INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the question or best completes the statement.
After you have completed all of the exercises, scroll down to the Answers at the bottom of this page and check your answers.
1. The sitz bath is given to:
a. Relieve tension or lower the body temperature.
b. Cleanse and aid in reducing inflammation of the perineal and anal areas.
c. Reduce muscle tension.
d. Assist in relieving muscle soreness and muscle spasm.
2. The cool water tub bath is given to:
a. Assist in relieving muscle spasm and muscle soreness.
b. Reduce muscle tension.
c. Relieve tension and lower the body temperature.
d. Reduce inflammation of the perineal and anal areas.
3. The warm water tub bath is given to:
a. Reduce muscle tension.
b. Assist in relieving muscle tension and muscle spasm.
c. Cleanse and aid in reducing inflammation.
d. Relieve tension and lower the body temperature.
4. The bed bath/partial bath is administered when the patient is either:
a. Confined to bed, must conserve energy, or is helpless.
b. Tired, must conserve energy, or is confined to bed.
c. Confined to bed, must get plenty of sleep, or is nervous.
5. You should change bath water when it becomes:
a. Cold, dirty, or excessively soapy.
b. Warm, excessively soapy, or dirty.
c. Extremely soapy, dirty, or too clear.
d. Dirty, old, or too cold.
6. During the procedure for giving a bed bath or partial bath, the first step of the process is to:
a. Introduce yourself and inform the patient of the procedure.
b. Prepare supplies and equipment.
c. Check the physician’s orders.
d. Check the required personal toilet articles, and for clean linen available in the unit.
7. When cleaning the inner eye, it is important to remember to move the mitt cloth in the direction:
a. From outer to inner canthus.
b. From top to bottom of eye.
c. From inner to outer canthus.
d. From bottom to top of eye.
8. When preparing to administer the bed bath/partial bath, the temperature of the water should be how many degrees Fahrenheit?
a. 100 to 105.
b. 110 to 115.
c. 115 to 120.
d. 120 to 125.
9. When soap can be used on the patient’s face, it should be applied:
a. To the cloth, and then to the patient’s face.
b. Directly to the patient’s face, and wiped off with cloth.
c. In the water for a while, and then to the cloth.
d. Only to the ears and face, but not on neck.
10. When you administer the bed bath/partial bath, the first part of the body to be exposed is:
a. The upper limb.
b. The upper leg.
c. The abdomen.
d. The feet.
11. Which area of the body should not be exposed when washing the upper and lower limbs?
a. Genitalia.
b. Feet.
c. Thigh.
d. Stomach area.
12. A partial bath to the genitalia area is given by turning the patient:
a. On his back to the near side of the bed, and placing the towel under his hips.
b. On his side and far side of the bed, and placing the towel under his hips.
c. On his back to the far side of the bed, and placing the towel under his hips.
d. On his stomach to the far side of the bed, and placing the towel under his stomach.
13. To replace the pajama coat of a patient with an injured arm or shoulder, start replacing:
a. From the uninjured side.
b. From the far side.
c. From the near side.
d. From the injured side.
14. The towel bath is administered by the specialist when a patient is sick or confined to:
a. The hospital room.
b. Bed.
c. Ward.
d. The general hospital area.
15. When preparing the towel bath, the specialist should draw ___________milliliters of water into the plastic container.
a. 1000.
b. 2000.
c. 3000.
d. 4000.
16. When the towel bath is completed, remove towel and:
a. Fold it for use later.
b. Dispose of it.
c. Place with soiled linens in laundry bag.
d. Send it directly to laundry.
17. Do not allow the patient to remain in the bath tub more than __________minutes.
a. 5.
b. 10.
c. 15.
d. 20.
18. The purpose of administering the tepid sponge bath is to:
a. Lower the patient’s body temperature.
b. Raise the patient’s body temperature.
c. Maintain the patient’s body temperature.
d. Lower the patient’s blood pressure.
19. When administering a tepid sponge bath, the step after checking the physician’s orders is to:
a. Cover the patient with a blanket.
b. Provide privacy.
c. Explain and outline steps of procedures to the patient.
d. Prepare the equipment.
