NMNC 1135 Exam 1 Questions and Answers 100% Correct
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Course
NMNC 1135
Institution
NMNC 1135
NMNC 1135 Exam 1 Questions and Answers 100% CorrectNMNC 1135 Exam 1 Questions and Answers 100% CorrectNMNC 1135 Exam 1 Questions and Answers 100% CorrectNMNC 1135 Exam 1 Questions and Answers 100% Correct
What is the proper position to use for an unresponsive patient during oral care to prevent as...
NMNC 1135 Exam 1 Questions and
Answers 100% Correct
What is the proper position to use for an unresponsive patient during oral care to
prevent aspiration? (Select all that apply.)
a. Prone position
b. Sims' position
c. Semi-Fowler's position with head to side
d. Trendelenburg position
e. Supine position - ANSWER - b,c
The student nurse is teaching a family member the importance of foot care for his
or her mother, who has diabetes. Which safety precautions are important for the
family member to know to prevent infection? (Select all that apply.)
a. Cut nails frequently.
b. Assess skin for redness, abrasions, and open areas daily.
c. Soak feet in water at least 10 minutes before nail care.
d. Apply lotion to feet daily.
e. Clean between toes after bathing. - ANSWER - b,d,e
Integrity of the oral mucosa depends on salivary secretion. Which of the following
factors impairs salivary secretion? (Select all that apply.)
a. Use of cough drops
b. Immunosuppression
c. Radiation therapy
d. Dehydration
e. Presence of oral airway - ANSWER - c,d
Place the following steps in the correct order for administration of oral care.
,a. If patient is uncooperative or having difficulty keeping mouth open, insert an oral
airway.
b. Raise bed, lower side rail, and position patient close to side of bed with head of
bed raised up to 30 degrees.
c. Using a brush moistened with chlorhexidine paste, clean chewing and inner tooth
surfaces first.
d. For patients without teeth, use a toothette moistened in chlorhexidine rinse to
clean oral cavity.
e. Remove partial plate or dentures if present.
f. Gently brush tongue, but avoid stimulating gag reflex. - ANSWER - b,e,a,c,f,d
The nurse delegates needed hygiene care for an alert elderly patient who had a
stroke. Which intervention would be appropriate for the assistive personnel to
accomplish during the bath? (Select all that apply)
a. Checking distal pulses
b. Providing range-of-motion (ROM) exercises to extremities
c. Determining type of treatment for stage 1 pressure injury
d. Changing the dressing over an intravenous site
e. Providing special skin care - ANSWER - b,e
A nurse is assigned to care for the following patients. Which patient is most at risk
for developing skin problems and thus requiring thorough bathing and skin care?
a. A 44-year-old female patient who has had removal of a breast lesion and is
having her menstrual period
b. A 56-year-old male patient who is homeless and admitted to the emergency
department with malnutrition and dehydration and who has an intravenous line
c. A 60-year-old female patient who experienced a stroke with right-sided paralysis
and has an orthopedic brace applied to the left leg
d. A 70-year-old patient who has diabetes and dementia and has been incontinent
of stool - ANSWER - d
When the nurse is assigned to a patient who has a reduced level of consciousness
and requires mouth care, which physical assessment techniques should the nurse
perform before the procedure? (Select all that apply.)
,a. Oxygen saturation
b. Heart rate
c. Respirations
d. Gag reflex
e. Response to painful stimulus - ANSWER - c,d
The American Dental Association suggests that patients who are at risk for poor
hygiene use the following interventions for oral care: (Select all that apply.)
a. Use antimicrobial toothpaste.
b. Brush teeth 4 times a day.
c. Use 0.12% chlorhexidine gluconate (CHG) oral rinses.
d. Use a soft toothbrush for oral care.
e. Avoid cleaning the gums and tongue. - ANSWER - a,c,d
While planning morning care, which of the following patients would have the highest
priority to receive his or her bath first?
a. A patient who just returned to the nursing unit from a diagnostic test
b. A patient who prefers a bath in the evening when his wife visits and can help him
c. A patient who is experiencing frequent incontinent diarrheal stools and urine
d. A patient who has been awake all night because of pain 8/10
e. A patient with a malignant brain tumor requires oral care. The patient's level of
consciousness has declined, with the patient only being able to respond to voice
commands. - ANSWER - c
The nurse observes an adult Middle Eastern patient attempting to bathe himself
with only his left hand. The nurse recognizes that this behavior likely relates to:
a. Obsessive-compulsive behavior.
b. Personal preferences.
c. The patient's cultural norm.
d. Controlling behaviors. - ANSWER - c
, A patient receiving chemotherapy experiences stomatitis. The nurse advises the
patient to use:
a. Community mouthwash.
b. Alcohol-based mouth rinse.
c. Normal saline rinses.
d. Firm toothbrush. - ANSWER - c
A nurse is listening to a student provide instruction to a patient who is having
difficulty with activities needed to care for soft contact lenses. Which of the
following statements by the nursing student might require some correction by the
nurse?
a. Use tap water to clean soft lenses.
b. Follow recommendations of lens manufacturer when inserting the lenses.
c. Keep lenses moist or wet when not worn.
d. Use fresh solution daily when storing and disinfecting lenses. - ANSWER - a
A nurse uses long firm, strokes distal to proximal while bathing a patient's legs
because:
a. It promotes venous circulation.
b. It covers a larger area of the leg.
c. It completes care in a timely fashion.
d. It prevents blood clots in legs. - ANSWER - a
When a nurse delegates hygiene care for a male patient to a nurse assistant, the
assistant must use an electric razor to shave the patient with the following
diagnosis:
a. Congestive heart failure
b. Pneumonia
c. Arthritis
d. Thrombocytopenia - ANSWER - d
An 88-year-old patient comes to the medical clinic regularly. During a recent visit
the nurse noticed that the patient had lost 10 lbs in 6 weeks without being on a
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