Wound And Skin Isolation

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Sylvia9879
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Quizzes Created: 14 | Total Attempts: 29,764
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  • 1/91 Questions

    You should shampoo a resident's hair to improve

    • Circulation to the scalp
    • The resident's general appearance
    • The resident's feeling of well-being
    • All of the above
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About This Quiz

This quiz on 'wound and skin isolation' assesses key nursing actions for patient safety and care, including handling soiled linen, emergency responses, and prevention of decubitus ulcers. It is designed for healthcare professionals to enhance practical skills in patient management.

Wound And Skin Isolation - Quiz

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  • 2. 

    The purpose of correctly positioning the patient is to

    • Prevent skin breakdown

    • Maintain function of joints and muscles

    • Increase comfort

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    Correctly positioning a patient should prevent skin breakdown, increase comfort, and maintain the function of joints and muscles.

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  • 3. 

    The charge nurse instructs you to clean a resident's closet. You should

    • Throw away all torn clothes

    • Ask the family to come do it

    • Enlist the help of the resident

    • Tell the nurse you are too busy

    Correct Answer
    A. Enlist the help of the resident
    Explanation
    The resident has the legal right to decide on keeping or throwing away personal belongings

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  • 4. 

    When you make bed, you should place the soiled linen

    • On the bedside table

    • On he overbed table

    • In a laundry bag

    • On a chair

    Correct Answer
    A. In a laundry bag
    Explanation
    Soiled linen should be directly placed in laundry bags to prevent contamination

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  • 5. 

    The purpose of the cleaning bath is to

    • Provide cleanliness

    • Promote circulatiuon

    • Observe skin condition

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    A bath correctly given promotes circulation at the same time as it provides an excellent opportunity to observe the skin

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  • 6. 

    When a patient turns on the call bell every few minutes, the appropriate response is to

    • Ask the patient not to call so often

    • Stop by the room more often

    • Place the call bell out of reach

    • Tell the patient how busy you are

    Correct Answer
    A. Stop by the room more often
    Explanation
    Patients who use their call bell frequently are usually afraid they will be ignored if they don't call often. Stopping in frequently reassures them

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  • 7. 

     A patient's dentures are lost. You should 

    • Notify the administrator

    • Look for them

    • Notify the doctor

    • Notify the charge nurse

    Correct Answer
    A. Notify the charge nurse
    Explanation
    The first step for any lost belongings is always to notify the charge nurse

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  • 8. 

    Failure to raise the side rails on teh bed of a confused pateint is an act of

    • Malpractice

    • Negligence

    • Overt commission

    • Breaking a criminal law

    Correct Answer
    A. Negligence
    Explanation
    Negligence is an unintentional act of injury

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  • 9. 

    Which of the following can cause an inaccurate oral temperature reading?

    • Drinking hot or cold liquids within 10 minutes of the reading

    • Failure to shake down a mercury thermometer

    • Vigorous exercise prior to measuring temperature

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Drinking hot or cold liquids within 10 minutes of the reading can affect the oral temperature reading because it can alter the temperature inside the mouth. Failure to shake down a mercury thermometer can also lead to an inaccurate reading as it may not reset the thermometer to the correct starting point. Vigorous exercise prior to measuring temperature can cause the body temperature to temporarily rise, resulting in an inaccurate reading. Therefore, all of the above factors can contribute to an inaccurate oral temperature reading.

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  • 10. 

    In the event of a fire ina resident;s room, your first actio should be to

    • Notify the head nurse

    • Turn in a fire alarm

    • Get the resident to a safe place

    • Get the fire extinguisher

    Correct Answer
    A. Get the resident to a safe place
    Explanation
    Always remove the resident from danger first

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  • 11. 

    The reason for rubbing a patient's back include

    • Improving circulation

    • Incrasing one-on-one interaction time

    • Relaxing the resident

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    A correctly given backrub improves circulation, thus relaxing the patient while giving you an opportunity for one on one interaction

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  • 12. 

    The procecure for bathing that prevents damage to the skin is to

    • Rub carefully with a rough washcloth

    • Use a large amount of lotion

    • Rinse well and dry thoroughly

    • Apply a generous amount fo talcum powder after the bath

    Correct Answer
    A. Rinse well and dry thoroughly
    Explanation
    The best way to prevent skin breakdown is to rinse and dry well

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  • 13. 

