Question 1

The patient is reporting an inability to clear nasal passages. Which action will the nurse take?

Accepted Answer

A)   Use gentle suction to prevent tissue damage.
B)   Instruct patient to blow nose forcefully to clear the passage.
C)   Place a dry washcloth under the nose to absorb secretions.
D)   Insert a cotton-tipped applicator to the back of the nose. A

Question 2

A self-sufficient bedridden patient is unable to reach all body parts. Which type of bath will the nurse assign to the nursing assistive personnel?

Accepted Answer

A)   Bag bath
B)   Sponge bath
C)   Partial bed bath
D)   Complete bed bath C

Question 3

The nurse is caring for a patient who has multiple ticks on lower legs and body. What should the nurse do to rid the patient of ticks?

Accepted Answer

A)   Use blunt tweezers and pull upward with steady pressure.
B)   Burn the ticks with a match or small lighter.
C)   Allow the ticks to drop off by themselves.
D)   Apply miconazole and cover with plastic. A

Question 4

The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?

Accepted Answer

A)   Cheilitis
B)   Halitosis
C)   Glossitis
D)   Dental caries

Question 5

A nurse is completing an assessment of the patient. Which principle is a priority?

Accepted Answer

A)   Foot care will always be important.
B)   Daily bathing will always be important.
C)   Hygiene needs will always be important.
D)   Critical thinking will always be important.

Question 6

Which action by the nurse will be the most important for preventing skin impairment in a mobile patient with local nerve damage?

Accepted Answer

A)   Insert an indwelling urinary catheter.
B)   Limit caloric and protein intake.
C)   Turn the patient every 2 hours.
D)   Assess for pain during a bath.

Question 7

The nurse is caring for a patient who is reporting severe foot pain due to corns. The patient has been using oval corn pads to self-treat the corns, but they seem to be getting worse. Which information will the nurse share with the patient?

Accepted Answer

A)   Corn pads are an adequate treatment and should be continued.
B)   The patient should avoid soaking the feet before using a pumice stone.
C)   Depending on severity, surgery may be needed to remove the corns.
D)   Tighter shoes would help to compress the corns and make them smaller.

Question 8

A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?

Accepted Answer

A)   Hygiene care is always routine and expected.
B)   No two individuals perform hygiene in the same manner.
C)   It is important to standardize a patient's hygienic practices.
D)   During hygiene care do not take the time to learn about patient needs.

Question 9

The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity, starting with the first area?
1) Roof of mouth, gums, and inside cheek
2) Chewing and inner tooth surfaces
3) Outer tooth surfaces
4) Tongue

Accepted Answer

A)   4, 1, 3, 2
B)   3, 2, 4, 1
C)   2, 3, 1, 4
D)   1, 4, 2, 3

Question 10

The nurse is caring for a patient who has diabetes mellitus and circulatory insufficiency, with peripheral neuropathy and urinary incontinence. On which areas does the nurse focus care?

Accepted Answer

A)   Decreased pain sensation and increased risk of skin impairment
B)   Decreased caloric intake and accelerated wound healing
C)   High risk for skin infection and low saliva pH level
D)   High risk for impaired venous return and dementia

Question 11

A nurse is providing hygiene care to a bariatric patient using chlorhexidine gluconate (CHG) wipes. Which actions will the nurse take? (Select all that apply.)

Accepted Answer

A)   Do not rinse.
B)   Clean under breasts.
C)   Inform that the skin will feel sticky.
D)   Dry thoroughly between skin folds.
E)   Use two wipes for each area of the body.

Question 12

The nurse is preparing to provide a complete bed bath to an unconscious patient. The nurse decides to use a bag bath. In which order will the nurse clean the body, starting with the first area?
1) Neck, shoulders, and chest
2) Abdomen and groin/perineum
3) Legs, feet, and web spaces
4) Back of neck, back, and then buttocks
5) Both arms, both hands, web spaces, and axilla

Accepted Answer

A)   5, 1, 2, 3, 4
B)   1, 5, 2, 3, 4
C)   1, 5, 2, 4, 3
D)   5, 1, 2, 4, 3

Question 13

The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take during AM care? (Select all that apply.)

Accepted Answer

A)   Administer ordered analgesic 1 hour before bath time.
B)   Increase the frequency of skin assessment.
C)   Reduce triggers in the environment.
D)   Keep the room temperature cool.
E)   Be as quick as possible.

Question 14

The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?

Accepted Answer

A)   Assess surfaces exposed to the edges of the cast for pressure areas.
B)   Keep the patient's blood pressure low to prevent overperfusion of tissue.
C)   Do not allow turning in bed because that may lead to redislocation of the leg.
D)   Restrict the patient's dietary intake to reduce the number of times on the bedpan.

Question 15

The nurse is caring for an older-adult patient with Alzheimer's disease who is ambulatory but requires total assistance with activities of daily living (ADLs). The nurse notices that the patient is edentulous. Which area should the nurse assess?

Accepted Answer

A)   Assess oral cavity.
B)   Assess room for drafts.
C)   Assess ankles for edema.
D)   Assess for reduced sensations.

Question 16

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

Accepted Answer

A)   Apply sterile gloves.
B)   Keep soiled linen close to uniform.
C)   Advise patient will feel a lump when rolling over.
D)   Turn clean pillowcase inside out over the hand holding it.
E)   Make a modified mitered corner with sheet, blanket, and spread.

Question 17

A patient uses an in-the-canal hearing aid. Which assessment is a $\bold{priority}$?

