Nursing Skills

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"This is the second edition of the Open RN Nursing Skills OER textbook that has been developed for prelicensure nursing students. It is designed for use in both practical/vocational nursing programs, as well as for first-year courses in programs preparing students to become registered nurses.

 

An additional Open RN OER textbook, “Nursing Advanced Skills,” includes advanced skills such as intravenous infusion, blood product administration, management of central lines and chest tube systems, basic electrocardiogram interpretation, and nasogastric/feeding tube insertion.

 

The second edition has been updated according to the 2023 NCLEX-PN and NCLEX-RN Test Plans, and additional NCLEX Next Generation-style learning activities have been added to each chapter. It is aligned with the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Skills course (543-102).

 

-----

 

Kendall Hunt is pleased to partner with Open RN to help lower the cost of nursing course materials. The mission of Open RN is to lower the cost of nursing textbooks through creation of free OER textbooks for foundational nursing courses. Digital copies are always free to download and low cost print texts are available through campus bookstores, Amazon and this storefront. Open RN books are written with student comprehension at the forefront and are aligned to NCLEX testing requirements.

 

Chippewa Valley Technical College created this OER textbook with funding from the Higher Education Emergency Relief Fund (HEERF) by using Open RN workflows, remixing Open RN OER textbooks, and creating new content specifically for Nursing Assistant students. The Open RN project has published several OER nursing textbooks that have been widely adopted across the United States and is funded by a $2.5 million grant from the Department of Education."
 

Introduction 
Preface 
Standards & Conceptual Approach 

Chapter 1 General Survey 
1.1 General Survey Introduction 
1.2 Initiating Patient Interaction 
1.3 Vital Signs 
1.4 Basic Concepts 
1.5 Expected Versus Unexpected Findings 
1.6 Sample Documentation 
1.7 Checklist for General Survey 
1.8 Learning Activities 
I Glossary 

Chapter 2 Health History 
2.1 Health History Introduction 
2.2 Health History Basic Concepts 
2.3 Components of a Health History 
2.4 Demographic and Biological Data 
2.5 Reason for Seeking Health Care 
2.6 Current and Past Medical History 
2.7 Family Health History 
2.8 Functional Health and Activities of Daily Living 
2.9 Review of Body Systems 
2.10 Sample Documentation 
2.11 Checklist for Obtaining a Health History 
2.12 Learning Activities 
II Glossary 
Chapter Resources A: Sample Health History Form 

Chapter 3 Blood Pressure 
3.1 Blood Pressure Introduction 
3.2 Blood Pressure Basics 
3.3 Blood Pressure Assessment 
3.4 Sample Documentation 
3.5 Checklist for Manual Blood Pressure 
3.6 Supplementary Video of Blood Pressure Assessment 
3.7 Learning Activities 
III Glossary 

Chapter 4 Aseptic Technique 
4.1 Aseptic Technique Introduction 
4.2 Aseptic Technique Basic Concepts 
4.3 Aseptic Technique 
4.4 Sterile Fields 
4.5 Checklist for Hand Hygiene With Soap and Water 
4.6 Checklist for Hand Hygiene With Alcohol-Based Hand Sanitizer 
4.7 Checklist for Personal Protective Equipment (PPE) 
4.8 Checklist for Applying and Removing Sterile Gloves 
4.9 Learning Activities 
IV Glossary 

Chapter 5 Math Calculations 
5.1 Math Calculations Introduction 
5.2 Math Basic Concepts 
5.3 Military Time 
5.4 Equivalencies
5.5 Rounding 
5.6 Using Dimensional Analysis 
5.7 Conversions 
5.8 Tablet Dosage 
5.9 Liquid Concentrations 
5.10 Reconstituted Medication 
5.11 Weight-Based Calculations 
5.12 Safe Dosage Range 
5.13 Intravenous Infusions 
5.14 IV Infusion by Gravity 
5.15 IV Infusion by Pump 
5.16 IV Completion Time 
5.17 Multi-Step Calculations 
5.18 Learning Activities 
V Glossary 