    The preferred substance for a back rub is

    • Alcohol

    • Talcum powder

    • Lotion

    • Baby oil

    Correct Answer
    A. Lotion
    Explanation
    Lotion is the preferred substance for a back rub because it provides lubrication for smooth and gentle massaging. It is easily absorbed by the skin, leaving it moisturized and soft. Alcohol can be drying and irritating to the skin, talcum powder may cause allergies or respiratory issues when inhaled, and baby oil can be too greasy and may clog pores. Lotion is a versatile option that offers the right balance of slipperiness and hydration for an effective and enjoyable back rub.

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  • 14. 

    Which of the following activities ahould be included in personal daily hygiene?

    • Shaving male residents

    • Hair care

    • Oral hygiene

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Residents should reveive hair care, oral hygiene, and shaving on a daily basis

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  • 15. 

    Decubitus ulcers may develop in patients who are

    • Incontinent

    • Paralyzed

    • Poorly noruished

    • Al of the above

    Correct Answer
    A. Al of the above
    Explanation
    Any patietn who is bedbound may develop a decubitus ulcer. ?Those who also are incontinent, paralyzed, or poorly nourished will develop ulcers more rapidly.

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  • 16. 

    Frequent mouth care should be given to residents who

    • Receive oxygen therapy

    • Are unconscious

    • Receive tube feedings

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All of the residents mentioned have high risk of mouth breathing, therefore, they all should be receiving frequent mouth care

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  • 17. 

    It is important to remember that dying residents

    • Have the same needs for care as other patients

    • Need to be by themselves in a quiet room

    • Do not need to be consulted regarding their care

    • Are usually in pain

    Correct Answer
    A. Have the same needs for care as other patients
    Explanation
    No all dying patients have the same problems, but they have all the same care needs as anyone else

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  • 18. 

    A sign of dementia in elderly pateint is

    • A need to eat regular meals

    • Not knowing who are where they are

    • An ability to figure out problems

    • A good memory for recent events

    Correct Answer
    A. Not knowing who are where they are
    Explanation
    Only choice b is usaully seen in dementia

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  • 19. 

    The most important factor in preventing the spread of infection is to

    • Place hte residnt in isolation

    • Handwash between resident contacts

    • Clean the unit each day

    • Wear sterile gloves to care for all residents

    Correct Answer
    A. Handwash between resident contacts
    Explanation
    The most important factor in preventing the spread of infection is to wash your hands between resident contacts

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  • 20. 

    Safe use of oxygen therapy includes

    • Always setting the flowmeter at 2-3 liters per minute

    • Using wool blankets only

    • Cleansing the nasal prongs each shift with alcohol

    • Posting a "no smoking" sign on hte door

    Correct Answer
    A. Posting a "no smoking" sign on hte door
    Explanation
    Choice a is wrong bec the flow is set by the physician. Choice b is wrong bec wool can cause sparks, and c is wrong bec alcohol causes drying. Therefore, only choice d is correct

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  • 21. 

    The main safety factor in transferring a patient is to

    • Always transfer slowly

    • Raise the side rails

    • Secure adequate assistance

    • Make sure the resident is not tired

    Correct Answer
    A. Secure adequate assistance
    Explanation
    Transferring safely means planning ahead, including obtaining help

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  • 22. 

    A resident who is too large for staff memebers to tranfer safely is

    • Moved wit a mechanical lifting device

    • Placed on a calorie-controlled diet

    • Left in bed, but turned every two hours

    • Left in bed, but repositioned every hour

    Correct Answer
    A. Moved wit a mechanical lifting device
    Explanation
    Use a mechanical device to protect both the resident and the staff

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  • 23. 

    At the beginning of your shift, you give a resident a water pitcher containing 270ml (9 oz) of water. At the end of your shift, yo unote that 35 ml of water is left in the pitcher. How much wate has been consumed?

    • 35 ml

    • 135 ml

    • 175 ml

    • 235 ml

    Correct Answer
    A. 235 ml
    Explanation
    The correct answer is obtained by subtracting the amount of fluid left from the fluid amount the resident started with.

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  • 24. 

    When a resident complains that his dentures are hurting, you should

    • Encourage him to wear the dentures more often

    • Report the complaint to the charge nurse

    • Report the complaint to the physician

    • Put the dentures on the bedside table

    Correct Answer
    A. Report the complaint to the charge nurse
    Explanation
    Always bring such complaints to the charge nurse

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  • 25. 

    Residents with Alzheimer's disease may show shich of the following signs/symptoms?

