MCCN 205 Final Exam questions with
verified answers graded A+ updated
factors affecting personal hygiene - correct answer ✔✔mobility
mental status
personal hygiene assessment - correct answer ✔✔general appearance
self reports/ view of self
smell
greasy hair or skin
brushed/not brushed teeth
hair done/combed
dress appropriate
Skin Assessment - correct answer ✔✔color, moisture, temperature, texture, turgor, vascularity,
edema, lesions
Oral cavity assessment - correct answer ✔✔pink, blanched
presence of lesions or blood
moist, dry
hair assessment - correct answer ✔✔color, texture, distribution
nail assessment - correct answer ✔✔shape and contour, consistency, color, capillary refill
,Hygiene Nursing Diagnosis - correct answer ✔✔self-care deficit
hygiene nursing interventions - correct answer ✔✔ADL help - assist, setup, do it entirely
figure out root of self care deficit
Priorities of Scheduled Hygiene Care - correct answer ✔✔early morning care
am care - bed bath, oral care, breakfast
pm care - bed bath, hair washing, shaving, etc
PRN care- perineal care, after meals
hs care - relaxation, oral care
depends on patient needs/wants, status, and cultural preferences
Perineal care (peri-care) - correct answer ✔✔cleaning of the perineum and anus, as well as the
vulva and the penis
chlorhexidine bath - correct answer ✔✔CHG
kills germs
reduces spread of infection
pre-op
helpful in ICU
bed bath - correct answer ✔✔washing with a basin of water at the bedside
using wipes
hair care
, assist, total assist, set up, refused
oral care - correct answer ✔✔care of mouth, teeth and gums. Cleaning the teeth, gums, tongue,
inside of mouth
and dentures, if used
back massage - correct answer ✔✔3-5min
helps improve relaxation, comfort, and sleep
Making an Occupied Bed - correct answer ✔✔Raise side rail opposite working side of the bed.
Raise second side rail opposite working side of the bed and assist the resident to roll over the
bottom linen, preventing trauma and avoid pain to resident.
making an unoccupied bed - correct answer ✔✔* Loosens soiled linen on both sides of bed and
rolls it from head to foot of bed. Removes one piece at a time. Avoids contact with skin or
clothes. Places it in a hamper or bag. Linens should not touch hospital floor.
admitting a patient - correct answer ✔✔- a general routine includes initial greeting, proper
identification
- patient assessment
- complete the chart review and note any abnormalities or changes
-question the patient concerning valuables, prostheses, and last intake of food and fluid
- confirm that the correct drugs were given
Transferring a patient - correct answer ✔✔-preparation: explain transfer to patient and family,
discuss the patients condition and plan of care with the staff of the receiving unit or facility,
arrangements for transportation
-obtain a set of vital signs, assessment and give report to the person accepting the patient
verified answers graded A+ updated
factors affecting personal hygiene - correct answer ✔✔mobility
mental status
personal hygiene assessment - correct answer ✔✔general appearance
self reports/ view of self
smell
greasy hair or skin
brushed/not brushed teeth
hair done/combed
dress appropriate
Skin Assessment - correct answer ✔✔color, moisture, temperature, texture, turgor, vascularity,
edema, lesions
Oral cavity assessment - correct answer ✔✔pink, blanched
presence of lesions or blood
moist, dry
hair assessment - correct answer ✔✔color, texture, distribution
nail assessment - correct answer ✔✔shape and contour, consistency, color, capillary refill
,Hygiene Nursing Diagnosis - correct answer ✔✔self-care deficit
hygiene nursing interventions - correct answer ✔✔ADL help - assist, setup, do it entirely
figure out root of self care deficit
Priorities of Scheduled Hygiene Care - correct answer ✔✔early morning care
am care - bed bath, oral care, breakfast
pm care - bed bath, hair washing, shaving, etc
PRN care- perineal care, after meals
hs care - relaxation, oral care
depends on patient needs/wants, status, and cultural preferences
Perineal care (peri-care) - correct answer ✔✔cleaning of the perineum and anus, as well as the
vulva and the penis
chlorhexidine bath - correct answer ✔✔CHG
kills germs
reduces spread of infection
pre-op
helpful in ICU
bed bath - correct answer ✔✔washing with a basin of water at the bedside
using wipes
hair care
, assist, total assist, set up, refused
oral care - correct answer ✔✔care of mouth, teeth and gums. Cleaning the teeth, gums, tongue,
inside of mouth
and dentures, if used
back massage - correct answer ✔✔3-5min
helps improve relaxation, comfort, and sleep
Making an Occupied Bed - correct answer ✔✔Raise side rail opposite working side of the bed.
Raise second side rail opposite working side of the bed and assist the resident to roll over the
bottom linen, preventing trauma and avoid pain to resident.
making an unoccupied bed - correct answer ✔✔* Loosens soiled linen on both sides of bed and
rolls it from head to foot of bed. Removes one piece at a time. Avoids contact with skin or
clothes. Places it in a hamper or bag. Linens should not touch hospital floor.
admitting a patient - correct answer ✔✔- a general routine includes initial greeting, proper
identification
- patient assessment
- complete the chart review and note any abnormalities or changes
-question the patient concerning valuables, prostheses, and last intake of food and fluid
- confirm that the correct drugs were given
Transferring a patient - correct answer ✔✔-preparation: explain transfer to patient and family,
discuss the patients condition and plan of care with the staff of the receiving unit or facility,
arrangements for transportation
-obtain a set of vital signs, assessment and give report to the person accepting the patient