Chapter 6 Neurological Assessment 
6.1 Neurological Assessment Introduction 
6.2 Basic Neurological Concepts 
6.3 Neurological Exam 
6.4 Assessing Mental Status 
6.5 Assessing Cranial Nerves 
6.6 Assessing Sensory Function
6.7 Assessing Motor Strength 
6.8 Assessing Cerebellar Function 
6.9 Assessing Reflexes 
6.10 Neurological Assessment
6.11 Sample Documentation 
6.12 Checklist for Neurological Assessment 
6.13 Learning Activities 
VI Glossary 

Chapter 7 Head and Neck Assessment 
7.1 Head and Neck Assessment Introduction 
7.2 Head and Neck Basic Concepts 
7.3 Common Conditions of the Head and Neck 
7.4 Head and Neck Assessment 
7.5 Sample Documentation 
7.6 Checklist for Head and Neck Assessment 
7.7 Supplementary Video on Head and Neck Assessment 
7.8 Learning Activities 
VII Glossary 

Chapter 8 Eye and Ear Assessment 
8.1 Eye and Ear Assessment Introduction 
8.2 Eye and Ear Basic Concepts
8.3 Eye and Ear Assessment 
8.4 Sample Documentation 
8.5 Checklist for Eye and Ear Assessment 
8.6 Supplementary Video on Eye Assessment 
8.7 Learning Activities 
VIII Glossary 

Chapter 9 Cardiovascular Assessment 
9.1 Cardiovascular Assessment Introduction 
9.2 Cardiovascular Basic Concepts 
9.3 Cardiovascular Assessment 
9.4 Sample Documentation 3
9.5 Checklist for Cardiovascular Assessment 
9.6 Supplementary Videos on Cardiovascular Assessment 
9.7 Learning Activities 
IX Glossary 

Chapter 10 Respiratory Assessment 
10.1 Respiratory Assessment Introduction 
10.2 Respiratory Basic Concepts 
10.3 Respiratory Assessment 
10.4 Sample Documentation 
10.5 Checklist for Respiratory Assessment 
10.6 Supplementary Video on Respiratory Assessment 
10.7 Learning Activities 
X Glossary 

Chapter 11 Oxygen Therapy 
11.1 Oxygen Therapy Introduction
11.2 Basic Concepts of Oxygenation 
11.3 Oxygenation Equipment 
11.4 Nursing Process Related to Oxygen Therapy 
11.5 Sample Documentation 
11.6 Checklist for Oxygen Therapy 
11.7 Supplementary Videos on Oxygen Therapy 
11.8 Learning Activities 
XI Glossary 

Chapter 12 Abdominal Assessment 
12.1 Abdominal Assessment Introduction 
12.2 Gastrointestinal Basics 
12.3 Gastrointestinal and Genitourinary Assessment 
12.4 Sample Documentation 
12.5 Checklist for Abdominal Assessment 
12.6 Supplementary Video on Abdominal Assessment 
12.7 Learning Activities 
XII Glossary 

Chapter 13 Musculoskeletal Assessment 
13.1 Musculoskeletal Assessment Introduction 
13.2 Musculoskeletal Basic Concepts 
13.3 Common Musculoskeletal Conditions 
13.4 Musculoskeletal Assessment 
13.5 Sample Documentation 
13.6 Checklist for Musculoskeletal Assessment 
13.7 Learning Activities 
XIII Glossary 

Chapter 14 Integumentary Assessment 
14.1 Integumentary Assessment Introduction 
14.2 Basic Integumentary Concepts 
14.3 Common Integumentary Conditions 
14.4 Integumentary Assessment 
14.5 Sample Documentation 
14.6 Checklist for Integumentary Assessment 
14.7 Learning Activities 
XIV Glossary 

Chapter 15 Administration of Enteral Medications 
15.1 Administration of Enteral Medications Introduction 
15.2 Basic Concepts of Administering Medications 
15.3 Assessments Related to Medication Administration 
15.4 Checklist for Oral Medication Administration 
15.5 Checklist for Rectal Medication Administration 
15.6 Checklist for Enteral Tube Medication Administration 
15.7 Supplementary Videos on Administering Enteral Medications 
15.8 Learning Activities 
XV Glossary 

