Exam (elaborations)
Chapter 15. Personal Care
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 15. Personal Care
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Chapter 15. Personal CareMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse delegates early-morning care to a certified nursing assistant (CNA). The nurse intervenes when
observing the CNA
1. Shaving a patient with an electric razor.
2. Assisting a patient on bedrest with the bedpan.
3. Brushing a patient’s hair.
4. Dimming the lights.
2. When delegating bedtime care to a nursing student, a nurse intervenes when observing the student
1. Dimming the patient’s lights.
2. Removing the patient’s urinal.
3. Removing the patient’s dentures.
4. Removing the patient’s hearing aids.
3. 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
1. Mottling.
2. Maceration.
3. Excoriation.
4. Evisceration.
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
1. Mottling
2. Maceration
3. Excoriation
4. Evisceration
5. 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
1. Mottling.
2. Maceration.
3. Excoriation.
4. Evisceration.
6. The glands that secrete sebum onto the skin surface or into hair follicles to keep the skin and hair lubricated
are called
1. Apocrine glands.
2. Exocrine glands.
3. Endocrine glands.
4. Sebaceous glands.
7. The glands that are responsible for producing sweat in the axillae and genital areas during stressful
circumstances are called the
1. Apocrine glands.
2. Exocrine glands.
3. Endocrine glands.
4. Sebaceous glands.
, 8. 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
1. Apocrine glands.
2. Exocrine glands.
3. Endocrine glands.
4. Sebaceous glands.
9. While supervising a student nurse who is providing patient care, a nursing instructor intervenes when hearing
a student nurse tell a patient:
1. “I will be happy to help you with your bath if you are ready.”
2. “You don’t want me to help with your bath now, do you?”
3. “Would you like me to give you a back rub when I help you with your bath?”
4. “Would you like help with your bath now, or would you prefer that I come back in
an hour?”
10. A certified nursing assistant (CNA) is assisting a patient with bathing. A charge nurse intervenes when the
CNA
1. Helps the patient with bathing as needed.
2. Stays nearby while the patient bathes.
3. Observes how the patient tolerates the activity of bathing.
4. Places a pan of water with soap in front of the patient and disappears.
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
1. Shower.
2. Bed bath.
3. Tub bath.
4. Therapeutic bath.
12. While supervising a student, a nurse intervenes when the student performs a bed bath and
1. Covers the patient with a bath blanket.
2. Uncovers the entire body when washing.
3. Washes extremities from distal to proximal.
4. Folds the washcloth into a mitt around the hand.
13. While observing a student nurse performing a bed bath, a nursing instructor recognizes that additional
instruction is needed when the student
1. Covers the patient with a bath blanket.
2. Changes the water after bathing the feet.
3. Washes extremities from proximal to distal.
4. Washes from the cleanest areas to the dirtiest area.
14. A student nurse correctly performs a bed bath by
1. Changing the water after bathing the feet.
2. Washing extremities from proximal to distal.
3. Washing with the same water throughout the bath.
4. Washing from the dirtiest areas to the cleanest area.
15. While showering a patient, a nurse recognizes that the heat of the shower can cause the patient to experience
1. Vasodilation.
2. Hypertension.
3. Vasoconstriction.
, 4. Narrowing of blood vessels.
16. While taking a shower, a patient becomes light-headed and dizzy. A nurse recognizes that these symptoms are
most likely the result of
1. Hypotension.
2. Hypertension.
3. Vasoconstriction.
4. Narrowing of blood vessels.
17. 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
1. Prone position.
2. Supine position.
3. Lateral position.
4. Lithotomy position.
18. A patient with an ocular prosthesis (artificial eye) requires a nurse’s help removing it for cleaning. The nurse
assists the patient by
1. Removing the prosthesis like a thick contact lens.
2. Unscrewing the prosthesis from the eye socket.
3. Using a small suction cup on a hollow handle to help remove the prosthesis.
4. Pressing on either side of the prosthesis until it pops out.
19. An older patient requires assistance with the removal of her new custom-fit hearing aids. The first thing her
nurse should do is
1. Turn the earmold slightly toward the patient’s nose and lift out.
2. Check the battery by turning the hearing aid to full volume.
3. Clean the screen or filter.
4. Turn off the hearing aid.
20. An instructor is teaching students about addressing a patient’s environmental concerns. The instructor
identifies that additional instruction is needed when a student says:
1. “I should keep the patient’s door closed or nearly closed to help block out hallway
noise and activity.”
2. “I should only wear lightly scented perfumes, colognes, or body lotions while caring for
patients.”
3. “I should remove food trays promptly if the patient does not wish to eat.”
4. “I should not remove personal items from within reach of the patient without their
permission.”
21. While helping a patient clean his natural blind globe prosthesis, a nurse makes a mistake by
1. Assessing the socket for large amounts of thick yellow or green mucus.
2. Irrigating the eye socket with eye irrigating solution.
3. Wiping off the cornea area with a clean, dry cloth.
4. Cleansing the prosthesis with sterile water or saline.
22. 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)
1. Closed bed.
2. Open bed.
3. Surgical bed.
4. Occupied bed.
, 23. A nurse overhears a student nurse talking about making patients’ hospital beds. The nurse feels the need to
intervene when the student says:
1. “I must make certain the bed rails are raised on the opposite side of the bed from where I
am working.”
2. “Making the bed in a hospital is just like making my bed at home.”
3. “A poorly made bed can contribute to the development of pressure ulcers.”
4. “Draw sheets are used to help lift and turn heavier patients.”
24. A student nurse is making up a bed while the patient is out receiving therapy. A supervising nurse intervenes
when the student
1. Puts soiled linens on the floor.
2. Sprays a damp mattress with a disinfectant spray.
3. Removes the pillow from the pillowcase and places it in a chair.
4. Tucks the draw sheet between the mattress and springs.
25. A patient has been placed on a feeding tube. To prevent aspiration, a nurse should place the patient’s bed in
the
1. Flat position.
2. Fowler position.
3. Trendelenburg position.
4. Semi-Fowler position.
26. 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
1. Fowler position.
2. Trendelenburg position.
3. Semi-Fowler position.
4. Flat position.
27. 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
1. Self-care.
2. Assisted care.
3. Supervised care.
4. Total care.
28. While providing oral care for patients, a nurse should assess the mouth for
1. Decaying, broken, or missing teeth.
2. Ulcerations of the mucosa.
3. Leukoplakia.
4. All of the above.
29. 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:
1. “I should assess the mouth for lesions and dried mouth secretions known as sordes.”
2. “I must position the patient to minimize any chance of aspiration of fluids.”
3. “I should use lemon-glycerin swabs to clean the lips and inside of the mouth.”
4. “I should apply a water-soluble lip balm to keep the lips moist.”
30. An instructor is discussing circumstances that could make the removal of jewelry in piercings necessary. The
instructor intervenes when a student says:
1. “It is necessary to remove jewelry from a piercing if it interferes with intubation.”
2. “Stainless-steel and titanium jewelry must be removed before magnetic resonance imaging
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