20. Caring for the hands and feet require filling the basin full of water at:
a. 90 to 100ºF.
b. 100 to 110ºF.
c. 110 to 120ºF.
d. 120 to 130ºF.
21. When you have finished caring for the hands and feet, you should:
a. Wash your hands.
b. Place soiled linens in laundry bag.
c. Clean all equipment and store.
d. Remove gloves and store them in proper container.
22. Eyeglasses made with glass lens may be cleaned by using:
a. Warm water and a soft dry cloth.
b. Special cleaning solutions and drying tissues.
c. Warm water and drying tissues.
d. Hot water and hot dry cloth.
23. The specialist should learn the routines for cleaning and caring for the patient’s hearing aid, and determine if the patient can hear clearly with the aid by talking in a _________ tone of voice.
a. Loud.
b. Moderate.
c. Normal.
d. Slow.
24. The patient receiving oxygen through the nasal cannula, or has a nasogastric tube should have the nares cleaned every _________hours.
a. 6.
b. 8
c. 10.
d. 12.
25. The meatal-catheter junction should be cleansed daily with soap and water, and the application of:
a. A hypochlorite solution.
b. A mild solution of hydroxide.
c. Water-soluble microbicidal ointment.
d. Alcohol swabs.
26. When caring for a patient with an indwelling catheter, the specialist should:
a. Use inverted drainage bags.
b. Elevate the bag above the level of the patient’s bladder.
c. Use a sterile, closed-drainage system with disposable, clear plastic bag and connecting tubes.
d. Break the sterile continuity when removing the urine.
27. The backrub is usually administered:
a. Before the patient’s bath.
b. After the patient’s bath.
c. During the patient’s bath.
d. When the patient is going to sleep.
28. The specialist will massage the patient’s back for:
a. 1 minute.
b. 2 to 3 minutes.
c. 2 to 4 minutes.
d. 3 to 5 minutes.
29. The backrub is contraindicated (not given) if the patient has such conditions as:
a. Fractured ribs, burns, or high blood pressure.
b. Pulmonary embolism, heart condition, or open wounds.
c. Fractured ribs, burns, or open wounds.
d. Hypertension, dysrhythmias, or fractured ribs.
30. To administer a backrub, the specialist should first:
a. Explain to the patient what you are going to do.
b. Prepare the equipment.
c. Adjust bed height to working level.
d. Provide privacy and quiet environment.
31. Prior to moving to another task following the backrub, you should:
a. Lower the bed rail, and raise the side rail as needed.
b. Wash your hands.
c. Remove excess lubricant from patient’s back.
d. Position the patient and make him comfortable.
32. The patient who can help himself during routine mouth care should:
a. Rinse the toothbrush thoroughly under running water and allow it to air dry.
b. Disinfect the toothbrush and place it in the cabinet.
c. Place the toothbrush in the cabinet and allow it to thoroughly dry before the next use.
d. Place the toothbrush in a glass of clean water when it is not in use.
33. The urinal or bedpan is provided anytime one is requested by the patient; in addition, it is usually offered:
a. Before meals and before visiting hours.
b. Before meals and after visiting hours.
c. After meals and after visiting hours.
d. After meals and before visiting hours.
Lesson 1: Self-Test Answers
1. b
2. c
3. a
4. a
5. a
6. c
7. c
8. b
9. a
10. a
11. a
12. a
13. d
14. b
15. b
16. c
17. d
18. a
19. c
20. b
21. d
22. a
23. c
24. b
25. c
26. c
27. b
28. d
29. c
30. a
31. b
32. a
33. a
SECTION 2
1. Posture is:
a. Standing.
b. Body alignment.
c. Walking.
d. Sitting erect.
2. In the standing position, the back should be straight; feet firmly on the ground,about ______________ inches apart.
a. 4 to 6.
b. 6 to 8.
c. 8 to 10.
d. 10 to 12.
3. Posture in the sitting position, the back should be straight, with the weight resting equally on the thigh and the:
a. Buttocks.
b. Spine.
c. Knees.
d. Legs.
4. Which of the following is not a principle that applies to lifting an object?
a. Push, pull, slide, or roll a heavy object on a surface to avoid unnecessary lifting.
b. Kneel on both knees, or squat, and keep the back straight when working at the floor level.
c. Obtain help before attempting to move an obviously unmanageable weight.
d. Work in unison with an assistant. Give instructions and agree on the signal to start the activity.
