently
20
Chart the procedure properly
10
Does contestant utilize safety procedures
10
Does contestant calculate the infusion rate correctly
15
Time penalty
-5
SCORE
Contestant Number ___________
2012 – Florida State Contest
Page 57 of 74
Practical Nursing
Scenario #9
Preoperative Teaching
(Page 1 of 3)
Assessment and evaluation of student performing preoperative teaching.
7. Read the scenario
8. Check Surgery Order
9. Explain Procedure to the patient
10. Assemble Equipment
11. Perform the Procedure
12. Chart the procedure
Supplies:
Surgery order, incentive spirometer, Patients chart.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 58 of 74
Practical Nursing
Scenario #9
Preoperative Teaching
(Page 2 of 3)
Time: 15 minutes
Situation # A
You are a LPN working on the medical surgical unit at a local community hospital. He is a
direct admission from Dr. Smith’s office. Your patient Mr. Olsen, is a 55 y.o. male Caucasian
American. He is admitted with a small bowel obstruction. He was having moderate to severe
amount of mid abdominal pain, rated a 9 on 0-10 scale, also with nausea and vomiting, He
was medicated in the ED. Now his pain is a 3 on a 0-10 scale. You just placed a Nasogastric
tube on and have now received word that your patient will be going to surgery. All consents
have been signed prior to being medicated in the ED. He is alert enough for you to teach him
Coughing and Deep Breathing Exercises and the use of an incentive spirometer.
Preoperative Teaching
Deep Breathing
14. instruct the patient to deep breath to inflate the whole lung
15. inspiration should last about 3 seconds
16. 10 deep breaths per hour while awake
Coughing
4. instruct the patient to cough, deeply to clear lung secretions in the bottom of the lungs
5. Should do coughing along with deep breathing, the breathing loosens secretions and
coughing them up helps rid the body of possible bacteria.
6. Coughing and deep breaths should be done approximately 10 times per hour while awake
Incentive Spirometer
Incentive spirometry is a tool used for coughing and deep breathing. When the patient takes a
deep breath a ball or several balls move upward. Try to hold the ball up for at least 3-5
seconds. This is a visible reminder for the patient. Instudt the patient on the use of the
spirometer.
Chart your preoperative Teaching
Supplies:
Incentive Spirometer,
Contestant Number ___________
2012 – Florida State Contest
Page 59 of 74
Practical Nursing
Scenario #9
Preoperative Teaching
(Page 3 of 3)
Time: 15 minutes
Situation# ____________
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
4
Does contestant explain procedure
11
Does contestant Wash hands
8
Does contestant assemble necessary equipment
11
Does contestant communication with client
11
Does contestant perform the task efficiently
11
Chart the procedure properly
8
Does contestant utilize safety procedures
11
Time penalty
-5
SCORE
Contestant Number ___________
2012 – Florida State Contest
Page 60 of 74
Practical Nursing
Scenario #10
Patient Safety
(Page 1 of 3)
Assessment and evaluation of student evaluating a safe environment.
4. Read the scenario
5. Perform the Procedure
6. Document the information
Supplies:
Isolation equipment, pen, pencil &paper.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 61 of 74
Practical Nursing
Scenario #10
Patient Safety
(Page 2 of 3)
Time: 15 minutes
Subject: Patient Safety
Mrs. Stewart is your patient for the day. She is a 58 y.o. female, with a total right knee
replacement. She also has Clostridium Diffucile and is on isolation precautions. She has just
been provided her lunch. She is on a regular diet. Go into her room and identify fifteen (15)
hazards and write a corrective action for each
Contestant Number ___________
2012 – Florida State Contest
Page 62 of 74
Practical Nursing
Scenario #10
Patient Safety
(Page 3 of 3)
Scenario # 12
Patient Safety
Time: 15 minutes
CRITERIA
POINTS
POSSIBLE
Does contestant introduce yourself to patient
8
Does contestant explain procedure
8
Does contestant Wash hands after removing attire
8
Does contestant Dress in appropriate Isolation attire
15
Does contestant find the hazards
10
Does contestant write corrective action
10
Does contestant utilize safety procedures
8
Does the contestant communicate to the patient what is
occurring
8
Time penalty
-5
SCORE
Contestant Number ___________
2012 – Florida State Contest
Page 63 of 74
Practical Nursing
Scenario #11
HOTS (Higher Order Thinking Station )
Assessment and evaluation of student performing multiple tasks in an emergency
situation.
