EXAMS
Smartprep Examinations
1. 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.
d. Leave the foreskin retracted.
ANS: C
Return the foreskin to its natural position. Keeping the foreskin
retracted leads to tightening of the foreskin around the shaft
of the penis, causing local edema and discomfort. The foreskin
may not return to its natural position on its own. Patients at
greatest risk for infection are uncircumcised males.
2. Which instruction will the nurse provide to the nursing
assistive personnel
, when providing foot care for a patient with diabetes?
a. Do not place slippers on the patient’s feet.
b. Trim the patient’s toenails daily.
c. Report sores on the patient’s toes.
d. Check the brachial artery.
ANS: C
Report any changes that may indicate inflammation or injury to
tissue. Do not allow the diabetic patient to go barefoot; injury
can lead to amputations. Clipping toenails is not allowed.
Patients with peripheral vascular disease or diabetes mellitus
often require nail care from a specialist to reduce the risk of
infection. When assessing the patient’s feet, the nurse palpates
the dorsalis pedis of the foot, not the brachial artery.
3. The debilitated patient is resisting attempts by the nurse to
provide oral hygiene. Which action will the nurse take next?
a. Insert an oral airway.
b. Place the patient in a flat, supine position.
c. Use undiluted hydrogen peroxide as a cleaner.
d. Quickly proceed while not talking to the patient.