HESI MATERNITY PROCTORED EXAM
1. The nurse is providing a complete bed bath to a patient using a
commercial bath cleansing pack (bag bath). What should the nurse do?
a. Rinse thoroughly.
b. Allow the skin to air-dry.
c. Do not use a bath towel.
d. Dry the skin with a towel.
ANS: B
The nurse should allow the skin to air-dry for 30 seconds. Drying the skin
with a towel removes the emollient that is left behind after the
water/cleanser solution evaporates. It is permissible to lightly cover the
patient with a bath blanket or towel to prevent chilling. Do not rinse when
using a bag bath.
2. A nurse is providing perineal care to a female patient. Which washing
technique will the nurse use?
a. Back to front In a circular motion
b. From pubic area to rectum
c. Upward from rectum to pubic area
ANS: C
Cleansing from pubic area to rectum (front to back) reduces the transfer of
microorganisms to the urinary meatus and decreases the risk of urinary
tract infection. Cleansing from rectum to pubic area or back to front
increases the risk of urinary tract infection. Circular motions are used in
male perineal care.
3. The nurse is providing perineal care to an uncircumcised male patient.
Which action will the nurse take?
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansing and allow it to return on its own.
c. Retract the foreskin and return it to its natural position when done.
1. The nurse is providing a complete bed bath to a patient using a
commercial bath cleansing pack (bag bath). What should the nurse do?
a. Rinse thoroughly.
b. Allow the skin to air-dry.
c. Do not use a bath towel.
d. Dry the skin with a towel.
ANS: B
The nurse should allow the skin to air-dry for 30 seconds. Drying the skin
with a towel removes the emollient that is left behind after the
water/cleanser solution evaporates. It is permissible to lightly cover the
patient with a bath blanket or towel to prevent chilling. Do not rinse when
using a bag bath.
2. A nurse is providing perineal care to a female patient. Which washing
technique will the nurse use?
a. Back to front In a circular motion
b. From pubic area to rectum
c. Upward from rectum to pubic area
ANS: C
Cleansing from pubic area to rectum (front to back) reduces the transfer of
microorganisms to the urinary meatus and decreases the risk of urinary
tract infection. Cleansing from rectum to pubic area or back to front
increases the risk of urinary tract infection. Circular motions are used in
male perineal care.
3. The nurse is providing perineal care to an uncircumcised male patient.
Which action will the nurse take?
a. Leave the foreskin alone because there is little chance of infection.
b. Retract the foreskin for cleansing and allow it to return on its own.
c. Retract the foreskin and return it to its natural position when done.
