LVN Nursing Skills Mandatory Assessment

Required Basic Skills Competency Testing

A testing date will be arranged with our qualified applicants to occur sometime in May. There will be a fee associated with this testing.  Unfortunately, due to financial restrictions, there won't be any make-ups available, should you not be able to attend on the testing day given. 

Purpose: To determine clinical skills proficiency for the skills taught in NURS201, NURS221, and NURS323 (intradermal injection only). Math calculations are included in this testing.  This day is also designed to introduce the LVN to the Orem Self-Care Deficit Theory that is the curriculum framework for our school. Introduction to the nursing process and nursing care planning is included to help student's bridge to the RN role.

Procedure: Once given the approval by the SON, applicants will register for the Assessment.  Prior to the Assessment, qualified applicants will receive a packet of materials to review that are the basis for the skills & math testing.   There will also be a self-study module that must be completed on the following topics: Hanging IVPB, blood transfusions, hanging IVPB, IVP meds, reconstitution of meds, Orem theory framework, and nursing process & care planning.

Testing Day Instructions:

  1. The day will open with a brief practice session (90 minutes) and the opportunity to ask questions of the faculty member present before skill and math evaluations begin.  Please see the Assessment/Training day schedule below.
  2. For the math test, bring a basic calculator-no PDA or smart phone devices capable of Internet connection.
  3. 100% pass rate on skills testing and math testing is required to continue with admission process. 
  4. The skills list you will be tested on include: 
    Hand Hygiene/Washing      
    Bathing a Patient (demonstrated  on  mannequin)
    Performing Oral Hygiene (demonstrated  on  mannequin)  
    Performing Oral Care for an Unconscious Patient (mannequin) 
    Making an Unoccupied Bed      
    Making an Occupied Bed      
    Moving and Positioning Clients in Bed    
    Transfer of Patients Using Proper Body Mechanics   
    Passive R.O.M.  
    Preparing a Sterile Field Using a Packaged Sterile Drape
    Donning Sterile Gloves
    Using Personal Protective Equipment
    Administering a Tube Feeding
    Assisting with the Use of a Bedpan
    Assisting with the Use of a Urinal
    Catheterizing the Female Urinary Bladder
    Catheterizing the Male Urinary Bladder
    Applying an External Condom Catheter
    Administrating a Large Volume Enema
    Administrating a Small Volume Enema
    Administering a Retention Enema
    Pulse Oximeter
    Suctioning the Nasopharyngeal and Oropharyngeal Airway
    O2 by Nasal Cannula
    O2 by Mask
    Adding meds to IV solution
    Administering IV meds via IVPB
    Administering meds via SL
    Administering medication via metered dose inhaler
    Peripheral IV insertion
    Changing IV to SL
    Administering a blood transfusion
    Reconstitution of powdered drugs
    IV pump infusion
    IV drug calculations review
    Administering meds via NG tube
    Cleaning a wound/applying a sterile dressing
    Applying a wet to dry dressing
    Applying a wound vacuum assisted closure
    Orthopedic devices:  cane, crutches, walker
    Applying elastic bandages
    Inserting an NG tube
    Removing an NG tube
    Irrigating an NG tube
    Irrigating a urinary catheter using a closed system
    Administering continuous bladder irrigation
    Irrigating a colostomy
    Incentive Spirometer
    Suctioning the Nasopharyngeal and Oropharyngeal Airways
    Suctioning the Tracheostomy: Open System
    Providing Tracheostomy Care
    Abdominal binder

Texts used in this assessment program:  It is strongly recommended that you use these texts for your skills studying. However, you may use any text published since 2005 to study for this test. 

  • Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2008). Fundamentals of Nursing: The Art and Science of Nursing Care. (6th Ed). Philadelphia: Wolters Kluwer & Lippincott Williams & Wilkins.
  • Lynn, P. (2008). Taylor's Clinical Nursing: Skills: a Nursing Process Approach. (2nd Ed). Philadelphia: Wolters Kluwer & Lippincott Williams & Wilkins.
  • Lynn, P.  & LeBon, M. (2008). Skill Checklists to Accompany Taylor's Clinical Nursing Skills: a Nursing Process Approach. (2nd Ed). Philadelphia: Wolters Kluwer & Lippincott Williams & Wilkins.
  • Mulholland, J. M. (2007).  The Nurse, The Math, The Meds.  St. Louis: Mosby