Guaranteed Pass Solutions 2026
Updated.
Select all factors that may influence a person's hygiene practices
SELECT ALL THAT APPLY
- Personal preferences
- Health
- Culture
- Religion
- Energy level - Answer Personal preferences
Health
Culture
Religion
Energy Level
Which scheduled hygiene care is usally thought of as including a back massage to help the
patient relax?
- Early morning care
- Hour of sleep care
- As needed (PRN) care
- Morning care - Answer hour of sleep care
The nurse is teaching nursing assistive personnel how to give a complete bed bath. Which
instruction should the nurse include?
- "Cleanse only those areas likely to cause odor."
- "Wash the patient's back, buttocks, and perineum first."
- "Provide the patient with warm water for washing his perineum."
- "Bathe the patient from head -to-toe, cleanest areas first." - Answer bathe the patient from
head-to-toe, cleanest areas first
A nurse has been teaching a student how to perform mouth care for the unconscious patient.
The student will show evidence of learning if the patient is placed in which position?
Side-lying
Semi-Fowler's
Prone
,Supine - Answer Side-lying
A nurse prepares to change a client's bed. Which actions will the nurse take to minimize the
effects of the environment during this task?
SELECT ALL THAT APPLY
- Hold contaminated linen away from the body
- Place pillows on the sink
- Place used linen on the floor
- Fold and place bedspread on the roommate's chair.
- Avoid shaking the linen - Answer - Avoid shaking the linen
- Hold contaminated linen away from the body
When using the SBAR method of communicating a client's condition, the nurse would include
which info in the background section?
- Patient states that he feels dizzy and light-headed.
- Request fingerstick glucose monitoring.
- Admission diagnosis is new -onset type 2 diabetes.
- Blood pressure is 130/90 mm Hg; heart rate is 890 beats per minute. - Answer Admission
diagnosis is new -onset type 2 diabetes.
Which question would the nurse ask to identify an immediate physiologic consequence when a
older adult's teeth are in poor condition and the client says that he or she only eats soft foods?
"Would you like me to help you make an appointment with the dentist?"
"Have you lost any weight recently?"
"Do you have any problems with your bowel movements?"
"Do you take any over-the-counter vitamin supplements?" - Answer have you lost any weight
recently?
Which older adult has the greatest risk for falls?
A 73-year-old who takes frequent walking excursions.
A 90-year-old who frequently calls for help to change position.
An 80-year-old who uses a cane when ambulating.
A 68-year-old who has decreased sensation in the lower extremities. - Answer A 68-year-old
who has decreased sensation in the lower extremities.
Which actions will the nurse take for a client who requires physical restraints?
SELECT ALL THAT APPLY
, Provide soft, calming music.
Encourage family members to go home at night.
Check the patient every 30-60 minutes.
Turn the television on if the client is agitated.
Place the client in an area where he or she can be supervised.
Release the restraints every 1 to 2 hours for turning, repositioning, and toileting. - Answer -
Provide soft, calming music
- Check the patient every 30-60 minutes
- Place the client in an area where he or she can be supervised.
- Release the restraints every 1 to 2 hours for turning, repositioning, and toileting.
$ Which actions should the nurse take for all clients to prevent falls regardless of risk for falls?
SELECT ALL THAT APPLY
Assist clients to ambulate to the bathroom with walker or cane as needed.
Teach client to use grab bars when walking in the hall without assistive devices.
Remind clients to call for help before getting out of bed or a chair.
Teach clients and family about fall prevention to become safety partners.
Help the incontinent client to the toilet a least once each shift.
Monitor client's activities and behavior as often as possible.
Remind the client to wear glasses and hearing aid.
Clean up spills immediately. - Answer - Clean up spills immediately
- Monitor client's activities and behavior as often as possible
- Teach clients and family about fall prevention to become safety partners.
- Remind clients to call for help before getting out of bed or a chair
- Teach client to use grab bars when walking in the hall without assistive devices.
A nurse is caring for a client who has been sitting in a chair for 2 hours. What is the greatest risk
to the patient?
Fecal impaction
Pressure ulcer formation
Muscle atrophy
Bone demineralization - Answer Pressure ulcer formation
The nurse is planning care for a client who is on bedrest. Which intervention should the nurse
plan to implement?
Instruct the client to cough and deep breathe every 4 hours.