KIRKLAND Final Exam and All Correct
Answers 2026 Edition.
What should we do to maintain professionalism during a bed bath, whether the patient is
conscious or not? - Answer introduce yourself, ID the patient, use hand hygiene, non gloves,
maintain appropriate conversations, always maintain the privacy of the patient
Benefits of bathing for the patient: - Answer impact overall health, comfort, and well-being
What steps can we take to promote safety for us and the client during the bath? - Answer
raise the bed to a working height for us so we can avoid back strain and lowering the side rails
for the patient and putting the call light within their reach
Factors that affect personal hygiene - Answer cultural practices, socioeconomic class,
spiritual class, developmental level, health status and tolerability, and personal preferences
What is the body's first line of defense? - Answer intact and healthy skin; we bathe them so
the bacteria kn the skin can be minimized
Guidelines for assessing a patients skin: - Answer proceed systematically from head to toe,
use a good source of light, compare bilateral parts for symmetry, used standard terms to report
your findings, and identify things known to cause skin problems (document distinct
measurements to monitor for growth)
Factors to consider when assessing the skin: - Answer cleanliness, color, temperature turgor
(pinching up skin and watch rate it bounces back), moisture, sensation, vascularity, evidence of
lesions, and cyanosis (blue color)
Hygiene risks and self-care deficits - Answer lifestyle factors, changes in health status, illness,
feeding, bathing and hygiene, dressing and grooming, and toileting
Morning care (a.m. care) - Answer assisting with toileting, providing comfort to prepare
them for the day, wash face and hands, provide mouth care, bathing, back massage, assisting
with denture care and hearing aids
Do we document what personal property the patient came to the hospital with? - Answer
Yes! This allows us to make sure they leave with all of the belongings they came in with!
,Why do we provide massages for our patients? - Answer it can enhance blood flow and
circulation, relieves muscle tension and promotes relaxation, can improve sleep quality, allows
us to get to know the patient and allows them to have a conversation, and may decrease pain
and distress
P.M. Care - Answer offer hygiene measures, offer a back massage, change any soiled linens
and clothing, position the patient comfortably, ensure the call light and other objects are within
the patients reach
Purposes of proper hygiene: - Answer cleans the skin, helps relax the patient, promotes
circulation, provides sensory input for the patient, helps improve self image, and strengthens
our relationship with the patient
Steps for providing a bed bath: - Answer (provide pain medications before the bath)
1. provide needed materials on the bedside table
2. provide privacy
3. remove top linens and replace with bath blanket
4. place cosmetics in convenient place
5. assist those who cannot bathe themselves
6. maintain a relaxed manner
7. wash the face and hair at the end
Perineal and vaginal care - Answer assess for perineal and vaginal problems and related
treatments, perform a physical assessment of the genitals, perform care in a dignified matter,
cleanse the vaginal area with soap and water, and respect the patients wishes if they want a
same gender caregiver
Assessment of the oral cavity: - Answer observe for oral issues like dental caries and
periodontal disease, identify actual or potential problems we can treat, identify what we can do
for them, and carry out that plan of care
Administering oral hygiene: - Answer moistening the mouth, cleaning the mouth, caring for
dentures, tooth bushing and flossing, and using mouthwashes
Denture care - Answer clean both plates if necessary, need to be cleaned at least once a day,
wear gloves, and put a towel in the sink in case they fall
Eye care - Answer clean from the inner to outer canthus with a warm wet wash cloth or
compress, use artificial tear solution or saline every 4 hours if the blink reflex is absent (in ICU
patients on a vent), and care for eye glasses, contacts, or artificial eyes
,Ear and nose care: - Answer wash external ear with washcloth covered finger without using a
cotton swab, perform hearing aid teaching and care if indicated, clean nose by having the
patient blow, and remove the secretions with a warm compress
Hair care: - Answer identify their usual hair care practices and use those, assess for hair or
scalp problems, treat any infestations, groom and shampoo hair, care for beards and mustaches,
and assist with any unwanted hair removal
Nail and foot care: (important for diabetics) - Answer assess the nail color and shape, check
for history of nail or foot problems, soak them and trim the nails, massage feet to promote
relaxation, and provide diabetic foot care if indicated
Why do we apply anti-embolic stockings (TED hose)? - Answer they provide pressure to the
legs so we can sustain blood flow to the heart, prevent DVT, pulmonary embolism, and phlebitis
How do we ensure bed safety? - Answer the bed is in the lowest position for the patient to
prevent falls, make sure the controls are functioning, call light is within reach, and side rails are
raised if indicated, the wheels are locked
Practice guidelines for making a bed - Answer wash hands after holding used linens, hold
linens away from uniform, never place them back on the bed or on the floor, do not shake
soiled linens in the air,
Which gum disease manifests as a marked inflammation of the gums that also involves a
degeneration of the dental tissues and bone?
A. Dental caries
B. Gingivitis
C. Periodontitis
D. Plaque - Answer C. periodontitis
Rationale: gingivitis and periodontitis involve inflammation of the gums but periodontitis also
affects the bone. Dental caries is the decay of teeth from cavities and plaque is an invisible
bacterial film that builds up and can destroy tooth enamel if it isn't removed
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. school age children
B. middle aged adults
C. adolescens
, D. older adults - Answer C. adolescents
A patient with an iron deficiency has a common complication that results in an inflammation of
the tongue. What term is used for this condition?
A. stomatitis
B. glossitis
C. periodontitis
D. gingivitis - Answer B. glossitis
Rationale: glossitis is the inflammation of the tongue
A kindergarten student is sent to the nurse because they have been vigorously scratching their
scalp for a few hours. The nurse's first action will be to assess the child for the presence of:
A. alopecia
B. pediculosis
C. fleas
D. ticks - Answer B. pediculosis
Rationale: this is an infestation of lice
When providing oral care, what does the nurse recognize as the most important component of
the oral care process?
A. use of mouthwash and breath freshener
B. selection of toothpaste
C. anticipation of moisturizing ointment to the lips
D. a thorough, mechanical cleaning - Answer D.
During morning care a nurse notices a glasslike appearance to the clients eye and prepares to
perform eye care. What solution should the nurse use to perform basic eye care to remove the
excessive secretions related to illness?
A. soap and water
B. boric acid solution
C. hydrogen peroxide solution
D. normal saline solution - Answer D. normal saline solution
An older adult has been admitted with acute delirium and is temporarily unable to take care of
her own dentures. How should the nurse care for the dentures?