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NURS 112: NCLEX Questions - Taylor Ch 31 Exam With Correct Answers

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NURS 112: NCLEX Questions - Taylor Ch 31
Exam With Correct Answers


Which group of individuals is most likely to show increasing concern regarding
their personal appearance and adopt new hygiene measures, such as more
frequent showers?

a) Older adults
b) Adolescents
c) Middle-aged adults
d) School-aged children - ANSWER b) Adolescents

As adolescents become more concerned about their personal appearance, they
may adopt new hygiene measures, such as taking showers more frequently and
wearing deodorant. As a person ages, bathing frequently decreases, and older
people may not use deodorant due to excessive drying of the skin.

Which patient is most likely to require hospitalization related to problems
associated with the feet?

a) A patient with diabetes insipidus
b) A patient with osteoporosis
c) A patient with asthma
d) A patient with peripheral vascular disease - ANSWER d) A patient with
peripheral vascular disease

Foot problems, particularly common in people with diabetes mellitus and
peripheral vascular disease, often require hospitalization.

A patient with iron deficiency has a common complication that results in an
inflammation of the tongue. What is the term used for this condition?

a) Stomatitis
b) Gingivitis
c) Glossitis
d) Periodontitis - ANSWER c) Glossitis

, Glossitis is an inflammation of the tongue. Gingivitis is an inflammation of the
gingival, the tissue that surrounds the teeth (gums). Periodontitis is a marked
inflammation of the gums that also involves degeneration of the periosteum and
bone. Stomatitis is an inflammation of the oral mucosa.

A kindergarten student is sent to the school nurse because she has been
vigorously scratching her scalp for a few hours. The nurse's first action will be to
assess the child for the presence of which of the following?

a) Alopecia
b) Pediculosis
c) Ticks
d) Flease - ANSWER b) Pediculosis

Infestation with lice is called pediculosis and results in frequent scratching and
marks on the scalp. Alopecia is the absence or loss of hair. Ticks and fleas can
cause itching, but pediculosis is best described by this scenario.

The nurse assists the patient to the bathroom sink to perform morning care. The
nurse observes the patient wash his face, arms, abdomen, and legs. The nurse
washes the patient's back and rectal area and applies soap to the back. The
patient brushes his teeth and ambulates to a chair in his room with assistance.
How will the nurse describe the morning care on the patient's chart?

a) Self-care
b) Complete care
c) Partial care
d) As-needed care - ANSWER c) Partial care

Morning care is categorized as self-care, partial care, or complete care.
Patients identified as partial care most often receive morning care at the
bedside or seated near the sink in the bathroom. They usually require
assistance with body areas that are difficult to reach. Patients identified as self-
care are capable of managing their personal hygiene independently once
oriented to the bathroom. Patients identified as complete care require nursing
assistance with all aspects of personal hygiene. In additional to scheduled care,
the nurse will offer care as needed.

Which of the following does the nurse recognize as the most important
component of the oral care process is when providing oral care?

a) Selection of toothpaste
b) A thorough mechanical cleaning
c) Use of a mouthwash or breath freshener
d) Application of moisturizing ointment to the lips - ANSWER b) A thorough
mechanical cleaning

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