4. Read the scenario
5. Perform the Procedure
6. Document the information
Supplies:
Isolation equipment, pen, pencil &paper. Equipment needed to perform
higher
level procedures.
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 64 of 74
Practical Nursing
Scenario #12
Job Interview
Assessment and evaluation of student performing a job interview
1. Obtain application from the receptionist
2. Fill out the application
3. Interview with the Director of Nursing
Supplies:
Job application, Pen.
Sample Questions
1. What is your greatest strength/weakness or deficiency?
2. How do you define doing a good job?
3. What makes a job enjoyable for you?
4. Under what conditions do you work best?
5. Tell me what "success" means to you.
6. What was more important on your job, written or oral communication?
7. In what areas do you typically have the least amount of patience at work?
8. Describe the best manager you ever had. The worst. What qualities did each of them have?
Judge Initials _______
This sheet is to be left with the judge after completion of task.
Contestant Number ___________
2012 – Florida State Contest
Page 65 of 74
Practical Nursing
Scenario #13
Written Test
DO NOT write in this test. Mark your answers on the sheet provided
Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
1. The smallest “living” units of structure and function in the body are:
a. organs
c. cells
b. tissues
d. systems
2. The thoracic and abdominal cavities are separated by the:
a. peritoneum
b. pleura
c. spinal column
d. diaphragm
3. The term used to describe a disease where there has been a partial or complete
disappearance of clinical and subjective characteristics of the disease is:
a. acute
b. remission
c. chronic
d. functional
4. Decide which nursing intervention assures that either the care plan is meeting the needs of
the patient or, if not, appropriate changes may be made.
a. planning
c. communication
b. evaluation
d. documentation
5. Although they are three of the six classes of essential nutrients, vitamins, minerals, and water
do not:
a. build protein
b. fight infection
c. provide energy
d. provide heat
6. Carbohydrates, protein, and fat all contain carbon, hydrogen, and oxygen. Protein is unique
in that it also contains:
a. nitrogen
b. calcium
c. sodium
d. potassium
7. The nurse was caring for a patient and failed to perform an intervention that had been
ordered, which resulted in harm to the patient. This resulted in the nurse being legally
liable for committing:
a. failure to follow the Nurse Practice Act
b. malpractice
c. harm to the patient
d. negligence
2012 – Florida State Contest
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Practical Nursing
8. The nurse is discussing the origin of the disease with a diabetic patient. The explanation
given is that this disease is caused by a dysfunction of the:
a. adrenals
b. pancreas
c. pituitary
d. thyroid
9. A group of several different kinds of tissues arranged so that together they can performa
more complex function than any tissue alone is called:
a. organs
c. cells
b. endoplasmic reticulum
d. systems
10. Failure on the part of the nurse or the employer to perform the duties listed in the contract
results in a/an:
a. unlawful performance
b. termination
c. law suit
d. breach of contract
11. Upon taking the NCLEX/CAT examination, the student has been told that the minimum
number of questions to be answered is:
a. 100
b. 90
c. 85
d. 70
12. The elements found in food that are necessary for good health that our bodies cannot make
are termed:
a. essential nutrients
b. life-saving nutrients
c. necessary nutrients
d. important nutrients
13. The nurse, involved in communication with the patient, sits in a chair near the bed, leans
forward to hear what the patient is saying, and does not interrupt. The nurse is
demonstrating:
a. active listening
c. interest
b. support
d. caring
14. The nurse recognizes that the information record for a patient must be guarded. This
assures the patient the right to:
a. protected medical record
c. unauthorized disclosure
b. privacy
d. confidentiality
15. Direction is given to the practicing nurse defining what should or should not be done for the
patient. Identify the answer which defines this direction:
a. standard of care
c. prudent practice
b. advocacy
d. scope of practice
16. When a cell engulfs or surrounds foreign material, this process is called:
a. diffusion
c. phagocytosis
b. absorption
d. pinocytosis
2012 – Florida State Contest
Page 67 of 74
Practical Nursing
17. A summary of your educational and work experience which is concise, one page,
comprehensive, well-organized, neat, accurate, and will provide your prospective employer
with the first impression of you, is called a/an:
a. resume
b. introduction
c. composite
d. review
18. The muscle tissue cells that are nonstriated and appear in the viscera or internal organs,
such as the walls of the intestines, are:
a. glial
b. smooth
c. skeletal
d. fibrous
19. The patient is telling the nurse there is no pain at this time. The nurse observes the patient is
breathing rapidly with clenched fists and is grimacing. Which form of communication will
be believed?
