Question 1

The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus ulcer?

Accepted Answer

A)  I 
B)  II 
C)  III 
D)  IV 
A)  I 
B)  II 
C)  III 
D)  IV

Question 2

The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing personnel be instructed to implement?

Accepted Answer

A)  Speak quickly to the patient 
B)  Speak in loud tones to the patient 
C)  Speak slowly and clearly to the patient 
D)  Tell the patient they must purchase a hearing aid 
A)  Speak quickly to the patient 
B)  Speak in loud tones to the patient 
C)  Speak slowly and clearly to the patient 
D)  Tell the patient they must purchase a hearing aid

Question 3

How should the nurse cleanse the meatal opening when performing male perineal care?

Accepted Answer

A)  From the meatus outward 
B)  With an alcohol swab 
C)  In a circular motion 
D)  With a cotton-tipped applicator 
A)  From the meatus outward 
B)  With an alcohol swab 
C)  In a circular motion 
D)  With a cotton-tipped applicator

Question 4

The nurse is preparing to perform perineal care for the female patient. What is the best method for using a bath blanket to drape the patient?

Accepted Answer

A)  Square position 
B)  Long position 
C)  Diamond position 
D)  Rectangular position 
A)  Square position 
B)  Long position 
C)  Diamond position 
D)  Rectangular position

Question 5

The nurse is educating a patient regarding a tub bath. What is the maximum length of time the nurse should instruct the patient to remain in the water?

Accepted Answer

A)  5 to 10 minutes 
B)  10 to 20 minutes 
C)  20 to 30 minutes 
D)  30 to 40 minutes 
A)  5 to 10 minutes 
B)  10 to 20 minutes 
C)  20 to 30 minutes 
D)  30 to 40 minutes

Question 6

The nurse is assessing a patient's skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?

Accepted Answer

A)  Burn 
B)  Laceration 
C)  Pressure ulcer 
D)  Infection 
A)  Burn 
B)  Laceration 
C)  Pressure ulcer 
D)  Infection

Question 7

The physician orders a patient to be placed in the reverse Trendelenburg position. How should the nurse place the bed?

Accepted Answer

A)  On the floor 
B)  Parallel with the floor 
C)  Tilted with the head of the bed down 
D)  Tilted with the foot of the bed down 
A)  On the floor 
B)  Parallel with the floor 
C)  Tilted with the head of the bed down 
D)  Tilted with the foot of the bed down

Question 8

A physician orders a patient to be placed in the Trendelenburg position. How will the nurse position the bed?

Accepted Answer

A)  On the floor 
B)  Parallel with the floor 
C)  Tilted with the head of the bed down 
D)  Tilted with the foot of the bed down 
A)  On the floor 
B)  Parallel with the floor 
C)  Tilted with the head of the bed down 
D)  Tilted with the foot of the bed down

Question 9

The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:

Accepted Answer

A)  20 degrees. 
B)  45 degrees. 
C)  90 degrees. 
D)  30 degrees. 
A)  20 degrees. 
B)  45 degrees. 
C)  90 degrees. 
D)  30 degrees.

Question 10

When must the nurse remember to use an electric razor when shaving a patient?

Accepted Answer

A)  When a bleeding tendency is present 
B)  When there is a risk for suicide 
C)  When the facial hair is fine 
D)  When speed is essential 
A)  When a bleeding tendency is present 
B)  When there is a risk for suicide 
C)  When the facial hair is fine 
D)  When speed is essential

Question 11

Clear water is used to cleanse the eyes. It is important to use proper technique when cleansing the eyes to prevent infection. What direction will the water flow when cleansing a patient's eyes?

Accepted Answer

A)  Upward toward the forehead 
B)  Downward toward the chin 
C)  From the outer toward the inner canthus 
D)  From the inner toward the outer canthus 
A)  Upward toward the forehead 
B)  Downward toward the chin 
C)  From the outer toward the inner canthus 
D)  From the inner toward the outer canthus

Question 12

One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?