    • Physical and mental wasting away

    • Extremely clear memory

    • Frequent pacing or wandering

    • A and c only

    Correct Answer
    A. A and c only
    Explanation
    Physical and mental wasting away are common symptoms of Alzheimer's disease, as is frequent pacing or wandering and loss of memory

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  • 26. 

    Sexuality in long-tem cre patients may include all fo the following EXCEPT

    • Needing private time with a partner

    • Caring about one's physical appearance

    • Engaging in public fondling

    • Desiring sexual interaction

    Correct Answer
    A. Engaging in public fondling
    Explanation
    As long term care providers, nursing assistants must respect ther resiodent's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other residents' rights

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  • 27. 

    The primary reason for laundering a nursing uniform after reach each day's wearing is to

    • Look professional

    • Look neat

    • Remove body odor

    • Prevent the spread of germs

    Correct Answer
    A. Prevent the spread of germs
    Explanation
    Preventing the spread of germns is the prinicipal reason for all infection control measures

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  • 28. 

    As a nursing assistant, it is your responsibility to

    • Plan the resident's care

    • Do the tasks the supervisor assigns to you

    • Do the best you can without asking for help

    • Compare assignments with your co-workers

    Correct Answer
    A. Do the tasks the supervisor assigns to you
    Explanation
    Choice a is incorrect because you are a member of the planning team, not hte major planner. Choice c is incorrect because in health care the correct action isn often to ask for help. Choice d is incorrect because there is no legitimate reason to compare notes iwth co-workers

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  • 29. 

    If you do not know how to do an assigned task, you should

    • Call another nursing assistant for help

    • Ask the patient how she prefers to have it done

    • Call the charge nurse and ask for help

    • Follow the instructions in the procedural manual

    Correct Answer
    A. Call the charge nurse and ask for help
    Explanation
    Asking for hjelp when you are unsure of yourself is a critical element of employability skills

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  • 30. 

    When you perform CPR, the patient should be lying

    • Flat on a hard surface

    • With head and shoulders elevated

    • With the head and feet rasied slightly

    • None of the above

    Correct Answer
    A. Flat on a hard surface
    Explanation
    The patient must be flat on a hard surface or the compressions will be inadequate to circulate blood.

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  • 31. 

    When shampooing a patient's hair, it si important to

    • Rinse thoroughly

    • Protect the eyes

    • Provide for privacy

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    a b c are all correct, tehrefore, d is the best answer

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  • 32. 

    Which of hte following statements about dressing residents is true?

    • It is not necessary for handicapped residents to dress in street clothes

    • Residens like staff members to dress them

    • Residents are concerned about how they look

    • Residents are used to being dressed in front of others

    Correct Answer
    A. Residents are concerned about how they look
    Explanation
    Choice c is the only answer that addresses resident privacy, modesty, and personal choice

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  • 33. 

    The preferred way to remove a bedpan from a resident who is unable to lift her buttocks is to

    • Use a mechanical lifting device

    • Have another nursing assistant lift the resident

    • Turn the patient to the side while holding the pan

    • Slowly slide the pan from under ther resident

    Correct Answer
    A. Turn the patient to the side while holding the pan
    Explanation
    Turning the resident is the easiest method, and it is important to hold the pan to prevent spilling he contents.A fracture-type bedpan can be used by any patient who should not be lifted or turned.

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  • 34. 

    If you patient does not eat all the food on his tray, the first thing you should do is

    • Notify the charge nurse

    • Ask the resident why

    • Remove the tray

    • Urge the patient to eat all the food

    Correct Answer
    A. Ask the resident why
    Explanation
    The patient may not be eating due to personal dislike fo the food. Asking first allows you to request a replacement if teh problem is this simple.

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  • 35. 

    The resident states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low salt diet. You should

    • Explain this means no salt when preparing food

    • Tell the patient not to use the salt

    • Check hte diet order with the nurse

    • Cal the kitchen for a new tray

    Correct Answer
    A. Check hte diet order with the nurse
    Explanation
    Any diet question must be answered before the resident eats

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  • 36. 

    Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to

    • Rearrange his gown or clothing

    • Prevent orthostatic hypotension

    • Position and secure the wheelchair

    • Rest and remove the transfer belt

    Correct Answer
    A. Prevent orthostatic hypotension
    Explanation
    Orthostatic hypotension is the light-headed feeling we all get when we rise too fast

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  • 37. 

    On entering a room, you notice that the patient is not breathing. Your first action should be to

    • Call for help

    • Lay the resident down on his back

    • Give four quick breaths

    • Give 8-10 abdominal thrusts

    Correct Answer
    A. Call for help
    Explanation
    Always cal for help first in an emergency

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  • 38. 