a. non-verbal
c. incongruent
b. verbal
d. congruent
20. As part of an assessment, the nurse asks for information from the patient. This information is
a subjective indication of illness perceived by the patient and is called a/an:
a. symptom
b. observation
c. assessment
d. sign
21. The nurse is collecting data during an initial assessment. The data which can be seen,
heard, measured, or felt and are objective are called:
a. symptoms
b. signs
c. observations
d. assessments
22. Protein, minerals, iron, and fat combine together to:
a. provide energy
b. restore body function
c. regulate body processes
d. build and repair tissue
23. Select the document in which the role and responsibilities of the vocational nurse is identified.
a. NLN accreditation
b. NAPNE code
c. American Nurses Association code
d. State Practice Act
24. Select the individual whose influence on nursing practice and education was highly significant
in the nineteenth century.
a. Dorothea Dix
c. Clara Barton
b. Florence Nightingale
d. Linda Richards
2012 – Florida State Contest
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Practical Nursing
25. Patients have expectations regarding the health care services they receive. In order to
protect these expectations, which of the following has become law?
a. Self-Determination Act
b. American Hospital Association’s Bill of Rights
c. JCAHO rights and responsibilities of patients
d. American Hospital Association’s Standard of Care
26. Assuming responsibility for a patient’s care forms a legal relationship between the patient and
the nurse. Select the term for this relationship:
a. nurse-patient relationship
c. advocacy
b. standard of care
d. accountability
27. When comparing nursing programs, the one certified by a state agency is:
a. approved
c. exemplified
b. provisional
d. accredited
28. An interview is important. Try to make it a success. Prepare carefully and make a good
impression. The decision to hire a candidate for a job is made within the first:
a. 30 minutes
b. 30 seconds
c. 15 minutes
d. 1 hour
29. The licensing law which defines the title and regulations governing the practice of nursing,
and which states the requirements for licensure, is called the:
a. legislative act
b. nurse regulation act
c. state practice act
d. nurse practice act
30. When a nurse becomes involved in a legal action, the first step to occur is that a document is
filed in an appropriate court. This document is called a/an:
a. appeal
c. deposition
b. complaint
d. answer
31. If in your job you encounter a problem, follow the chain of command and don’t let the
situation get out of hand. Remember that any problem can best be resolved by:
a. withdrawing
b. agreement
c. argument
d. communication
32. Every state has legislation that defines and limits the scope of nursing practice in that state.
When beginning practice in a state the nurse must review this document to know the limit
of practice:
a. American Nurses Association code c. Nurse Practice Act
b. standards of care
d. regulation of practice
33. When reviewing for the NCLEX/CAT examination for licensure, the new graduate will
discover the maximum time for taking the test is:
a. 2 hours
b. 4 hours
c. 5 hours
d. 6 hours
2012 – Florida State Contest
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Practical Nursing
34. The commission of an act that a prudent nurse would not have done, or the omission of an
act a prudent nurse would have done, that results in injury to a patient, is termed:
a. disregard
b. malpractice
c. negligence
d. neglect
35. The emphasis on wellness that is being demonstrated by patients today came about as a
result of:
a. decreased hospital beds
b. increased number of health care givers
c. improved insurance payments
d. increased education concerning causes of illness
36. The largest organelle that is responsible for cell reproduction and control of other organelles
is the:
a. ribosome
b. Golgi apparatus
c. mitochondrion
d. nucleus
37. The amino acids that make up proteins can be bonded in different ways to make different
proteins. The body uses 22 common amino acids, but 9 of them must be obtained from the
diet and are considered:
a. essential
b. quality
c. replaceable
d. long lived
38. When comparing therapeutic vs. non-therapeutic communication, the therapeutic
communication:
a. assigns the patient a passive role
b. facilitates the formation of a positive nurse-patient relationship
c. requires the patient to accept what the nurse says
d. makes the patient not a mutual partner in the relationship
39. A kcal is a kilocalorie, which is a measure of energy. The greater number of kcal, the greater
the energy-giving potential. Of the nutrients that provide energy, fat provides how many
kcals/g?
