Question 1

While evaluating the hygienic care practices of a female patient,the nurse recognizes that additional instruction is necessary if the patient

Accepted Answer

A)   washes the perineal area from back to front.
B)   washes the labia majora before the labia minora.
C)   avoids tension on the indwelling catheter.
D)   uses separate sections of the washcloth for each cleansing stroke. A

Question 2

The home care nurse is getting ready to help the patient prepare a tub bath.What should the nurse be sure to do?

Accepted Answer

A)   Instruct the patient to use safety bars.
B)   Use the patient's favourite bath oil for aroma therapy.
C)   Instruct the patient to stay in the tub no longer than 30 minutes.
D)   Check on the patient every 20 minutes. A

Question 3

When teaching parents how to provide oral care to their child,the nurse instructs them to

Accepted Answer

A)   give bottles with juice at bedtime.
B)   begin dental visits after the child is 8 years old.
C)   allow the preschool child to floss his teeth without parental supervision.
D)   limit snacks to three or four per day. D

Question 4

The patient confides in the nurse that she is bothered by the fact that she has alopecia.How should the nurse respond to this information?

Accepted Answer

A)   Shave hair off of the affected area.
B)   Use permethrin.
C)   Offer the patient access to scarves or wigs.
D)   Place a drop of oil on the area.

Question 5

_____________ is balding patches in the periphery of the hairline.

Accepted Answer

A)   Petechiae
B)   Epidermis
C)   Hirsutism
D)   Alopecia

Question 6

Shaving with a disposable razor is contraindicated for a patient with

Accepted Answer

A)   heart disease.
B)   diabetes mellitus.
C)   a head injury.
D)   a bleeding disorder.

Question 7

The nurse is aware that normal flora that does not cause disease but does prevent disease-causing microorganisms from reproducing is known as

Accepted Answer

A)   sebum.
B)   the epidermis.
C)   resident bacteria.
D)   the dermis.

Question 8

The ____________ is the largest human organ.

Accepted Answer

A)   liver
B)   brain
C)   heart
D)   skin

Question 9

A nurse recognizes that a shampoo may be contraindicated for a bed-bound patient with

Accepted Answer

A)   heart disease.
B)   diabetes mellitus.
C)   a neck injury.
D)   a bleeding disorder.

Question 10

In providing perineal care for a male patient,the nurse realizes that the patient has not been circumcised.The nurse should

Accepted Answer

A)   retract the foreskin after care has been completed.
B)   place the patient in prone position.
C)   replace the foreskin to its natural position after care has been provided.
D)   have the patient adduct his legs.

Question 11

When evaluating the shaving of a patient done by a family member,the nurse determines that the technique is done appropriately when

Accepted Answer

A)   long strokes are used.
B)   the razor is held at a 45-degree angle to the skin.
C)   shaving is done against the direction of hair growth.
D)   a cool cloth is used on the skin before the shave.

Question 12

The nurse is preparing to provide a complete bed bath to a patient who has a running intravenous (IV)line.He or she places a bath blanket over the patient and

Accepted Answer

A)   removes the gown from the arm with the IV first.
B)   removes the gown from the arm without the IV first.
C)   removes the gown after the bath to keep the patient warm.
D)   readjusts the IV rate before removing the gown.

Question 13

Critically ill patients on a ventilator are at risk for ventilator-associated pneumonia (VAP).Sources of VAP include (Select all that apply.)

Accepted Answer

A)   bacteria in the oral pharynx.
B)   dental plaque.
C)   chlorhexidine rinses.
D)   frequent oral hygiene.

Question 14

When bathing a patient,which sequence is the correct approach to use?

Accepted Answer

A)   Wash the feet after the legs.
B)   Wash the eyes after the face.
C)   Wash the legs before the abdomen.
D)   Wash the back area before the extremities.

Question 15

The skin,the largest human body organ,protects us from heat,light,injury,and infection and does which of the following? (Select all that apply.)

Accepted Answer

A)   Helps regulate body temperature
B)   Stores water,vitamin D,and fat
C)   Helps sense pain
D)   Prevents the entry of bacteria
E)   None of the above

Question 16

While washing the patient's face,the nurse should

Accepted Answer

A)   wash the eyes using soap and warm water.
B)   wash the eyes from outer canthus to inner canthus.
C)   wash the eyes with plain warm water.
D)   use the same portion of the washcloth.

Question 17

The nurse plans to give the patient a therapeutic bath.Which of the following is considered therapeutic?

Accepted Answer

A)   Bed bath
B)   Sponge bath at the sink
C)   Sitz bath
D)   Bag bath

Question 18

What should hygienic care of the patient with dry skin include?

Accepted Answer

A)   Use of moisturizers
B)   Use of ultraviolet light
C)   Application of antiseptic lotion
D)   Lowering of bathwater temperature

Question 19

In relation to hygiene and the acute care setting,the nurse knows that which of the following statements is true?

Accepted Answer

A)   The disposable bath is a less desirable form of bathing than the traditional basin bath.
B)   The disposable bath is a more desirable form of bathing than the traditional basin bath.
C)   The disposable bath is more desirable for patients who can bathe independently.
D)   The disposable bath is not an acceptable form of bathing in the acute care setting.

Question 20

What should the nurse do before starting a patient's bed bath?

Accepted Answer

A)   Lower the bed.
B)   Offer the bedpan or urinal.
C)   Partially undress the patient.
D)   Place the head of the bed in high-Fowler's position.

Exam 18: Personal Hygiene and Bed Making