NURS 403 - Quiz 2 Questions With
Complete Solutions
The nurse has delegated a male patient's perineal care to the
nursing assistive personnel (NAP). Which statement made by
the NAP requires the nurse's follow-up?
a) "I will check to see if he cleans himself well."
b) "I will let you know if I see any redness or drainage."
c) "I will be sure to use hot, soapy water to be sure he's clean."
correct answer: c) "I will be sure to use hot, soapy water to be
sure he's clean."
This is an inappropriate statement since warm, not hot, water
and mild soap should be used when cleansing the perineal area
to minimize irritation. This statement requires the nurse's
follow-up.
The nurse is discussing the guidelines for proper hand hygiene
with nursing assistive personnel (NAP). Which statement made
by NAP requires follow-up by the nurse?
a) "It takes at least 15 seconds of rubbing to wash the hands
properly."
b) "I do hand hygiene before and after lifting or moving my
patients."
c) "I always perform hand hygiene after I use the computer
workstation in the patient′s room."
d) "To prevent dry skin, I avoid using soap and water." correct
answer: d) "To prevent dry skin, I avoid using soap and water."
,Soap and water should be used to perform hand hygiene when
the hands are visibly soiled. Avoiding soap and water in order to
prevent dry skin is not appropriate, and the nurse should follow
up.
The nurse has washed a patient's abdomen. Which area should
the nurse wash next?
a) legs
b) feet
c) chest
d) face correct answer: a) legs
Which patient is at the greatest risk for hospital-acquired
infection (HAI)?
a) A young man recovering from bilateral femur fractures and a
mild concussion sustained in a car accident
b) A young woman with abdominal pain who is scheduled for
exploratory surgery in the morning
c) A middle-age female patient receiving chemotherapy for lung
cancer
d) An older adult male patient who experienced a myocardial
infarction 3 days ago correct answer: c) A middle-age female
patient receiving chemotherapy for lung cancer
This patient has immunosuppression as a result of the
chemotherapy and is therefore at the greatest risk of contracting
an HAI.
, The nurse is preparing to give a patient a bath using a disposable
bath-in-a-bag product. What should the nurse do first?
a) Obtain a washbasin.
b) Gather towels and washcloths.
c) Warm the product in the microwave.
d) Remove the patient's gown. correct answer: c) Warm the
product in the microwave.
Warming the product is the first thing the nurse should do to
prepare for the bath.
The nurse is changing the bed linen of a patient on bed rest.
When the nurse is ready to make the other side of the bed, what
will the nurse do before having the patient turn onto the side that
has already been made?
a) Lower the head of the bed
b) Raise the side rails
c) Apply the top sheet
d) Discard the soiled linen in the linen bag correct answer: b)
Raise the side rails
The nurse will raise the side rails to reduce the risk of a fall.
What must the nurse avoid when brushing the tongue of an
unconscious patient?
a) Stimulating the gag reflex
b) Using suction
c) Moistening the oral mucosa
Complete Solutions
The nurse has delegated a male patient's perineal care to the
nursing assistive personnel (NAP). Which statement made by
the NAP requires the nurse's follow-up?
a) "I will check to see if he cleans himself well."
b) "I will let you know if I see any redness or drainage."
c) "I will be sure to use hot, soapy water to be sure he's clean."
correct answer: c) "I will be sure to use hot, soapy water to be
sure he's clean."
This is an inappropriate statement since warm, not hot, water
and mild soap should be used when cleansing the perineal area
to minimize irritation. This statement requires the nurse's
follow-up.
The nurse is discussing the guidelines for proper hand hygiene
with nursing assistive personnel (NAP). Which statement made
by NAP requires follow-up by the nurse?
a) "It takes at least 15 seconds of rubbing to wash the hands
properly."
b) "I do hand hygiene before and after lifting or moving my
patients."
c) "I always perform hand hygiene after I use the computer
workstation in the patient′s room."
d) "To prevent dry skin, I avoid using soap and water." correct
answer: d) "To prevent dry skin, I avoid using soap and water."
,Soap and water should be used to perform hand hygiene when
the hands are visibly soiled. Avoiding soap and water in order to
prevent dry skin is not appropriate, and the nurse should follow
up.
The nurse has washed a patient's abdomen. Which area should
the nurse wash next?
a) legs
b) feet
c) chest
d) face correct answer: a) legs
Which patient is at the greatest risk for hospital-acquired
infection (HAI)?
a) A young man recovering from bilateral femur fractures and a
mild concussion sustained in a car accident
b) A young woman with abdominal pain who is scheduled for
exploratory surgery in the morning
c) A middle-age female patient receiving chemotherapy for lung
cancer
d) An older adult male patient who experienced a myocardial
infarction 3 days ago correct answer: c) A middle-age female
patient receiving chemotherapy for lung cancer
This patient has immunosuppression as a result of the
chemotherapy and is therefore at the greatest risk of contracting
an HAI.
, The nurse is preparing to give a patient a bath using a disposable
bath-in-a-bag product. What should the nurse do first?
a) Obtain a washbasin.
b) Gather towels and washcloths.
c) Warm the product in the microwave.
d) Remove the patient's gown. correct answer: c) Warm the
product in the microwave.
Warming the product is the first thing the nurse should do to
prepare for the bath.
The nurse is changing the bed linen of a patient on bed rest.
When the nurse is ready to make the other side of the bed, what
will the nurse do before having the patient turn onto the side that
has already been made?
a) Lower the head of the bed
b) Raise the side rails
c) Apply the top sheet
d) Discard the soiled linen in the linen bag correct answer: b)
Raise the side rails
The nurse will raise the side rails to reduce the risk of a fall.
What must the nurse avoid when brushing the tongue of an
unconscious patient?
a) Stimulating the gag reflex
b) Using suction
c) Moistening the oral mucosa