a. 4 kcal/g
b. 9 kcal /g
c. 3 kcal/g
d. 7 kcal/g
40. A type of tissue that stores fat is called:
a. muscle tissue
c. adipose tissue
b. peripheral tissue
d. osseous tissue
41. Calculate the importance of an interdisciplinary approach to patient treatment.
a. prevents the fragmentation of patient care
b. reduces the number of care givers
c. shortens hospital stay
d. improves efficient care
2012 – Florida State Contest
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Practical Nursing
42. The NCLEX-PN makes it possible to practice nursing in another state if the graduate has
passed the NCLEX/CAT in their own state and meets the other state’s educational
requirements. This licensure from one state to another is called:
a. endorsement
b. auxiliary
c. co-licensure
d. reciprocal
43. In order to identify individual needs of a patient and meet those needs, which is required?
a. individualized care plan
c. the cardex
b. nurses notes
d. doctors’ order sheet
44. The nurse is preparing the patient for a thoracentesis. She recognizes that which of the
following is required before the procedure may be performed?
a. informed consent
c. interview
b. physical assessment
d. surgical check list
45. When several organs and parts are grouped together for certain functions, they form:
a. cells
c. membranes
b. tissue
d. systems
46. When the nurse assesses a person in proximal-to-distal order, the assessment is performed:
a. from head to toe
c. from the center of the body
outward
b. from the fingers toward the body
d. from front to back
47. The doctor has told you that the patient is complaining of pain in the thoracic cavity. Which of
the following is not located in this cavity?
a. lungs
c. blood vessels
b. small intestine
d. heart
48. The body’s storage form of carbohydrates, usually found in the liver and some in the
muscles, is not consumed in the diet. This storage form is called:
a. sugar
b. lipids
c. glycogen
d. glucose
49. In anatomical terminology, posterior means:
a. below the trunk
c. toward the head
b. toward the back
d. toward the tail
50. Your patient is complaining of pain in her bladder. Which body cavity are the bladder, lower
colon, rectum, urinary, and reproductive system located?
a. pelvic
b. mediastinum
c. pleural
d. abdominal
End Of Test
Turn in this test along with your answer sheet to the judge.
2012 – Florida State Contest
Page 71 of 74
Practical Nursing
Station #13
Written Test
1. _____
18. _____
35. _____
2. _____
19. _____
36. _____
3. _____
20. _____
37. _____
4. _____
21. _____
38. _____
5. _____
22. _____
39. _____
6. _____
23. _____
40. _____
7. _____
24. _____
41. _____
8. _____
25. _____
42. _____
9. _____
26. _____
43. _____
10. _____
27. _____
44. _____
11. _____
28. _____
45. _____
12. _____
29. _____
46. _____
13. _____
30. _____
47. _____
14. _____
31. _____
48. _____
15. _____
32. _____
49. _____
16. _____
33. _____
50. _____
17. _____
34. _____
Contestant Number ___________
2012 – Florida State Contest
Page 72 of 74
Practical Nursing
Instructors
Packet
2012 – Florida State Contest
Page 73 of 74
Practical Nursing
Materials supplied by host school:


All instruments, equipment and materials required for the contest.
All necessary information and furnishings for judges and technical committee.
Contest Set-up



Provide for ample area for contestants
Provide seating for the 3 judges with a writing area.
Provide observation area that will is away from the contestants
Provided by Regional Coordinator

Judges copy of contest, answer sheet for written test (if used), and scoring sheets.
Supplied by the contestant:





A watch with a second hand
A pen with black ink
Stethoscope
Scissors for removing bandages
one-page, typewritten résumé
Observers:

Provide an observation area, if possible.
2012 – Florida State Contest
Page 74 of 74