Chapter 16 Administration of Medications Via Other Routes 
16.1 Administration of Medications Via Other Routes Introduction 
16.2 Basic Concepts 
16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration 
16.4 Learning Activities 
XVI Glossary 

Chapter 17 Enteral Tube Management 
17.1 Enteral Tube Management Introduction 
17.2 Basic Concepts of Enteral Tubes
17.3 Assessments Related to Enteral Tubes 
17.4 Sample Documentation 
17.5 Checklist for NG Tube Enteral Feeding By Gravity With Irrigation
17.6 Checklist for NG Suction 
17.7 Learning Activities 
XVII Glossary 

Chapter 18 Administration of Parenteral Medications 
18.1 Administration of Parenteral Medications Introduction 
18.2 Basic Concepts 
18.3 Evidence-Based Practices for Injections 
18.4 Administering Intradermal Medications 
18.5 Administering Subcutaneous Medications 
18.6 Administering Intramuscular Medications 
18.7 Applying the Nursing Process 
18.8 Checklists for Parenteral Medication Administration 
18.9 Sample Documentation 
18.10 Learning Activities 
XVIII Glossary 

Chapter 19 Specimen Collection 
19.1 Specimen Collection Introduction
19.2 Blood Glucose Monitoring 
19.3 Nasal Specimen Collection
19.4 Oropharyngeal Specimen Collection
19.5 Sputum Specimen Collection
19.6 Stool Specimen Collection 
19.7 Sample Documentation 
19.8 Checklist for Blood Glucose Monitoring 
19.9 Checklist for Obtaining a Nasal Swab 
19.10 Checklist for Oropharyngeal Testing 
19.11 Learning Activities 
XIX Glossary 

Chapter 20 Wound Care 
20.1 Wound Care Introduction 
20.2 Basic Concepts Related to Wounds 
20.3 Assessing Wounds 
20.4 Wound Therapy 
20.5 Wound Dressings 
20.6 Sample Documentation 
20.7 Checklist for Wound Assessment 
20.8 Checklist for Simple Dressing Change 
20.9 Checklist for Wound Culture 
20.10 Checklist for Intermittent Suture Removal 
20.11 Checklist for Staple Removal 
20.12 Checklist for Wound Cleansing, Irrigation, and Packing 
20.13 Checklist for Drain Management 
20.14 Learning Activities 
XX Glossary 

Chapter 21 Facilitation of Elimination 
21.1 Facilitation of Elimination Introduction 
21.2 Basic Concepts 
21.3 Preventing CAUTI 
21.4 Inserting and Managing Indwelling Urinary Catheters 
21.5 Obtaining Urine Specimen for Culture 
21.6 Removing an Indwelling Urinary Catheter 
21.7 Managing Ostomies 
21.8 Applying the Nursing Process to Catheterization 
21.9 Sample Documentation 
21.10 Checklist for Foley Catheter Insertion (Male) 
21.11 Checklist for Foley Catheter Insertion (Female) 
21.12 Checklist for Obtaining a Urine Specimen from a Foley Catheter 
21.13 Checklist for Foley Removal 
21.14 Checklist for Straight Catheterization – Female/Male (with Urine Specimen 
Collection) 
21.15 Checklist for Ostomy Appliance Change 
21.16 Learning Activities
XI Glossary 

Chapter 22 Tracheostomy Care & Suctioning 
22.1 Tracheostomy Care & Suctioning Introduction 
22.2 Basic Concepts Related to Suctioning 
22.3 Assessments Related to Airway Suctioning 
22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation 
22.5 Checklist for Tracheostomy Suctioning and Sample Documentation 
22.6 Checklist for Tracheostomy Care and Sample Documentation 
22.7 Supplementary Videos on Tracheostomy Care and Suctioning 
22.8 Learning Activities 
XXII Glossary 