5. The bed rest position where the patient is flat on the abdomen, legs extended, feet over the edge of the mattress, and toes pointed to the floor is the:
a. Fowler position.
b. Lateral position.
c. Supine position.
d. Prone position.
6. The patient lying flat on his back is in the:
a. Prone position.
b. Supine position.
c. Lateral position.
d. Fowler’s position.
7. A person lying on either side is in the _________________ position.
a. Fowler’s.
b. Lateral recumbent.
c. Supine.
d. Prone.
8. The ________________ position will remain comfortable and safe indefinitely.
a. Sitting.
b. Fowler’s.
c. Lateral.
d. None of the above.
9. Which one is correct to achieve good body alignment in bed?
a. Head should be in midline with the trunk.
b. Back should be straight, with normal body curves maintained.
c. Ribs elevated to prevent constriction of chest.
d. All of the above.
10. Body mechanics enable medical personnel to perform moving and lifting:
a. While avoiding back strain.
b. In order to pick up more weight.
c. To prevent dropping supplies.
d. While standing far away from an object.
11. Mechanics of body movements suggest that to move a patient toward you, let the arms holding the patient slide on the surface toward you while:
a. Shifting your weight forward from rear to front foot.
b. Shifting you weight backward from front to rear foot.
c. Shifting your weight equally on each foot.
d. None of the above.
12. To move a patient away from you, let the arm holding the patient slide on the surface away from you while:
a. You shift your weight forward from rear to front foot.
b. You shift your weight equally on each foot.
c. You shift your weight backward from front to rear foot.
d. None of the above.
13. Which one of the following is not one of the principles that apply to moving or lifting activity?
a. Face the direction of movement.
b. Use large muscle groups of legs, arms, and shoulder.
c. Push, pull, slide, or roll a heavy object.
d. Allow the patient to roll to your side as this will reduce back strain.
14. When moving the mattress up, you should:
a. Stand in front of the bed and grasp the mattress.
b. Stand behind the head of the bed and grasp the mattress.
c. Brace your hip against the bed while pulling.
d. Stand on either side of the bed and pull the mattress up.
15. To turn a patient on his side, when you are working alone, always:
a. Turn the patient toward you.
b. Turn the patient away from you.
c. Turn the patient toward the center of the bed.
d. Turn the patient toward the outer edge of the bed.
16. Before starting to lift the patient, you should first:
a. Move the patient away from you.
b. Shift your weight forward.
c. Explain the procedure to him.
d. Move the patient toward you.
17. This figure shows range-of-motion for the:
a. Neck.
b. Shoulder.
c. Elbow.
d. Forearm.
18. This figure shows range-of-motion for the:
a. Shoulder
b. Elbow.
c. Forearm.
d. Wrist.
19. This figure shows range-of-motion of the:
a. Hip.
b. Knee.
c. Ankle.
d. Foot.
20. This figure shows range-of-motion of the:
a. Hip.
b. Knee.
c. Foot.
d. Toes.
Section 2Test Answers
1. b
2. a
3. a
4. b
5. d
6. b
7. b
8. d
9. d
10. a
11. a
12. a
13. d
14. b
15. a
16. c
17. b
18. b
19. b
20. a
SECTION 3
1. The cleaning of a unit daily or in accordance with local standing operation procedure (SOP) is termed:
a. Terminal.
b. Concurrent.
c. Procedural.
d. Systematic.
2. The cleaning of a unit when the patient is discharged, is transferred, or dies, is termed:
a. Systematic.
b. Terminal.
c. Concurrent.
d. Procedural.
3. The equipment required to clean the patient’s unit is assembled:
a. In the patient’s room.
b. On the cleared bedside cabinet.
c. In the utility room.
d. At the nurses’ station.
4. Any personal articles left by the patient should be turned in to the:
a. Head nurse.
b. Wardmaster.
c. Guardian or relative.
d. Legal authority.
5. The first steps of the procedure for cleaning a patient unit should be performed in the following order:
a. Assemble the equipment, clear the bedside cabinet, strip the bed, and clean the bed.
b. Clean the bedside cabinet, assemble the equipment, clean the bed, and strip the bed.
c. Clean the bedside cabinet, strip the bed, clean the bed, and assemble the equipment.
d. Clean the bed, strip the bed, clear the bedside cabinet, and assemble the equipment.
