Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 33
Question 1
Type: MCSA
The nurse is preparing to provide morning care to a client. What should the nurse explain to the client as the
reason for a daily bath?
1. Assess skin integrity
2. Develop a nurse–client relationship
3. Moisturize the skin
4. Stimulate circulation
Question 2
Type: MCSA
The nurse is preparing to bath a client on the first postoperative day. Which nursing intervention should take
priority?
1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath.
Question 3
Type: MCMA
A client who is ambulatory is able to get out of bed for morning care. What should the nurse assess before
assisting the client out of the bed to change the linen?
Standard Text: Select all that apply.
1. Pulse
2. Respirations
3. Urine output
4. Blood pressure
5. Mobility status
Question 4
Type: MCSA
The nurse is shampooing a client’s hair. Which assessment finding should the nurse consider as expected?
1. Dry, dark, thin
2. Smooth, taut, shiny
3. Smooth texture and not oily or dry
4. Tender, warm scalp
Question 5
Type: MCSA
The nurse identifies the diagnosis Self-Care Deficit related to cognitive impairment as appropriate for a client.
What should the nurse select as an expected outcome for this client?
1. The client will be able to name the staff that works on the day shift.
2. The client will eliminate safety hazards in her environment.
3. The client, with supervision, will brush her teeth.
4. The nurse will stress the importance of adequate fluid intake.
Question 6
Type: MCSA
The nurse is reviewing assigned clients for morning care needs. Which situation could pose a threat to one client’s
personal hygiene?
1. A client has a newly formed ileostomy.
2. A client performs meticulous foot care.
3. A German client refuses to bathe everyday.
4. The room temperature is set at 72°F.
Question 7
Type: MCSA
The nurse is preparing to provide hygienic care to a client. On what will the nurse focus this care?
1. Clothes
2. Family
3. Hair
4. Nutritional
Question 8
Type: MCSA
A client needs to have soft contact lenses removed. What should the nurse do when removing the lenses?
1. Gently pinch the lens and lift it out.
2. Have the client look up.
3. Pull the lower eyelid upward.
4. Use the pad of the ring finger.
Question 9
Type: MCSA
The nurse is caring for a client with diabetes. What should the nurse include as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90°F to 98.6°F.
4. Inspect feet thoroughly once a week.
Question 10
Type: MCSA
A client has the nursing diagnosis Risk for Impaired Skin Integrity related to immobility. Which nursing
intervention should be identified for this client’s problem?
1. Encourage the client to eat at least 40% of meals.
2. Keep linens dry and wrinkle-free.
3. Restrict fluid intake.
4. Turn client every 3 hours.
Question 11
Type: MCSA
Unlicensed assistive personnel are caring for a client’s ears. What information should be reported to the nurse?
1. Excessive earwax
2. Loud talking
3. Presence of a hearing aid
4. Presence of any drainage
Question 12
Type: MCSA
A client’s hearing aid needs to be removed. What action should the nurse perform?
1. Assist the client with removal when necessary.
2. Instruct the client to remove the aid in the sunroom.
3. Leave the aid in place when bathing.
4. Send the aid home with the family.
Question 13
Type: MCSA
A client’s hearing aid needs to be cleaned. What action should the nurse take to complete this task?
1. Clean with a dry, soft cloth.
2. Leave the battery in place when not in use.
3. Store the aid in the bathroom cabinet.
4. Use alcohol to remove any earwax.
Question 14
Type: MCSA
The nurse is making a client’s bed. What safety measure should the nurse implement at this time?
1. Begin at the head and move toward the foot, loosening bottom linens.
2. Miter corners at the head of the bed.
3. Place the soiled sheet in a laundry bag.
4. Prepare the client.
Question 15
Type: MCMA
The nurse is preparing to remove ticks from a client’s scalp. Which actions should the nurse perform to safely
remove these pathogens from the client?
Standard Text: Select all that apply.
1. Grasp the tick with blunt tweezers.
2. Apply heat to the tick with a match.
3. Wash the area with antibacterial soap.
4. Pull the tick away in a perpendicular movement.
5. Apply petroleum jelly to the surface of the tick.
Question 16
Type: MCSA
The nurse is making an occupied bed. Which step will provide comfort for the client during this linen change?
1. Allow for a toe pleat.
2. Place a bath blanket over the client.
3. Slide the mattress to the head of the bed.
4. Raise the side rail.
Question 17
Type: MCSA
The nurse is preparing to shave a client. Which action step should the nurse consider when providing this care?
1. Assist the client to a prone position.
2. Pull the skin taut with the dominant hand.
3. Rinse the razor after each stroke.
4. Use long strokes.
Question 18
Type: MCSA
The nurse is preparing to provide a client with mouth care. What should the nurse do to ensure safe handling of
the client’s dentures?
1. Clean biting surfaces.
2. Place a washcloth in the bowl of the sink.
3. Replace the upper dentures first.
4. Rinse dentures thoroughly with hot water.
Question 19
Type: MCSA
A connection on a client’s intravenous solution was dislodged and solution saturated the client’s gown and bed
linens. The nurse will provide which type of hygienic care to the client?
1. Hour-of-sleep care
2. As-needed care
3. Early morning care
4. Morning care