Chapter 23 IV Therapy Management 
23.1 IV Therapy Management Introduction 
23.2 Blood Collection & IV Therapy Basics 
23.3 Intravenous Therapy Assessment 
23.4 IV Therapy Site Assessment & Complications 
23.5 Sample Documentation 
23.6 Checklist for Primary IV Solution Administration 
23.7 Checklist for Secondary IV Solution Administration 
23.8 Sample Documentation 
23.9 Checklist for Discontinuing an IV
23.10 Supplementary Video Related to IV Therapy
23.11 Learning Activities
XXIII Glossary 

Answer Keys 
Chapter 1 (General Survey) 
Chapter 2 (Health History) 
Chapter 3 (Blood Pressure) 
Chapter 4 (Aseptic Technique) 
Chapter 5 (Math Calculations) 
Chapter 6 (Neurological Assessment) 
Chapter 7 (Head and Neck Assessment) 
Chapter 8 (Eye & Ear Assessment) 
Chapter 9 (Cardiovascular Assessment) 
Chapter 10 (Respiratory Assessment) 
Chapter 11 (Oxygen Therapy) 
Chapter 12 (Abdominal Assessment) 
Chapter 13 (Musculoskeletal Assessment) 
Chapter 14 (Integumentary Assessment) 
Chapter 15 (Administration of Enteral Medications) 
Chapter 16 (Administration of Medications Via Other Routes) 
Chapter 17 (Enteral Tube Management) 
Chapter 18 (Administration of Parenteral Medications) 
Chapter 19 (Specimen Collection) 
Chapter 20 (Wound Care) 
Chapter 21 (Facilitation of Elimination) 
Chapter 22 (Tracheostomy Care & Suctioning) 
Chapter 23 (IV Therapy Management) 

Appendix A - Hand Hygiene and Vital Signs Checklists 
Appendix B - Wound Dressings 
Appendix C - Head-to-Toe Assessment Checklist 
Appendix D: Information Related to Other Skills Referenced on the NCLEX-PN Test Plan 
Appendix E - Master Glossary 

Versioning History

"This is the second edition of the Open RN Nursing Skills OER textbook that has been developed for prelicensure nursing students. It is designed for use in both practical/vocational nursing programs, as well as for first-year courses in programs preparing students to become registered nurses.

 

An additional Open RN OER textbook, “Nursing Advanced Skills,” includes advanced skills such as intravenous infusion, blood product administration, management of central lines and chest tube systems, basic electrocardiogram interpretation, and nasogastric/feeding tube insertion.

 

The second edition has been updated according to the 2023 NCLEX-PN and NCLEX-RN Test Plans, and additional NCLEX Next Generation-style learning activities have been added to each chapter. It is aligned with the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Skills course (543-102).

 

-----

 

Kendall Hunt is pleased to partner with Open RN to help lower the cost of nursing course materials. The mission of Open RN is to lower the cost of nursing textbooks through creation of free OER textbooks for foundational nursing courses. Digital copies are always free to download and low cost print texts are available through campus bookstores, Amazon and this storefront. Open RN books are written with student comprehension at the forefront and are aligned to NCLEX testing requirements.

 

Chippewa Valley Technical College created this OER textbook with funding from the Higher Education Emergency Relief Fund (HEERF) by using Open RN workflows, remixing Open RN OER textbooks, and creating new content specifically for Nursing Assistant students. The Open RN project has published several OER nursing textbooks that have been widely adopted across the United States and is funded by a $2.5 million grant from the Department of Education."
 

Introduction 
Preface 
Standards & Conceptual Approach 

Chapter 1 General Survey 
1.1 General Survey Introduction 
1.2 Initiating Patient Interaction 
1.3 Vital Signs 
1.4 Basic Concepts 
1.5 Expected Versus Unexpected Findings 
1.6 Sample Documentation 
1.7 Checklist for General Survey 
1.8 Learning Activities 
I Glossary 

