Deck 15: Personal Care

Question 1

A nurse encounters a bed made up with the top linens fanfolded to the side of the bed.The nurse documents this as which type of bed?

A)Open
B)Closed
C)Surgical
D)Occupied

Answer 1

Surgical

Question 2

A nurse provides oral care to an unconscious patient.Which patient position enhances the patient's safety during this procedure?

A)Prone
B)Supine
C)Side-lying
D)Lithotomy

Answer 2

Side-lying

Question 3

A nurse delegates early-morning care to a certified nursing assistant (CNA).Which observation necessitates intervention by the nurse?

A)Dimming the lights
B)Brushing a patient's hair
C)Shaving a patient with an electric razor
D)Assisting a patient on bedrest with the bedpan

Answer 3

Dimming the lights

Question 4

When delegating patient bedtime care to a nursing assistant, the nurse intervenes if which is observed?

A)Dimming the patient's lights
B)Removing the patient's urinal
C)Removing the patient's dentures
D)Removing the patient's hearing aids

Question 5

Which certified nursing assistant (CNA)action while making a bed for a patient who is out receiving therapy requires an intervention by the nurse?

A)Puts soiled linens on the floor
B)Sprays a damp mattress with a disinfectant spray
C)Tucks the draw sheet between the mattress and springs
D)Removes the pillow from the pillowcase and places it in a chair

Question 6

When providing a bed bath, the nurse monitors the patient's skin.The nurse observes an area of skin on the buttocks that is softened from continuous exposure to urine.Which term does the nurse use when documenting this finding?

A)Mottling
B)Maceration
C)Excoriation
D)Evisceration

Question 7

The nurse provides care to a patient who is lethargic and unable to tolerate standing for long periods.The patient experiences dyspnea on exertion.Which type of bath is best for the nurse to implement with this patient?

A)Shower
B)Bed bath
C)Tub bath
D)Therapeutic bath

Question 8

The nurse provides care to an older adult patient who requires assistance with the removal of newly custom-fit hearing aids.Which is the first action by the nurse when assisting the patient with this task?

A)Cleaning the screen or filter
B)Powering the hearing aid down
C)Checking the battery by turning the hearing aid to full volume
D)Turning the earmold slightly toward the patient's nose and lift out

Question 9

The nurse provides care for a patient after a cardiac catheterization.In which position does the nurse place the bed for this patient?

A)Fowler's
B)Semi-Fowler's
C)Trendelenburg
D)Reverse Trendelenburg

Question 10

Which type of care does the nurse include in the plan of care for a patient who requires assistance bathing the lower extremities?

A)Independent care
B)Assisted care
C)Total care
D)Self-care

Question 11

A patient has been placed on a feeding tube.To prevent aspiration, in which position does the nurse place the patient's bed?

A)In a flat position
B)In the Fowler position
C)In a semi-Fowler position
D)In the Trendelenburg position

Question 12

The nurse provides care for a patient after a lumbar puncture.Which position does the nurse place the bed for this patient?

A)Flat
B)Fowler's
C)Semi-Fowler's
D)Trendelenburg

Question 13

Which patient statement regarding jewelry and piercings requires the nurse to reinforce teaching?

A)"My Prince Albert piercing will need to be removed before catheterization."
B)"It may be necessary to remove jewelry from a piercing if it interferes with my airway."
C)"Since my piercing is new, I will need help to keep it clean and to monitor for infection."
D)"My stainless-steel and titanium jewelry must be removed before the magnetic resonance imaging (MRI)."

Question 14

The nurse plans care for a patient who has an infected wound who requires some assistance with bathing.Which type of bath is best for the nurse to implement for this patient?

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

Question 15

Which patient action when caring for a natural blind globe prosthesis indicates to the nurse the need to reinforce teaching?

A)Wiping off the cornea area with a clean, dry cloth
B)Cleansing the prosthesis with sterile water or saline
C)Irrigating the eye socket with eye irrigating solution
D)Informing the provider if large amounts of thick yellow or green mucus are noted

Question 16

While taking a shower, a patient becomes light-headed and dizzy.When reporting this occurrence to the health-care provider, which statement is accurate from the nurse?

A)"The patient became light-headed and dizzy in the shower due to hypotension."
B)"The patient became light-headed and dizzy in the shower due to hypertension."
C)"The patient became light-headed and dizzy in the shower due to vasoconstriction."
D)"The patient became light-headed and dizzy in the shower due to narrowing of blood vessels."

Question 17

The nurse provides care to a patient who reports sweating on his forehead, upper lip, and the palms of his hands during ambulation.When responding to the patient about this occurrence, the nurse recognizes which gland as being responsible for this phenomenon?

A)Exocrine
B)Apocrine
C)Endocrine
D)Sebaceous

Question 18

The nurse provides care to a patient with an infected leg wound.Which type of bath does the nurse anticipate will be included in the patient's plan of care?

A)Shower
B)Partial bath
C)Therapeutic bath
D)Complete bed bath

Question 19

The nurse provides care to a patient who is able to do very little to nothing for self.Which type of care does the nurse include in the patient's plan of care?

A)Self-care
B)Total care
C)Assisted care
D)Supervised care

Question 20

Which statement regarding addressing a patient's environmental controls requires the nurse to reinforce education with the patient?

A)"Food trays should be removed promptly if the patient does not wish to eat."
B)"Patient doors should be closed or nearly closed to help block out hallway noise and activity."
C)"Personal items should be within reach of the patient and not touched without their permission."
D)"Lightly scented perfumes, colognes, or body lotions are not appropriate when providing patient care."

Question 21

While educating a class of nursing students, a nursing instructor teaches which about back massages? Select all that apply.

A)Stimulate circulation
B)Decrease circulation
C)Can cause bradycardia
D)Prevent pressure ulcers
E)Can cause vagus nerve depression

Question 22

A nurse delegates activities of daily living (ADLs)to a certified nursing assistant (CNA).ADLs that can be delegated to a CNA include which of the following? Select all that apply.

A)Shaving a patient
B)Showering a patient
C)Taking medication
D)Assisting a patient with dressing
E)Assisting a patient with denture care

Question 23

A nursing instructor is teaching students about bathing patients.Which are benefits of bathing? Select all that apply.

A)Cleanses the skin
B)Increases sensation
C)Promotes circulation
D)Improves self-esteem
E)Allows for assessment of eyes

Question 24

When assisting a patient with bedtime care, a nurse demonstrates caring by doing which of the following? Select all that apply.

A)Dimming the patient's lights
B)Removing the patient's urinal
C)Removing the patient's dentures
D)Removing the patient's call light
E)Removing the patient's hearing aids

Question 25

Performing hair care gives a nurse a chance to monitor a patient's scalp for which of the following? Select all that apply.

A)Nits
B)Sordes
C)Seborrhea
D)Leukoplakia
E)Tinea capitis