ATI Fundamentals: Hygiene and Comfort Care (Week 8) |Questions
|Answers |Rationales
1. A nurse is performing a complete bed bath for a client who is immobile.
Which of the following actions should the nurse take first?
A. Wash the client’s face.
B. Check the water temperature with a thermometer.
C. Raise the bed to a comfortable working height.
D. Verify the client’s identity using two identifiers.
Answer: D
Rationale: According to the nursing process, the first action the nurse should take is to
ensure patient safety and accuracy by verifying the client’s identity.
2. When providing oral care for an unconscious client, which position should the
nurse place the client in to prevent aspiration?
A. Lateral (side-lying)
B. High-Fowler’s
C. Supine
D. Trendelenburg
Answer: A
Rationale: The lateral or side-lying position allows secretions to drain out of the mouth
rather than into the trachea, reducing the risk of aspiration.
,3. A nurse is teaching a client with diabetes mellitus about foot care. Which of
the following instructions should the nurse include?
A. Apply lotion between the toes to keep the skin soft.
B. Use a heating pad to keep feet warm at night.
C. Cut toenails in a rounded shape to prevent ingrown nails.
D. Wash feet daily with lukewarm water and dry thoroughly.
Answer: D
Rationale: Diabetic clients should wash their feet daily with lukewarm water and dry them
completely, especially between the toes, to prevent infection and skin breakdown.
4. While performing a bed bath, the nurse notices a reddened area over the
client’s sacrum. Which action is appropriate?
A. Apply a skin barrier cream and document the finding.
B. Massage the area to increase circulation.
C. Cover the area with a tight sterile dressing.
D. Minimize the water temperature used during the bath.
Answer: A
Rationale: Massaging reddened areas can cause further tissue damage. The nurse should
protect the area with a barrier and document it as a potential pressure injury.
5. A nurse is caring for a client who wears dentures. Which of the following is an
appropriate action when providing denture care?
A. Wash dentures in very hot water to kill bacteria.
B. Store dentures in a dry container overnight.
C. Place a washcloth in the sink while cleaning the dentures.
D. Use a firm-bristled toothbrush to scrub the dentures.
Answer: C
Rationale: Placing a towel or washcloth in the sink provides a cushion to prevent the
dentures from breaking if they are accidentally dropped.
, 6. In which direction should a nurse wash a client’s arm during a bed bath to
promote venous return?
A. Proximal to distal
B. Distal to proximal
C. Medial to lateral
D. Superior to inferior
Answer: B
Rationale: Washing from distal (wrist) to proximal (shoulder) stimulates blood flow back
toward the heart, enhancing venous return.
7. Which of the following is the priority assessment before providing a client
with a tub bath?
A. Determine if the client wants their hair washed.
B. Assess the client’s preference for soap brand.
C. Check the client’s ability to assist and their balance.
D. Ask the client when they last had a bowel movement.
Answer: C
Rationale: Safety is the priority. Assessing the client’s physical ability and balance
prevents falls and determines the level of assistance needed.
8. A nurse is performing perineal care for a female client. Which action is
correct?
A. Clean from the finish (anus) to the start (pubis).
B. Clean from the area of least contamination to most contamination.
C. Use the same section of the washcloth for each stroke.
D. Retract the labia majora and scrub vigorously.
Answer: B
Rationale: For females, cleaning from front to back (least to most contaminated) prevents
the introduction of fecal bacteria into the urinary tract.
|Answers |Rationales
1. A nurse is performing a complete bed bath for a client who is immobile.
Which of the following actions should the nurse take first?
A. Wash the client’s face.
B. Check the water temperature with a thermometer.
C. Raise the bed to a comfortable working height.
D. Verify the client’s identity using two identifiers.
Answer: D
Rationale: According to the nursing process, the first action the nurse should take is to
ensure patient safety and accuracy by verifying the client’s identity.
2. When providing oral care for an unconscious client, which position should the
nurse place the client in to prevent aspiration?
A. Lateral (side-lying)
B. High-Fowler’s
C. Supine
D. Trendelenburg
Answer: A
Rationale: The lateral or side-lying position allows secretions to drain out of the mouth
rather than into the trachea, reducing the risk of aspiration.
,3. A nurse is teaching a client with diabetes mellitus about foot care. Which of
the following instructions should the nurse include?
A. Apply lotion between the toes to keep the skin soft.
B. Use a heating pad to keep feet warm at night.
C. Cut toenails in a rounded shape to prevent ingrown nails.
D. Wash feet daily with lukewarm water and dry thoroughly.
Answer: D
Rationale: Diabetic clients should wash their feet daily with lukewarm water and dry them
completely, especially between the toes, to prevent infection and skin breakdown.
4. While performing a bed bath, the nurse notices a reddened area over the
client’s sacrum. Which action is appropriate?
A. Apply a skin barrier cream and document the finding.
B. Massage the area to increase circulation.
C. Cover the area with a tight sterile dressing.
D. Minimize the water temperature used during the bath.
Answer: A
Rationale: Massaging reddened areas can cause further tissue damage. The nurse should
protect the area with a barrier and document it as a potential pressure injury.
5. A nurse is caring for a client who wears dentures. Which of the following is an
appropriate action when providing denture care?
A. Wash dentures in very hot water to kill bacteria.
B. Store dentures in a dry container overnight.
C. Place a washcloth in the sink while cleaning the dentures.
D. Use a firm-bristled toothbrush to scrub the dentures.
Answer: C
Rationale: Placing a towel or washcloth in the sink provides a cushion to prevent the
dentures from breaking if they are accidentally dropped.
, 6. In which direction should a nurse wash a client’s arm during a bed bath to
promote venous return?
A. Proximal to distal
B. Distal to proximal
C. Medial to lateral
D. Superior to inferior
Answer: B
Rationale: Washing from distal (wrist) to proximal (shoulder) stimulates blood flow back
toward the heart, enhancing venous return.
7. Which of the following is the priority assessment before providing a client
with a tub bath?
A. Determine if the client wants their hair washed.
B. Assess the client’s preference for soap brand.
C. Check the client’s ability to assist and their balance.
D. Ask the client when they last had a bowel movement.
Answer: C
Rationale: Safety is the priority. Assessing the client’s physical ability and balance
prevents falls and determines the level of assistance needed.
8. A nurse is performing perineal care for a female client. Which action is
correct?
A. Clean from the finish (anus) to the start (pubis).
B. Clean from the area of least contamination to most contamination.
C. Use the same section of the washcloth for each stroke.
D. Retract the labia majora and scrub vigorously.
Answer: B
Rationale: For females, cleaning from front to back (least to most contaminated) prevents
the introduction of fecal bacteria into the urinary tract.