Chapter 2 Health History 
2.1 Health History Introduction 
2.2 Health History Basic Concepts 
2.3 Components of a Health History 
2.4 Demographic and Biological Data 
2.5 Reason for Seeking Health Care 
2.6 Current and Past Medical History 
2.7 Family Health History 
2.8 Functional Health and Activities of Daily Living 
2.9 Review of Body Systems 
2.10 Sample Documentation 
2.11 Checklist for Obtaining a Health History 
2.12 Learning Activities 
II Glossary 
Chapter Resources A: Sample Health History Form 

Chapter 3 Blood Pressure 
3.1 Blood Pressure Introduction 
3.2 Blood Pressure Basics 
3.3 Blood Pressure Assessment 
3.4 Sample Documentation 
3.5 Checklist for Manual Blood Pressure 
3.6 Supplementary Video of Blood Pressure Assessment 
3.7 Learning Activities 
III Glossary 

Chapter 4 Aseptic Technique 
4.1 Aseptic Technique Introduction 
4.2 Aseptic Technique Basic Concepts 
4.3 Aseptic Technique 
4.4 Sterile Fields 
4.5 Checklist for Hand Hygiene With Soap and Water 
4.6 Checklist for Hand Hygiene With Alcohol-Based Hand Sanitizer 
4.7 Checklist for Personal Protective Equipment (PPE) 
4.8 Checklist for Applying and Removing Sterile Gloves 
4.9 Learning Activities 
IV Glossary 

Chapter 5 Math Calculations 
5.1 Math Calculations Introduction 
5.2 Math Basic Concepts 
5.3 Military Time 
5.4 Equivalencies
5.5 Rounding 
5.6 Using Dimensional Analysis 
5.7 Conversions 
5.8 Tablet Dosage 
5.9 Liquid Concentrations 
5.10 Reconstituted Medication 
5.11 Weight-Based Calculations 
5.12 Safe Dosage Range 
5.13 Intravenous Infusions 
5.14 IV Infusion by Gravity 
5.15 IV Infusion by Pump 
5.16 IV Completion Time 
5.17 Multi-Step Calculations 
5.18 Learning Activities 
V Glossary 

Chapter 6 Neurological Assessment 
6.1 Neurological Assessment Introduction 
6.2 Basic Neurological Concepts 
6.3 Neurological Exam 
6.4 Assessing Mental Status 
6.5 Assessing Cranial Nerves 
6.6 Assessing Sensory Function
6.7 Assessing Motor Strength 
6.8 Assessing Cerebellar Function 
6.9 Assessing Reflexes 
6.10 Neurological Assessment
6.11 Sample Documentation 
6.12 Checklist for Neurological Assessment 
6.13 Learning Activities 
VI Glossary 

Chapter 7 Head and Neck Assessment 
7.1 Head and Neck Assessment Introduction 
7.2 Head and Neck Basic Concepts 
7.3 Common Conditions of the Head and Neck 
7.4 Head and Neck Assessment 
7.5 Sample Documentation 
7.6 Checklist for Head and Neck Assessment 
7.7 Supplementary Video on Head and Neck Assessment 
7.8 Learning Activities 
VII Glossary 

Chapter 8 Eye and Ear Assessment 
8.1 Eye and Ear Assessment Introduction 
8.2 Eye and Ear Basic Concepts
8.3 Eye and Ear Assessment 
8.4 Sample Documentation 
8.5 Checklist for Eye and Ear Assessment 
8.6 Supplementary Video on Eye Assessment 
8.7 Learning Activities 
VIII Glossary 

Chapter 9 Cardiovascular Assessment 
9.1 Cardiovascular Assessment Introduction 
9.2 Cardiovascular Basic Concepts 
9.3 Cardiovascular Assessment 
9.4 Sample Documentation 3
9.5 Checklist for Cardiovascular Assessment 
9.6 Supplementary Videos on Cardiovascular Assessment 
9.7 Learning Activities 
IX Glossary 

Chapter 10 Respiratory Assessment 
10.1 Respiratory Assessment Introduction 
10.2 Respiratory Basic Concepts 
10.3 Respiratory Assessment 
10.4 Sample Documentation 
10.5 Checklist for Respiratory Assessment 
10.6 Supplementary Video on Respiratory Assessment 
10.7 Learning Activities 
X Glossary 