Accepted Answer

A)   Eyeglass usage
B)   Cerumen buildup
C)   Type of physical exercise
D)   Excessive moisture problems

Question 18

A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?

Accepted Answer

A)   Back to front
B)   In a circular motion
C)   From pubic area to rectum
D)   Upward from rectum to pubic area

Question 19

The patient is diagnosed with athlete's foot (tinea pedis). The patient says that he is relieved because it is only athlete's foot, and it can be treated easily. Which information should the nurse consider when formulating a response to the patient?

Accepted Answer

A)   Contagious with frequent recurrences
B)   Helpful to air-dry feet after bathing
C)   Treated with salicylic acid
D)   Caused by lice

Question 20

The female nurse is caring for a male patient who is uncircumcised but not ambulatory and has full function of all extremities. The nurse is providing the patient with a partial bed bath. How should perineal care be performed for this patient?

Accepted Answer

A)   Should be postponed because it may cause embarrassment
B)   Should be unnecessary because the patient is uncircumcised
C)   Should be done by the patient
D)   Should be done by the nurse

Exam 40: Hygiene

The patient is reporting an inability to clear nasal passages. Which action will the nurse take?

A self-sufficient bedridden patient is unable to reach all body parts. Which type of bath will the nurse assign to the nursing assistive personnel?

The nurse is caring for a patient who has multiple ticks on lower legs and body. What should the nurse do to rid the patient of ticks?

The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?

A nurse is completing an assessment of the patient. Which principle is a priority?

Which action by the nurse will be the most important for preventing skin impairment in a mobile patient with local nerve damage?

The nurse is caring for a patient who is reporting severe foot pain due to corns. The patient has been using oval corn pads to self-treat the corns, but they seem to be getting worse. Which information will the nurse share with the patient?

A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?

The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity, starting with the first area? 1) Roof of mouth, gums, and inside cheek 2) Chewing and inner tooth surfaces 3) Outer tooth surfaces 4) Tongue

The nurse is caring for a patient who has diabetes mellitus and circulatory insufficiency, with peripheral neuropathy and urinary incontinence. On which areas does the nurse focus care?

A nurse is providing hygiene care to a bariatric patient using chlorhexidine gluconate (CHG) wipes. Which actions will the nurse take? (Select all that apply.)

The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take during AM care? (Select all that apply.)

The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?

The nurse is caring for an older-adult patient with Alzheimer's disease who is ambulatory but requires total assistance with activities of daily living (ADLs) . The nurse notices that the patient is edentulous. Which area should the nurse assess?

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

A patient uses an in-the-canal hearing aid. Which assessment is a $\bold{priority}$ ?

A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?

The patient is diagnosed with athlete's foot (tinea pedis) . The patient says that he is relieved because it is only athlete's foot, and it can be treated easily. Which information should the nurse consider when formulating a response to the patient?

The female nurse is caring for a male patient who is uncircumcised but not ambulatory and has full function of all extremities. The nurse is providing the patient with a partial bed bath. How should perineal care be performed for this patient?

Exam 40: Hygiene

The patient is reporting an inability to clear nasal passages. Which action will the nurse take?

A self-sufficient bedridden patient is unable to reach all body parts. Which type of bath will the nurse assign to the nursing assistive personnel?

The nurse is caring for a patient who has multiple ticks on lower legs and body. What should the nurse do to rid the patient of ticks?

The nurse is providing oral care to an unconscious patient and notes that the patient has extremely bad breath. Which term will the nurse use when reporting to the oncoming shift?

A nurse is completing an assessment of the patient. Which principle is a priority?

Which action by the nurse will be the most important for preventing skin impairment in a mobile patient with local nerve damage?

The nurse is caring for a patient who is reporting severe foot pain due to corns. The patient has been using oval corn pads to self-treat the corns, but they seem to be getting worse. Which information will the nurse share with the patient?

A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care?

The nurse is providing oral care to a patient. In which order will the nurse clean the oral cavity, starting with the first area? 1) Roof of mouth, gums, and inside cheek 2) Chewing and inner tooth surfaces 3) Outer tooth surfaces 4) Tongue

The nurse is caring for a patient who has diabetes mellitus and circulatory insufficiency, with peripheral neuropathy and urinary incontinence. On which areas does the nurse focus care?

A nurse is providing hygiene care to a bariatric patient using chlorhexidine gluconate (CHG) wipes. Which actions will the nurse take? (Select all that apply.)

The nurse is caring for a patient with cognitive impairments. Which actions will the nurse take during AM care? (Select all that apply.)

The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?

The nurse is caring for an older-adult patient with Alzheimer's disease who is ambulatory but requires total assistance with activities of daily living (ADLs) . The nurse notices that the patient is edentulous. Which area should the nurse assess?

The patient must stay in bed for a bed change. Which actions will the nurse implement? (Select all that apply.)

A patient uses an in-the-canal hearing aid. Which assessment is a priority\bold{priority}priority ?

A nurse is providing perineal care to a female patient. Which washing technique will the nurse use?

The patient is diagnosed with athlete's foot (tinea pedis) . The patient says that he is relieved because it is only athlete's foot, and it can be treated easily. Which information should the nurse consider when formulating a response to the patient?

The female nurse is caring for a male patient who is uncircumcised but not ambulatory and has full function of all extremities. The nurse is providing the patient with a partial bed bath. How should perineal care be performed for this patient?

A patient uses an in-the-canal hearing aid. Which assessment is a $\bold{priority}$ ?