Deck 21: Assisting With Hygiene

Question 1

The nursing assistant prepares to provide personal hygiene for an unconscious client. What is the best action for the nursing assistant to take?

A) Examine the skin and mucous membranes and mobility of the joints.
B) Employ vigorous massage to dependent areas during the bath.
C) Determine skin breakdown by uncovering sections of the body.
D) Choose ways to increase the client's independence during bathing.

Answer 1

Examine the skin and mucous membranes and mobility of the joints.

Question 2

When is it most appropriate for a resident to bathe?

A) After dinner
B) Before breakfast
C) Whenever the resident wants to
D) As a part of getting ready for bed

Answer 2

Whenever the resident wants to

Question 3

When is it most appropriate to provide oral care to a person?

A) During evening care
B) Before and after a meal
C) During early morning care
D) Whenever the person requests it

Answer 3

Whenever the person requests it

Question 4

The nursing assistant makes it possible for a resident to read in bed before turning out the lights. This shows that the nursing assistant's professional attitude supports:

A) efficiency in the workplace.
B) caring and compassion.
C) respect for the facility's policies.
D) reading as a valuable recreational activity.

Question 5

Which resident would most likely require PRN (as-needed) hygiene care? A resident:

A) who can manage activities of daily living (ADLs) independently.
B) who wishes to bathe in the evening instead of in the morning.
C) with specific religious requirements concerning bathing.
D) who is incontinent of urine and stool.

Question 6

A resident refuses to take a bath, reporting being tired and wanting to sleep. The nursing assistant will first:

A) insist that the resident bathe.
B) allow the resident to skip the bath.
C) report the resident's refusal to the nurse
D) suggest the bath be postponed.

Question 7

The nursing assistant administering oral care to an unconscious client detects an unusual smell and determines the client's breath has a fruity odor. What is the appropriate action for the nursing assistant to take?

A) Report the fruity breath to the nurse.
B) Examine for a cause using a light.
C) Determine whether oral care improves the odor.
D) Collect a fingerstick blood sugar.

Question 8

Flossing once a day is recommended for people with natural teeth because:

A) brushing alone is not enough to remove food that lodges between the teeth.
B) flossing helps keep the mucous membranes moist and healthy.
C) brushing helps keep natural teeth shiny and white.
D) flossing helps kill bacteria in the mouth.

Question 9

The nursing assistant avoids placing fingers in the mouth of an unconscious client while providing oral care because:

A) it makes it difficult for an unconscious person to breathe effectively.
B) the lips of the unconscious person are sensitive and they might crack.
C) an unconscious person may bite down involuntarily and without warning.
D) placing the fingers in the mouth of an unconscious person can lead to aspiration.

Question 10

The nursing assistant is providing oral care for an unconscious client. Which action indicates that the nursing assistant requires further instruction?

A) Raising the head of the bed to 30° and positioning the bed at waist level.
B) Holding the toothbrush against the teeth at a 30° angle.
C) Turning the client to the side to view the mouth.
D) Washing hands and donning gloves using supplies on an overbed table.

Question 11

Why is it important for the nursing assistant to wear gloves when assisting a person with oral care?

A) The person may cough.
B) The person's gums may bleed.
C) To keep the nursing assistant's hands from getting chapped.
D) To protect the person from pathogens on his or her hands.

Question 12

The nursing assistant prepares to provide oral care at bedtime for a client with dentures. What is the best action for the nursing assistant to take?

A) Cleanse dentures using a toothbrush and toothpaste to scrub all surfaces and rinse with hot water.
B) Use a clean denture cup with 50/50 mouthwash and warm water to store clean dentures.
C) Wrap dentures in dry gauze and store in a clean denture cup in the top drawer of the bedside table.
D) Encourage the client to brush gums with a soft-bristle toothbrush and rinse with full strength mouthwash.

Question 13

The nursing assistant is administering oral care for an unconscious client with dentures who will be going to surgery. Which is the appropriate series of actions for the nursing assistant to take?

A) Turn the client to the side with the head of the bed elevated; leave dentures in; rinse the mouth with 50/50 mouthwash and lukewarm water.
B) Remove dentures; store dentures in a denture cup with hot water; label with the client's name and room number in the client's overbed table.
C) Remove dentures; clean with a soft toothbrush and denture cleaner; clean gums with oral care swab; rinse with diluted mouthwash; store in labeled denture cup.
D) Remove dentures; clean with a soft toothbrush and diluted mouthwash; store in a labeled dry denture cup; rinse the client's mouth with lukewarm water.

Question 14

What would the nursing assistant do to preserve the person's sense of modesty while providing perineal care?

A) Explain the procedure in detail.
B) Drape the person's body with a bath blanket.
C) Perform the care in a stern but professional manner.
D) Keep up a lively conversation during the bath.

Question 15

What is circumcision?

