NURS 202 MIDTERM | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS &
ANSWERS 2026/2027
What is the proper position to use for an unresponsive patient during oral care to prevent
aspiration? (select all that apply)
1. prone position
2. sim's position
3. semi-fowler's position with head to side
4. Trendelenburg position
5. supine position - correct answer ✔✔2, 3
The student nurse is teaching a family member the importance of foot care for their mother,
who has diabetes. Which safety precautions are important for the family member to know to
prevent infection? (Select all that apply)
1. cut nails frequently
2. assess skin for redness, abrasions, and open areas daily
3. soak feet in water at least 10 minutes before nail care
4. apply lotion to feet daily
5. clean between toes after bathing - correct answer ✔✔2, 4, 5
Integrity of the oral mucosa depends on salivary secretion. Which of the following factors
impairs salivary secretion? (Select all that apply.)
1. Use of cough drops
2. Immunosuppression
3. Radiation therapy
,4. Dehydration
5. Presence of oral airway - correct answer ✔✔3, 4
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?
1. A 44 y.o. female patient who has had removal of a breast lesion and is having her menstrual
period
2. A 56 y.o. male patient who is homeless and admitted to the emergency department with
malnutrition and dehydration and who has an intravenous line
3. A 60 y.o. female patient who experienced a stroke with right-sided paralysis and has an
orthopedic brace applied to the left leg
4. A 70 y.o. patient who has diabetes and dementia and has been incontinent of stool - correct
answer ✔✔4
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)
1. oxygen saturation
2. heart rate
3. respirations
4. gag reflex
5. response to painful stimulus - correct answer ✔✔3, 4
,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)
1. use antimicrobial toothpaste
2. brush teeth 4 times a day
3. use 0.12% chlorhexidine gluconate (CHG) oral rinses
4. use a soft toothbrush for oral care
5. avoid cleaning the gums and tongue - correct answer ✔✔1, 3, 4
While planning morning care, which of the following patients would have the highest priority to
receive their bath first?
1. A patient who just returned to the nursing unit from a diagnostic test
2. A patient who prefers a bath in the evening when his wife visits and can help him
3. A patient who is experiencing frequent incontinent diarrheal stools and urine
4. A patient who has been awake all night because of pain 8/10 - correct answer ✔✔3
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. Place the
following steps in the correct order for administration of oral care.
1. If patient is uncooperative or having difficulty keeping mouth open, insert an oral airway
2. Raise bed, lower side rail, and position patient close to side of bed with head of bed raised up
to 30 degrees
, 3. Using a brush moistened with chlorhexidine paste, clean chewing and inner tooth surfaces
first
4. For patients without teeth, use a toothette moistened in chlorhexidine rinse to clean oral
cavity
5. Remove partial plate or dentures if present
6. Gently brush tongue, but avoid stimulating gag reflex - correct answer ✔✔2, 5, 1, 3, 6, 4
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)
1. checking distal pulses
2. providing ROM exercises to extremities
3. determining type of treatment for stage 1 pressure injury
4. changing the dressing over an intravenous site
5. providing special skin care - correct answer ✔✔2, 5
The nurse observes an adult Middle Eastern patient attempting to bathe himself with only his
left hand. The nurse recognizes that this behavior is likely relates to:
1. Obsessive-compulsive behavior
2. Personal preferences
3. The patient's cultural norms
4. Controlling behaviors - correct answer ✔✔3
ANSWERS 2026/2027
What is the proper position to use for an unresponsive patient during oral care to prevent
aspiration? (select all that apply)
1. prone position
2. sim's position
3. semi-fowler's position with head to side
4. Trendelenburg position
5. supine position - correct answer ✔✔2, 3
The student nurse is teaching a family member the importance of foot care for their mother,
who has diabetes. Which safety precautions are important for the family member to know to
prevent infection? (Select all that apply)
1. cut nails frequently
2. assess skin for redness, abrasions, and open areas daily
3. soak feet in water at least 10 minutes before nail care
4. apply lotion to feet daily
5. clean between toes after bathing - correct answer ✔✔2, 4, 5
Integrity of the oral mucosa depends on salivary secretion. Which of the following factors
impairs salivary secretion? (Select all that apply.)
1. Use of cough drops
2. Immunosuppression
3. Radiation therapy
,4. Dehydration
5. Presence of oral airway - correct answer ✔✔3, 4
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?
1. A 44 y.o. female patient who has had removal of a breast lesion and is having her menstrual
period
2. A 56 y.o. male patient who is homeless and admitted to the emergency department with
malnutrition and dehydration and who has an intravenous line
3. A 60 y.o. female patient who experienced a stroke with right-sided paralysis and has an
orthopedic brace applied to the left leg
4. A 70 y.o. patient who has diabetes and dementia and has been incontinent of stool - correct
answer ✔✔4
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)
1. oxygen saturation
2. heart rate
3. respirations
4. gag reflex
5. response to painful stimulus - correct answer ✔✔3, 4
,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)
1. use antimicrobial toothpaste
2. brush teeth 4 times a day
3. use 0.12% chlorhexidine gluconate (CHG) oral rinses
4. use a soft toothbrush for oral care
5. avoid cleaning the gums and tongue - correct answer ✔✔1, 3, 4
While planning morning care, which of the following patients would have the highest priority to
receive their bath first?
1. A patient who just returned to the nursing unit from a diagnostic test
2. A patient who prefers a bath in the evening when his wife visits and can help him
3. A patient who is experiencing frequent incontinent diarrheal stools and urine
4. A patient who has been awake all night because of pain 8/10 - correct answer ✔✔3
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. Place the
following steps in the correct order for administration of oral care.
1. If patient is uncooperative or having difficulty keeping mouth open, insert an oral airway
2. Raise bed, lower side rail, and position patient close to side of bed with head of bed raised up
to 30 degrees
, 3. Using a brush moistened with chlorhexidine paste, clean chewing and inner tooth surfaces
first
4. For patients without teeth, use a toothette moistened in chlorhexidine rinse to clean oral
cavity
5. Remove partial plate or dentures if present
6. Gently brush tongue, but avoid stimulating gag reflex - correct answer ✔✔2, 5, 1, 3, 6, 4
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)
1. checking distal pulses
2. providing ROM exercises to extremities
3. determining type of treatment for stage 1 pressure injury
4. changing the dressing over an intravenous site
5. providing special skin care - correct answer ✔✔2, 5
The nurse observes an adult Middle Eastern patient attempting to bathe himself with only his
left hand. The nurse recognizes that this behavior is likely relates to:
1. Obsessive-compulsive behavior
2. Personal preferences
3. The patient's cultural norms
4. Controlling behaviors - correct answer ✔✔3