Accepted Answer

A)  To improve self-esteem 
B)  To stimulate appetite 
C)  To restore tooth destruction 
D)  To assist with periodontitis 
A)  To improve self-esteem 
B)  To stimulate appetite 
C)  To restore tooth destruction 
D)  To assist with periodontitis

Question 13

Which guideline should be followed when giving a backrub?

Accepted Answer

A)  Observing the skin for abnormalities 
B)  Massaging for at least 10 minutes 
C)  Following massage with a brisk alcohol rub 
D)  Conversing with patient continually throughout the backrub 
E)  Using alcohol-based lotion for disinfection 
A)  Observing the skin for abnormalities 
B)  Massaging for at least 10 minutes 
C)  Following massage with a brisk alcohol rub 
D)  Conversing with patient continually throughout the backrub 
E)  Using alcohol-based lotion for disinfection

Question 14

The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails. Who is the person best prepared to provide nail care for patients with extremely hard nails?

Accepted Answer

A)  Physician 
B)  RN 
C)  CNA 
D)  Podiatrist 
A)  Physician 
B)  RN 
C)  CNA 
D)  Podiatrist

Question 15

To prevent skin breakdown in a wheelchair-bound patient, the nurse teaches the patient to shift the patient's weight every _______ minutes.

Accepted Answer

15
fifteen
People who are whee

Question 16

What should the water temperature be when preparing a tepid bath for a patient?

Accepted Answer

A)  98.6° F 
B)  100.2° F 
C)  104.8° F 
D)  110.4° F 
A)  98.6° F 
B)  100.2° F 
C)  104.8° F 
D)  110.4° F

Question 17

How will the nurse correctly replace a patient's dentures after cleaning?

Accepted Answer

A)  Inserting the lower denture first 
B)  Asking the patient to insert them 
C)  Inserting both dentures together 
D)  Inserting the upper denture first 
A)  Inserting the lower denture first 
B)  Asking the patient to insert them 
C)  Inserting both dentures together 
D)  Inserting the upper denture first

Question 18

The nurse must follow the principles of medical asepsis while making a patient's bed, including procedures for handling linens. How should the nurse handle soiled linens?

Accepted Answer

A)  Place on the floor 
B)  Fan in the air 
C)  Hold away from the uniform 
D)  Place at the end of the bed 
A)  Place on the floor 
B)  Fan in the air 
C)  Hold away from the uniform 
D)  Place at the end of the bed

Exam 9: Hygiene and Care of the Patient’s Environment

The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus ulcer?

The nurse is caring for a patient experiencing presbycusis. What intervention should the nursing personnel be instructed to implement?

How should the nurse cleanse the meatal opening when performing male perineal care?

The nurse is preparing to perform perineal care for the female patient. What is the best method for using a bath blanket to drape the patient?

The nurse is educating a patient regarding a tub bath. What is the maximum length of time the nurse should instruct the patient to remain in the water?

The nurse is assessing a patient's skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?

The physician orders a patient to be placed in the reverse Trendelenburg position. How should the nurse place the bed?

A physician orders a patient to be placed in the Trendelenburg position. How will the nurse position the bed?

The nurse lowers the bed to place the patient on the bedpan. The angle of the head of the bed should be raised to:

When must the nurse remember to use an electric razor when shaving a patient?

Clear water is used to cleanse the eyes. It is important to use proper technique when cleansing the eyes to prevent infection. What direction will the water flow when cleansing a patient's eyes?

One reason the nurse focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?

Which guideline should be followed when giving a backrub?

The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails. Who is the person best prepared to provide nail care for patients with extremely hard nails?

To prevent skin breakdown in a wheelchair-bound patient, the nurse teaches the patient to shift the patient's weight every _______ minutes.

What should the water temperature be when preparing a tepid bath for a patient?

How will the nurse correctly replace a patient's dentures after cleaning?

The nurse must follow the principles of medical asepsis while making a patient's bed, including procedures for handling linens. How should the nurse handle soiled linens?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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