Chapter 11 Oxygen Therapy 
11.1 Oxygen Therapy Introduction
11.2 Basic Concepts of Oxygenation 
11.3 Oxygenation Equipment 
11.4 Nursing Process Related to Oxygen Therapy 
11.5 Sample Documentation 
11.6 Checklist for Oxygen Therapy 
11.7 Supplementary Videos on Oxygen Therapy 
11.8 Learning Activities 
XI Glossary 

Chapter 12 Abdominal Assessment 
12.1 Abdominal Assessment Introduction 
12.2 Gastrointestinal Basics 
12.3 Gastrointestinal and Genitourinary Assessment 
12.4 Sample Documentation 
12.5 Checklist for Abdominal Assessment 
12.6 Supplementary Video on Abdominal Assessment 
12.7 Learning Activities 
XII Glossary 

Chapter 13 Musculoskeletal Assessment 
13.1 Musculoskeletal Assessment Introduction 
13.2 Musculoskeletal Basic Concepts 
13.3 Common Musculoskeletal Conditions 
13.4 Musculoskeletal Assessment 
13.5 Sample Documentation 
13.6 Checklist for Musculoskeletal Assessment 
13.7 Learning Activities 
XIII Glossary 

Chapter 14 Integumentary Assessment 
14.1 Integumentary Assessment Introduction 
14.2 Basic Integumentary Concepts 
14.3 Common Integumentary Conditions 
14.4 Integumentary Assessment 
14.5 Sample Documentation 
14.6 Checklist for Integumentary Assessment 
14.7 Learning Activities 
XIV Glossary 

Chapter 15 Administration of Enteral Medications 
15.1 Administration of Enteral Medications Introduction 
15.2 Basic Concepts of Administering Medications 
15.3 Assessments Related to Medication Administration 
15.4 Checklist for Oral Medication Administration 
15.5 Checklist for Rectal Medication Administration 
15.6 Checklist for Enteral Tube Medication Administration 
15.7 Supplementary Videos on Administering Enteral Medications 
15.8 Learning Activities 
XV Glossary 

Chapter 16 Administration of Medications Via Other Routes 
16.1 Administration of Medications Via Other Routes Introduction 
16.2 Basic Concepts 
16.3 Checklist for Transdermal, Eye, Ear, Inhalation, and Vaginal Routes Medication Administration 
16.4 Learning Activities 
XVI Glossary 

Chapter 17 Enteral Tube Management 
17.1 Enteral Tube Management Introduction 
17.2 Basic Concepts of Enteral Tubes
17.3 Assessments Related to Enteral Tubes 
17.4 Sample Documentation 
17.5 Checklist for NG Tube Enteral Feeding By Gravity With Irrigation
17.6 Checklist for NG Suction 
17.7 Learning Activities 
XVII Glossary 

Chapter 18 Administration of Parenteral Medications 
18.1 Administration of Parenteral Medications Introduction 
18.2 Basic Concepts 
18.3 Evidence-Based Practices for Injections 
18.4 Administering Intradermal Medications 
18.5 Administering Subcutaneous Medications 
18.6 Administering Intramuscular Medications 
18.7 Applying the Nursing Process 
18.8 Checklists for Parenteral Medication Administration 
18.9 Sample Documentation 
18.10 Learning Activities 
XVIII Glossary 

Chapter 19 Specimen Collection 
19.1 Specimen Collection Introduction
19.2 Blood Glucose Monitoring 
19.3 Nasal Specimen Collection
19.4 Oropharyngeal Specimen Collection
19.5 Sputum Specimen Collection
19.6 Stool Specimen Collection 
19.7 Sample Documentation 
19.8 Checklist for Blood Glucose Monitoring 
19.9 Checklist for Obtaining a Nasal Swab 
19.10 Checklist for Oropharyngeal Testing 
19.11 Learning Activities 
XIX Glossary 