A) Removing the foreskin of the penis
B) Cleaning and rinsing process used on the penis
C) The fold of loose skin that covers the head of the penis
D) A tight band around the penis that causes pain and swelling

Question 16

How is the vulva appropriately washed?

A) Stroking from the top toward the anus, using a different part of the washcloth for each stroke
B) Stroking from the bottom up, cleaning the middle and then each side
C) Stroking from the bottom up, cleaning each side and then the middle
D) Stroking in a circular motion over the entire area

Question 17

How is the anal area cleaned when giving a complete bath?

A) By moving from the front of the body toward the back
B) By spraying the area with warm water
C) By having the person sit in the washbasin
D) By moving in a circular motion

Question 18

When is perineal care completed?

A) At the beginning of the bath
B) Before the back is washed
C) After the feet are washed
D) At the end of the bath

Question 19

The nursing assistant observing a new nursing student providing perineal care should intervene at what step? The nursing student:

A) collects washcloths, towels, and soapless cleanser.
B) prepares a basin of water and begins to use it.
C) prepares the overbed table by cleaning it.
D) raises the bed to waist level and lowers the head of the bed.

Question 20

The nursing assistant prepares to provide perineal care to a resident who is incontinent. What action is appropriate for the nursing assistant to take?

A) Cleanse the perineal area from front to back using a soapless cleanser.
B) Use antiseptic soap to clean the perineal area and allow to dry.
C) Choose the use of lukewarm water and apply petroleum jelly.
D) Collect one washcloth and one towel to perform the perineal care.

Question 21

The nursing assistant examines the client's scalp while preparing to groom their hair and sees the following:
What action should the nursing assistant take?

A) Use an antidandruff shampoo.
B) Report the observation to the nurse.
C) Wear gloves when brushing hair.
D) Apply a hair conditioner for dry hair.

Question 22

The nursing assistant provides a partial bath for a client and uses a washcloth without soap to clean the face and then provides soap and a basin for the client to wash, rinse, and dry their hands. What is the appropriate series of actions for the nursing assistant to take next?

A) Wash the back with a new basin of water and soapless cleaner, then dry and provide a backrub.
B) Change the water and provide perineal care using a clean washcloth and soap, then rinse with another clean washcloth.
C) Wash the axillae with the same washcloth and soap then rinse, dry, and apply deodorant.
D) Soak the client's feet in a fresh basin and cleanse with soapless cleanser, then dry and apply lotion.

Question 23

The nursing assistant prepares to assist a resident with a tub bath. What is the appropriate action for the nursing assistant to take first?

A) Ask the resident to check the water temperature to see if it is warm enough for their liking.
B) Use a bath towel on the floor to prevent slipping.
C) Leave and return to check on the resident in 5 minutes.
D) Instruct the resident to use the call light when they get out of the bath.

Question 24

It is true that when assisting a person with bathing, the nursing assistant will:

A) lock the door to the tub room to provide privacy for the person.
B) open the curtains or blinds in the tub room to let the sunshine in.
C) test the temperature of the water by asking the resident if it is too hot.
D) check the nursing care plan to find out what type of bath the person is to receive.

Question 25

The nursing assistant prepares the shower for an older adult resident who needs assistance with mobility. What is the correct action for the nursing assistant to take?

A) Instruct the resident to stand and hold the grab bar.
B) Use a towel on the bottom of the shower floor.
C) Confirm that the water temperature is at 105°F.
D) Choose bathing supplies for the resident to use.

Question 26

Taking which action while bathing a resident would indicate that the nursing assistant needs additional instructions on bathing techniques?

A) Patting the skin dry
B) Rinsing the skin thoroughly
C) Monitoring the temperature of the water
D) Washing from the dirtiest to the cleanest

Question 27

Being encouraged to brush teeth independently supports a client's sense of self-worth as well as:

A) frees up some of the nursing assistant's time.
B) increases the muscle tone in the client's arms.
C) encourages client o eat fewer sweets.
D) occupies some of the client's time.

Question 28

The nursing assistant is providing oral care for a resident who requires minimal help with toothbrushing. The resident's self-worth is best supported when the nursing assistant:

A) provides oral care every 2 hours.
B) uses the resident's favorite toothpaste.
C) provides oral care each time the resident eats.
D) talks with the resident when performing oral care.

Question 29

How often does an unconscious client require oral care?

A) 4 to 5 times a day
B) Every 1 to 2 hours
C) Before meals and at bedtime
D) When receiving medication

Question 30

What does the term edentulous mean?

A) Without teeth
B) With dentures
C) Missing some teeth
D) The presence of natural teeth

Question 31

The nursing assistant providing perineal care should immediately report to the nurse any:

A) usual discharge from the vagina or the penis.
B) request by the client to wash the area without help.
C) indications that the resident is embarrassed by the care.
D) request by the resident for additional cleaning of the area.