Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Clinical Nursing Skills

Competency-Based Assessments

Clinical Nursing SkillsCompetency-Based Assessments

Competency-Based Assessments

1 .
The nurse is asked to start an IV line at noon and begins infusing 0.9 percent normal saline at 100 mL/h. The patient drinks a cup of juice and consumes a popsicle that has 45 mL of fluid for lunch. At 1530, the nurse assists the patient to the restroom, where she urinates 350 mL of yellow urine. What is the nurse’s calculation of the patient’s fluid status at 1600?
2 .
The nurse is caring for an 89-year-old patient who has just experienced open-heart surgery and has a large bandage covering the chest area. How should the nurse assess skin turgor?
3 .
The nurse is assisting a hospitalized patient who is under a fluid restriction due to an acute kidney injury to decide when to drink fluids throughout the day. The patient has a 1,200 mL/d fluid restriction. The patient is receiving 50 mL of IVF with his antibiotics three times a day. If he wants to equally spread out his fluid intake, how many milliliters can he drink with each meal and with a bedtime snack?
4 .
The nurse is assessing a patient who has a PIC. The patient has generalized edema in the same extremity where the PIC is located, and the nurse is struggling to tell whether the catheter is in the vein. What steps does the nurse take?
5 .
A nurse is preparing to give a patient potassium chloride (e.g., K-Lyte) 20 mEq as an oral tablet. The nurse evaluates the patient’s serum laboratory results and notices the patient’s serum potassium level is 4.8 mEq/L. What other information does the nurse assess to determine whether to administer this medication?
6 .
Review the competency checklists for this chapter and have a peer or instructor assess your performance of the tasks. You can find the checklists on the Student resources tab of your book page on

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at
Citation information

© Jun 12, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.