You are just starting out so take a deep breath. I teach second quarter in a LPN program. I teach the clinical in the nursing home. Your clinical instructor knows what you are learning and practicing on real people is different. My students independently do bedbaths, vitals and head to toe assessments. I expect there to be questions and many students will say that they can't get a blood pressure, find the pedal pulse, and visualize pupil reaction. This is normal and I'm there to help them. Any other tasks, I am there with them. I know they are anxious and will often demonstrate the skill the first time and then have the students try it. I don't expect perfection. I supervise all medications given, finger sticks until I'm sure they can do it independently, and skills involving a feeding tube, etc. I am aware that people learn at different speeds and some people are more comfortable giving injections after one try and some need several attempts. Your teacher in the lab might be different than the one in the clinical site. I don't teach in the skills lab at all. I think you will be fine. Be respectful, willing to do whatever your instructor asks you to, and try not to look bored. You can always talk to patients, look at charts, or help aides or nurses. There are things you can't experience in the skill lab. I love seeing a student who finished their tasks talking with a dementia patient. Patients without dementia are often willing to tell their stories. Ask why they were in the hospital, what happened in the hospital, and why they are in the skilled nursing facility. Some people love to talk to students and nothing is better than hearing about an experience from the patients viewpoint. Of course, you won't learn everything you need to know in nursing school. You will learn so much more on the job.