    If a resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing

    • Back blows

    • Mouth to mouth ventilations

    • A finger sweep

    • Abdominal thrusts

    Correct Answer
    A. Abdominal thrusts
    Explanation
    Abdominal thrusts are always the first step of airway obstructions

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  • 39. 

    Security for a resident's dentures includes

    • Keeping them in a tissue in a dresser drawer

    • Placing them in a labeled denture cup

    • Insisting the resident wear the dentures

    • Placing an identifying mark on the dentures

    Correct Answer
    A. Placing them in a labeled denture cup
    Explanation
    Every resident with dentures must have a labeled denture cup to ensure security fo the costly dentures

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  • 40. 

    You are removing a soiled gown from a resident who has an IV. You should

    • Remove the opposite arm from the gown first

    • Have the nurse remove the IV needle

    • Disconnect the bag and tubing

    • Slip the gown over the IV solution bag

    Correct Answer
    A. Remove the opposite arm from the gown first
    Explanation
    remove the sleeve from th earm without tubing first

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  • 41. 

    Dying residents and their families

    • Always pass through five stages of dying in order

    • Always accept dath before it occurs

    • May go back and forth among the five stages

    • Must go through all stages of dying before they die

    Correct Answer
    A. May go back and forth among the five stages
    Explanation
    Bec each dying resident has unique emotional needs, each person will go through the stages at different times and in different order

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  • 42. 

    A decubitus ulcer is caused by

    • Poor circulation

    • Pressure on the skin

    • Poor nutrition

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    A decubitus ulcer, also known as a pressure ulcer or bed sore, is caused by a combination of factors including poor circulation, pressure on the skin, and poor nutrition. Poor circulation restricts blood flow to the affected area, leading to tissue damage. Prolonged pressure on the skin, especially in individuals who are immobile or bedridden, can cause tissue breakdown. Inadequate nutrition weakens the skin and reduces its ability to withstand pressure. Therefore, all of the above factors contribute to the development of a decubitus ulcer.

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  • 43. 

    The patient's TPR is 98.8-80-30. The finding that should be reported at once is

    • Pulse

    • Temperature

    • Respiration

    • All of the above

    Correct Answer
    A. Respiration
    Explanation
    Only respiration s are out of normal range

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  • 44. 

    If the patient is in traction, you should never

    • Monitor affected skin temperature

    • Give a total bed bath

    • Change the positiion of weights

    • Monitor distal pulses

    Correct Answer
    A. Change the positiion of weights
    Explanation
    Position of wiehgs in traction is ordered by a doctor. Therefore, the nursing assistant should never change the position of weights without an order

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  • 45. 

    Reporting exactly what you see is an example of a (an) ____ observation

    • Clinical

    • Objective

    • Personal

    • Subjective

    Correct Answer
    A. Objective
    Explanation
    Objective means something you can see, feel, smell, or touch

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  • 46. 

    When making a occupied bed, it is important to

    • Make half of the bed at one time

    • Have one side rail up and one down

    • Make a toe pleat in the top covers

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    When making an occupied bed, it is important to make half of the bed at one time, to have one side rail up and one down, and to makes a tyoe pleat in the top covers

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  • 47. 

    When performiong perinal care on a male, always

    • Clean the scrotum first

    • Retract the foreskin if uncircumcised

    • Clean form front to back

    • Hold the penis at a 90 degree angle

    Correct Answer
    A. Retract the foreskin if uncircumcised
    Explanation
    Material may build up underthe foreskin in uncircumcised males unless the foreskin is retracted for cleaning

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  • 48. 

    When a resident is on I & O, which of the following are measured?

    • Liquids other than water

    • See through liquids only

    • Milk, ice cream, and carbonated beverages

    • All substances that are fluid at room temperature

    Correct Answer
    A. All substances that are fluid at room temperature
    Explanation
    All items that are liquid at room temperature are considered fluid (for example, ice cream, gelatin dessert, and so on)

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  • 49. 

    A patient hits you during lunch. You should

    • Call the charge nurse for help

    • Continue to feed her

    • Apply a restraint

    • Yell at her to stop hitting you

    Correct Answer
    A. Call the charge nurse for help
    Explanation
    Obtaining assistance is the only correct way to deal with abuse by a resident

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Quiz Review Timeline (Updated): Aug 24, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Aug 24, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 06, 2011
    Quiz Created by
    Sylvia9879

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