Chapter 20 Wound Care 
20.1 Wound Care Introduction 
20.2 Basic Concepts Related to Wounds 
20.3 Assessing Wounds 
20.4 Wound Therapy 
20.5 Wound Dressings 
20.6 Sample Documentation 
20.7 Checklist for Wound Assessment 
20.8 Checklist for Simple Dressing Change 
20.9 Checklist for Wound Culture 
20.10 Checklist for Intermittent Suture Removal 
20.11 Checklist for Staple Removal 
20.12 Checklist for Wound Cleansing, Irrigation, and Packing 
20.13 Checklist for Drain Management 
20.14 Learning Activities 
XX Glossary 

Chapter 21 Facilitation of Elimination 
21.1 Facilitation of Elimination Introduction 
21.2 Basic Concepts 
21.3 Preventing CAUTI 
21.4 Inserting and Managing Indwelling Urinary Catheters 
21.5 Obtaining Urine Specimen for Culture 
21.6 Removing an Indwelling Urinary Catheter 
21.7 Managing Ostomies 
21.8 Applying the Nursing Process to Catheterization 
21.9 Sample Documentation 
21.10 Checklist for Foley Catheter Insertion (Male) 
21.11 Checklist for Foley Catheter Insertion (Female) 
21.12 Checklist for Obtaining a Urine Specimen from a Foley Catheter 
21.13 Checklist for Foley Removal 
21.14 Checklist for Straight Catheterization – Female/Male (with Urine Specimen 
Collection) 
21.15 Checklist for Ostomy Appliance Change 
21.16 Learning Activities
XI Glossary 

Chapter 22 Tracheostomy Care & Suctioning 
22.1 Tracheostomy Care & Suctioning Introduction 
22.2 Basic Concepts Related to Suctioning 
22.3 Assessments Related to Airway Suctioning 
22.4 Oropharyngeal and Nasopharyngeal Suctioning Checklist & Sample Documentation 
22.5 Checklist for Tracheostomy Suctioning and Sample Documentation 
22.6 Checklist for Tracheostomy Care and Sample Documentation 
22.7 Supplementary Videos on Tracheostomy Care and Suctioning 
22.8 Learning Activities 
XXII Glossary 

Chapter 23 IV Therapy Management 
23.1 IV Therapy Management Introduction 
23.2 Blood Collection & IV Therapy Basics 
23.3 Intravenous Therapy Assessment 
23.4 IV Therapy Site Assessment & Complications 
23.5 Sample Documentation 
23.6 Checklist for Primary IV Solution Administration 
23.7 Checklist for Secondary IV Solution Administration 
23.8 Sample Documentation 
23.9 Checklist for Discontinuing an IV
23.10 Supplementary Video Related to IV Therapy
23.11 Learning Activities
XXIII Glossary 

Answer Keys 
Chapter 1 (General Survey) 
Chapter 2 (Health History) 
Chapter 3 (Blood Pressure) 
Chapter 4 (Aseptic Technique) 
Chapter 5 (Math Calculations) 
Chapter 6 (Neurological Assessment) 
Chapter 7 (Head and Neck Assessment) 
Chapter 8 (Eye & Ear Assessment) 
Chapter 9 (Cardiovascular Assessment) 
Chapter 10 (Respiratory Assessment) 
Chapter 11 (Oxygen Therapy) 
Chapter 12 (Abdominal Assessment) 
Chapter 13 (Musculoskeletal Assessment) 
Chapter 14 (Integumentary Assessment) 
Chapter 15 (Administration of Enteral Medications) 
Chapter 16 (Administration of Medications Via Other Routes) 
Chapter 17 (Enteral Tube Management) 
Chapter 18 (Administration of Parenteral Medications) 
Chapter 19 (Specimen Collection) 
Chapter 20 (Wound Care) 
Chapter 21 (Facilitation of Elimination) 
Chapter 22 (Tracheostomy Care & Suctioning) 
Chapter 23 (IV Therapy Management) 

Appendix A - Hand Hygiene and Vital Signs Checklists 
Appendix B - Wound Dressings 
Appendix C - Head-to-Toe Assessment Checklist 
Appendix D: Information Related to Other Skills Referenced on the NCLEX-PN Test Plan 
Appendix E - Master Glossary 

Versioning History