NURS 230 Exam #1 UPDATED ACTUAL Questions and
CORRECT Answers
What is Orthostatic Hypotension? A condition in which your blood pressure quickly drops when you stand up
after sitting or lying down and it can make you feel dizzy or faint.
What is Perineal Care (Peri Care) Cleansing of
genital area,
urinary meatus,
and anus
What is the correct way to perform female peri 1. Wipe the labia majora (front to back) and use a clean area of the wash
care? cloth for each swipe.
2. Wipe the labia minora front to back) and use a clean area of the wash
cloth for each swipe.
3. Wipe down the center of the meatus (front to back)
4. Wash inner thighs from proximal to distal
5. Turn patient and wash anus front to back - rinse and dry
What is the correct way to perform male peri care? 1. Wash inner thighs
2. Retract the foreskin if the penis is uncircumcised
3. ash around urinary meatus ina circular motion
4. Wash shaft of the penis using a downward stroke
5. Rinse and dry-reposition foreskin
6. Wash scrotum-front to back
7. Turn patient and wash anus front to back - rinse and dry
What is the correct way to shave someones face? 1. Soften the skin before using a razor blade. This prevents pulling,
scraping, or cutting
2. Place a warm wash cloth over the area and then apply shaving
cream/gel
3. Pull skin taut
4. Shave in the direction of hair growth
Shaving percautions Electric razors must be used in patients who are at risk for bleeding,
confused, or depressed
Check the facility Policy
Hand/Foot and Nail care Soak the foot to soften the cuticles, thoroughly cleanse and dry feet, DO
NOT TRIM NAILS UNLESS YOU HAVE PERMISSION TO DO SO, if you have
permission cut them straight across
When do you not soak a patients feet? Do not soak a persons feet if they have diabetes, peripheral neuropathy, or
PVD
, Ear Care Use soap and water
Cerumen (ear wax) build up can require for oil drops to soften
Care for hearing aids
DO NOT USE A COTTON TIP APPLICATOR
Eye Care -Washcloth with warm water—NO SOAP!
--Johnson Baby Shampoo may sometimes be ordered for washing eyes
-Clean from the inner canthus to the outer canthus of the eye. Pay special
attention to the inner canthus.
-Assist with care of visual aides
-Provide special care if eyes don't totally close.
--May need eye drops to prevent corneal drying
Front Wheel Walker Support when walking
Do not have the strength to pick up a walker and move it forward
The patient must be able to bear weight on both legs to use a front wheel
walker
Three and Four wheel walkers with seats, baskets, Patients who have activity intolerance and need a place to sit and rest
and breaks available frequently during ambulation
When maximum support is required with a walker: Move the walker 6 inches infront of you with both legs planted on the floor
Move the right foot up to the walker while your body weight is
supported by the left leg and both arms
Next, move the left foot up to the right foot while your body weight is
supported by the right leg and both arms
If one leg is weaker than the other with walker usage: Move the walker and the weak leg ahead together about 6 in. while your
weight is supported by the stronger leg.
Then move the stronger leg ahead while your weight is supported by the
affected leg and both arms.
What are the four gats when ambulation with 4- point (weight bearing on both legs)
crutches? 3- point (bear all weight on one foot)
2- point (partial weight bearing on each foot)
Swing-to and Swing-through (requires strong upper body strength)
How would you tell someone to stand and fit their Tripod position - 6 inches in front and 6 inches to the side of each foot.
crutches to them? Measuring or fitting underarm crutches: allow 2 inches of space between
top of crutch and axilla.
Elbow flexion is 30 degrees
How to use crutches to go up and down with UP- First up with the good leg (up with the good)
crutches DOWN- First down with the crutches & bad leg (down with the bad)
CORRECT Answers
What is Orthostatic Hypotension? A condition in which your blood pressure quickly drops when you stand up
after sitting or lying down and it can make you feel dizzy or faint.
What is Perineal Care (Peri Care) Cleansing of
genital area,
urinary meatus,
and anus
What is the correct way to perform female peri 1. Wipe the labia majora (front to back) and use a clean area of the wash
care? cloth for each swipe.
2. Wipe the labia minora front to back) and use a clean area of the wash
cloth for each swipe.
3. Wipe down the center of the meatus (front to back)
4. Wash inner thighs from proximal to distal
5. Turn patient and wash anus front to back - rinse and dry
What is the correct way to perform male peri care? 1. Wash inner thighs
2. Retract the foreskin if the penis is uncircumcised
3. ash around urinary meatus ina circular motion
4. Wash shaft of the penis using a downward stroke
5. Rinse and dry-reposition foreskin
6. Wash scrotum-front to back
7. Turn patient and wash anus front to back - rinse and dry
What is the correct way to shave someones face? 1. Soften the skin before using a razor blade. This prevents pulling,
scraping, or cutting
2. Place a warm wash cloth over the area and then apply shaving
cream/gel
3. Pull skin taut
4. Shave in the direction of hair growth
Shaving percautions Electric razors must be used in patients who are at risk for bleeding,
confused, or depressed
Check the facility Policy
Hand/Foot and Nail care Soak the foot to soften the cuticles, thoroughly cleanse and dry feet, DO
NOT TRIM NAILS UNLESS YOU HAVE PERMISSION TO DO SO, if you have
permission cut them straight across
When do you not soak a patients feet? Do not soak a persons feet if they have diabetes, peripheral neuropathy, or
PVD
, Ear Care Use soap and water
Cerumen (ear wax) build up can require for oil drops to soften
Care for hearing aids
DO NOT USE A COTTON TIP APPLICATOR
Eye Care -Washcloth with warm water—NO SOAP!
--Johnson Baby Shampoo may sometimes be ordered for washing eyes
-Clean from the inner canthus to the outer canthus of the eye. Pay special
attention to the inner canthus.
-Assist with care of visual aides
-Provide special care if eyes don't totally close.
--May need eye drops to prevent corneal drying
Front Wheel Walker Support when walking
Do not have the strength to pick up a walker and move it forward
The patient must be able to bear weight on both legs to use a front wheel
walker
Three and Four wheel walkers with seats, baskets, Patients who have activity intolerance and need a place to sit and rest
and breaks available frequently during ambulation
When maximum support is required with a walker: Move the walker 6 inches infront of you with both legs planted on the floor
Move the right foot up to the walker while your body weight is
supported by the left leg and both arms
Next, move the left foot up to the right foot while your body weight is
supported by the right leg and both arms
If one leg is weaker than the other with walker usage: Move the walker and the weak leg ahead together about 6 in. while your
weight is supported by the stronger leg.
Then move the stronger leg ahead while your weight is supported by the
affected leg and both arms.
What are the four gats when ambulation with 4- point (weight bearing on both legs)
crutches? 3- point (bear all weight on one foot)
2- point (partial weight bearing on each foot)
Swing-to and Swing-through (requires strong upper body strength)
How would you tell someone to stand and fit their Tripod position - 6 inches in front and 6 inches to the side of each foot.
crutches to them? Measuring or fitting underarm crutches: allow 2 inches of space between
top of crutch and axilla.
Elbow flexion is 30 degrees
How to use crutches to go up and down with UP- First up with the good leg (up with the good)
crutches DOWN- First down with the crutches & bad leg (down with the bad)
