Deck 15: Personal Care

Question 1

While observing a student nurse performing a bed bath, a nursing instructor recognizes that additional instruction is needed when the student

A) Covers the patient with a bath blanket.
B) Changes the water after bathing the feet.
C) Washes extremities from proximal to distal.
D) Washes from the cleanest areas to the dirtiest area.

Answer 1

Washes extremities from proximal to distal.

Question 2

When ambulating with physical therapy, a patient complains of sweating on his forehead, upper lip, and the palms of his hands. The nurse recognizes the glands responsible for this are called the

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

Answer 2

Exocrine glands.

Question 3

While supervising a student nurse who is providing patient care, a nursing instructor intervenes when hearing a student nurse tell a patient:

A) "I will be happy to help you with your bath if you are ready."
B) "You don't want me to help with your bath now, do you?"
C) "Would you like me to give you a back rub when I help you with your bath?"
D) "Would you like help with your bath now, or would you prefer that I come back in an hour?"

Answer 3

"You don't want me to help with your bath now, do you?"

Question 4

While performing a morning assessment on a terminally ill patient, the nurse observes a generalized purplish blotching of the patient's skin. The nurse identifies this finding as

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

Question 5

While supervising a student, a nurse intervenes when the student performs a bed bath and

A) Covers the patient with a bath blanket.
B) Uncovers the entire body when washing.
C) Washes extremities from distal to proximal.
D) Folds the washcloth into a mitt around the hand.

Question 6

A nurse is providing oral care to an unconscious patient. The nurse attempts to minimize any chance of aspiration of fluids by placing the patient in a

A) Prone position.
B) Supine position.
C) Lateral position.
D) Lithotomy position.

Question 7

An instructor is teaching students about addressing a patient's environmental concerns. The instructor identifies that additional instruction is needed when a student says:

A) "I should keep the patient's door closed or nearly closed to help block out hallway noise and activity."
B) "I should only wear lightly scented perfumes, colognes, or body lotions while caring for patients."
C) "I should remove food trays promptly if the patient does not wish to eat."
D) "I should not remove personal items from within reach of the patient without their permission."

Question 8

When providing a bed bath, a nurse assesses the patient's skin. The nurse observes an area of skin on the buttocks that is softened from continuous exposure to urine. The nurse identifies this as

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

Question 9

A student nurse correctly performs a bed bath by

A) Changing the water after bathing the feet.
B) Washing extremities from proximal to distal.
C) Washing with the same water throughout the bath.
D) Washing from the dirtiest areas to the cleanest area.

Question 10

A certified nursing assistant (CNA) is assisting a patient with bathing. A charge nurse intervenes when the CNA

A) Helps the patient with bathing as needed.
B) Stays nearby while the patient bathes.
C) Observes how the patient tolerates the activity of bathing.
D) Places a pan of water with soap in front of the patient and disappears.

Question 11

A nurse is caring for a patient who is lethargic, unable to tolerate standing for long periods, and short of breath with exertion. The nurse determines that the most appropriate type of bath for this patient is a

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

Question 12

While showering a patient, a nurse recognizes that the heat of the shower can cause the patient to experience

A) Vasodilation.
B) Hypertension.
C) Vasoconstriction.
D) Narrowing of blood vessels.

Question 13

The glands that are responsible for producing sweat in the axillae and genital areas during stressful circumstances are called the

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

Question 14

An older patient requires assistance with the removal of her new custom-fit hearing aids. The first thing her nurse should do is

A) Turn the earmold slightly toward the patient's nose and lift out.
B) Check the battery by turning the hearing aid to full volume.
C) Clean the screen or filter.
D) Turn off the hearing aid.

Question 15

The glands that secrete sebum onto the skin surface or into hair follicles to keep the skin and hair lubricated are called

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

Question 16

A nurse delegates early-morning care to a certified nursing assistant (CNA). The nurse intervenes when observing the CNA

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

Question 17

A nurse applies hand mitts to a patient who has been repeatedly scratching himself. While assessing the patient's skin, the nurse notes scrapes where the patient had scratched. The nurse identifies this as

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

Question 18

A patient with an ocular prosthesis (artificial eye) requires a nurse's help removing it for cleaning. The nurse assists the patient by

A) Removing the prosthesis like a thick contact lens.
B) Unscrewing the prosthesis from the eye socket.
C) Using a small suction cup on a hollow handle to help remove the prosthesis.
D) Pressing on either side of the prosthesis until it pops out.

Question 19

While taking a shower, a patient becomes light-headed and dizzy. A nurse recognizes that these symptoms are most likely the result of

A) Hypotension.
B) Hypertension.
C) Vasoconstriction.
D) Narrowing of blood vessels.

