1.

Which appropriate intervention can the nursing assistive personal perform to an elderly patient
during the bath? *
1 point

change the surgical dressing

determine treatment of the pressure ulcer
provide range of motion exercise to lower extremities
check distal pulses

2. If the nurse is taking care of a patient with reduced level of

consciousness, which physical assessment technique should she do
first before performing oral hygiene? *
1 point

open the mouth with a tongue depressor

check response to painful stimuli
check for presence of gag reflex
check the heart rate

3. Patients at risk for poor hygiene may use the following

interventions for oral care EXCEPT: *
1 point

use antimicrobial toothpaste

use a soft-bristled toothbrush for oral care
use CHG oral rinses
brush teeth 4 times a day

4. To ensure safe and individualized patient care, the nurse should

remember all these important points EXCEPT: *
1 point

identify the patient using 2 identifiers.

Always perform hygiene measures from the dirtiest to the cleanest.
Always test the temperature of water before bathing to avoid injury.
Use principles of body mechanics and safe patient handling.
5. What is the rationale of offering patient bedpan or urinal before the
bath? *
1 point

To provide patient privacy

To keep patient comfortable
To prevent interruption of bath
To reduce transmission of microorganisms

6. If the nurse has to remove the gown of a patient with an IV line, on

which arm should you remove first? *
1 point

arm with the IV line

arm without IV line
either the left or right arm
on the affected arm

7. After cleaning the eyes and face, the nurse would clean next the: *
1 point

chest and abdomen

upper extremities
back and buttocks
lower extremities

8. The best position in performing perineal care for female patients

is: *
1 point

supine with knees flexed

dorsal recumbent
Sim's position
side-lying position

9. The best position for male patient during perineal care is: *
1 point

supine with legs slightly abducted

dorsal recumbent
side-lying position
Sim's position
10. The rationale for cleaning the back, buttocks and then is anus
is: *
1 point

Clean from the cleanest to the dirtiest part

Promote blood circulation
Prevent contamination of water inside the pail
All of the above

11. In bathing using CHG cleansing pack, the nurse uses the last
towel in cleaning the: *
1 point

perineal area
lower extremities
neck, back and buttocks
either of the 3

12. Soaking of the feet of a diabetic patient is not recommended

because of the following reasons EXCEPT: *
1 point

it may lead to laceration

results to excessive softening
leads to tissue breakdown
causes drying of the skin

13. The nurse washes the legs of the client from distal to proximal
because: *
1 point

It covers a larger area of the leg

It completes care faster.
It prevents blood clots on the legs
it promotes venous return or circulation.

14. Integrity of the oral mucosa depends on salivary secretions.

Which of the following factors impair salivary secretions? *
1 point

use of cough drops

immunosuppression
dehydration
presence of oral airway

15. The primary reason for covering patient during bed bath is: *
1 point

easier for the nurse to perform bathing

to maintain client's comfort throughout the procedure
to allow the client to sleep while bathing
to provide warmth and privacy

16. Chlorhexidine gluconate is safe to use on perineum and external

mucosa. *
1 point

TRUE
FALSE

17. In cleaning the eyes, we have to start from outer to inner

canthus. *
1 point

TRUE
FALSE

18. In changing the client's gown with IV line, we have to disconnect

the tubing to finish the procedure fast. *
1 point

TRUE
FALSE

19. It is the early sign of aspiration. *

1 point
20. It is an oral problem with receding of the gums, inflammation and
gaps between teeth. *
1 point

Periodontitis

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