6. Make all beds in a nursing unit alike:
a. For beauty.
b. To satisfy the patients.
c. To please the nurse.
d. For uniformity of appearance.
7. When making beds, use good body mechanics, and make each movement:
a. Rapid.
b. Quiet.
c. Purposeful.
d. Dust free.
8. Including the daily allowance of clean linen, towel and washcloth, the following equipment is needed to make an unoccupied open bed:
a. Wash basin containing detergent-germicide solution, cleaning cloth, clothes hamper, and paper bag.
b. Cleaning cloth, sponge, paper bag, and washbasin.
c. Waxed or foil paper, washbasin, cleaning cloth, and disinfectant spray.
d. Washbasin, waxed paper or foil paper, cleaning cloth, and clothes hamper.
9. When preparing to make a bed, assemble the materials at the bedside, placing the clean linen on the chair in the order of use:
a. Sheets, blanket, spread, pillowcase, and pillow on top.
b. Spread, pillow, pillowcase, blanket, and sheets on top.
c. Pillow, pillowcase, spread, blanket, and sheets on top.
d. Blanket, spread, pillowcase, pillow, and sheets on top.
10. When making the bed, you should:
a. Go around the bed and miter all corners.
b. Go around the bed again and tuck the surplus sheet under the mattress.
c. Fold the blanket edge under the top sheet edge of the spread.
d. Complete one side before going to the other.
11. To miter the corner, during the second step of bed making, pick up a hanging side of a sheet about _____________ inches from the head of the mattress.
a. 12.
b. 15.
c. 18.
d. 24.
12. Tuck the hanging corner of the sheet under the mattress, holding your hands:
a. Palm up.
b. Palm down.
c. One up and one down.
d. Either way.
13. If it is necessary to protect the bottom sheet, add a standard laminated cotton protective sheet or:
a. A blanket.
b. A smooth and neat bed sheet.
c. A fitted sheet.
d. A rubber sheet.
14. Center the blanket with the edge approximately _________ inches from the head edge of the mattress and the surplus at the foot.
a. 2
b. 4
c. 8
d. 16
15. When you are replacing the pillowcase and pillow, gather the open portion of the pillowcase:
a. To about midway the length of the pillowcase.
b. To the opposite end of the pillowcase.
c. About one-fourth the length of the pillowcase.
d. To three-fourths the length of the pillowcase.
16. Place the pillow neatly at the head of the bed:
a. With the open end of the case away from the door.
b. Having the open end of the case toward the door.
c. With approximately half of the pillow over the head of the blanket.
d. Having the excess pillowcase tucked under and facing the nearest wall.
17. When cleaning the patient unit, you should:
a. Turn the bed wheels outward and the crank handles inward.
b. Turn the bed wheels inward and the crank handles inward.
c. Turn the bed wheels inward and the crank handles outward.
d. Turn the bed wheels inward, the handles inward, and unlock the wheels.
18. The bed linen of the occupied bed is usually changed:
a. Prior to the cleansing bath.
b. Following the completion of the cleansing bath.
c. During the cleansing bath.
d. Immediately following the morning meal.
19. Precautions that should be taken when making the occupied bed include:
a. Prevent exposing the patient, always get help before moving the patient, and provide for his safety.
b. Proper handling of linen to prevent the possible spread of microorganisms, always seek help before moving the patient, and prevent exposing him.
c. Provide for the patient’s safety, prevent exposing the patient, and handle linen properly to prevent spread of microorganisms.
d. Always get help to prevent dropping the patient, prevent the spreading of microorganisms, and prevent exposing the patient.
20. When it is necessary to replace the protective sheet:
a. It should be placed under the drawsheet.
b. It should be placed over the blanket.
c. It should be placed over the drawsheet.
d. It should be covered partially by the cotton drawsheet.
Test 3 Answers
1. b
2. b
3. c
4. b
5. a
6. d
7. c
8. a
9. c
10. d
11. a
12. b
13. d
14. c
15. a
16. a
17. b
18. b
19. c
20. a
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