Question 20

When delegating bedtime care to a nursing student, a nurse intervenes when observing the student

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 21

When providing personal care to a child, a nurse should do which of the following?

A) Respect the child's need for privacy.
B) Knock before entering the child's room.
C) Enter the child's room without knocking.
D) Consider the importance of modesty to the child.
E) Leave the room door open while the child is bathing.

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?

A) Shaving a patient
B) Showering a patient
C) Washing a patient's hair
D) Assisting a patient with dressing
E) Assisting a patient with denture care

Question 23

An instructor is teaching students about providing oral care on an unconscious patient. The teacher realizes that additional instruction is required when a student says:

A) "I should assess the mouth for lesions and dried mouth secretions known as sordes."
B) "I must position the patient to minimize any chance of aspiration of fluids."
C) "I should use lemon-glycerin swabs to clean the lips and inside of the mouth."
D) "I should apply a water-soluble lip balm to keep the lips moist."

Question 24

A nursing instructor is teaching students about bathing patients. Which of the following are benefits of bathing?

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

Question 25

While educating a class of nursing students, a nursing instructor teaches which of the following about back massages?

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

Question 26

While helping a patient clean his natural blind globe prosthesis, a nurse makes a mistake by

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

Question 27

A nurse overhears a student nurse talking about making patients' hospital beds. The nurse feels the need to intervene when the student says:

A) "I must make certain the bed rails are raised on the opposite side of the bed from where I am working."
B) "Making the bed in a hospital is just like making my bed at home."
C) "A poorly made bed can contribute to the development of pressure ulcers."
D) "Draw sheets are used to help lift and turn heavier patients."

Question 28

When providing personal care to older adults, a nurse should do which of the following?

A) Bathe them daily.
B) Apply lotion to the skin frequently.
C) Refrain from applying lotion to the skin.
D) Keep the environment warm when giving a bath.
E) Provide frequent perineal care to incontinent patients.

Question 29

A student nurse is making up a bed while the patient is out receiving therapy. A supervising nurse intervenes when the student

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

Question 30

When assisting a patient with bedtime care, a nurse demonstrates caring by doing which of the following?

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 31

An instructor is discussing circumstances that could make the removal of jewelry in piercings necessary. The instructor intervenes when a student says:

A) "It is necessary to remove jewelry from a piercing if it interferes with intubation."
B) "Stainless-steel and titanium jewelry must be removed before magnetic resonance imaging (MRI)."
C) "A Prince Albert piercing will need to be removed before catheterization."
D) "New piercings must be kept clean and monitored for infections."
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 32

A nurse encounters a bed made up with the top linens fanfolded to the side of the bed. The nurse identifies this as a(n)

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

Question 33

While assisting a patient with bathing, a nurse is responsible for which of the following?

A) Assessing the patient's skin
B) Leaving the patient without a gown
C) Being alert to signs of patient fatigue
D) Completing the bath in an untimely manner
E) Being prepared to assume responsibility for the bath

Question 34

A nurse is caring for a male patient who is able to do very little or nothing for himself. The nurse identifies that this type of patient requires

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

Question 35

Performing hair care gives a nurse a chance to assess a patient's scalp for which of the following?

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

Question 36

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

A) Flat position.
B) Fowler position.
C) Trendelenburg position.
D) Semi-Fowler position.

Question 37

While providing oral care for patients, a nurse should assess the mouth for

A) Decaying, broken, or missing teeth.
B) Ulcerations of the mucosa.
C) Leukoplakia.
D) All of the above.

Question 38

Place the necessary steps for the removal of a patient's contact lenses in the correct order (1-6). (Enter the number of each step in the proper sequence, do not use commas).
1. Hard lenses will pop out between your fingers. Soft lenses will wrinkle off the eye, and you can grasp them with your fingers.
2. Fill the wells, covering the lenses with saline or special soaking solution according to the patient's routine.
3. Pull down on the lower lid and place one finger across the top of the upper lid, applying gentle but firm pressure.
4. Wash your hands and put on gloves.
5. Hold the lens gently and carefully while you place it in the appropriate well of the lens case, either left or right.
6. Ask the patient to blink.

Question 39

When performing a bed bath, a nurse should do which of the following?

A) Cover the patient with a bath blanket.
B) Uncover the entire body when washing.
C) Wash extremities from distal to proximal.
D) Fold the washcloth into a mitt around the hand.
E) Wash from the dirtiest areas to the cleanest areas.

Question 40

A patient arrives in the emergency department with a head injury. The patient is obviously in shock. A nurse should place the patient's bed in the

A) Fowler position.
B) Trendelenburg position.
C) Semi-Fowler position.
D) Flat position.