NCLEX-RN Personal hygiene practice questions

Question 1

A 78-year-old female client in a long-term care facility has limited mobility and is unable to perform her own oral care. The nurse delegates oral care to a nursing assistant. Which observation by the nurse indicates that the nursing assistant is providing safe and effective oral hygiene for this client?

1. A The nursing assistant positions the client in a high Fowler's position and uses a foam swab with mouthwash.
2. B The nursing assistant applies a lemon-glycerin swab to the client's oral mucosa to stimulate saliva production.
3. C The nursing assistant uses a soft toothbrush with fluoride toothpaste and brushes the client's teeth for two minutes.
4. D The nursing assistant places the client in a supine position and uses a firm toothbrush with baking soda.

Question 2

A 55-year-old client with a new colostomy is learning to perform peristomal skin care. The nurse observes the client cleansing the stoma with a cotton ball soaked in hydrogen peroxide. Which response by the nurse is most appropriate?

1. A Apply a skin barrier wipe after cleansing and let it dry completely.
2. B Rinse the area thoroughly with warm water and pat dry with a soft cloth.
3. C Hydrogen peroxide is acceptable if you dilute it with equal parts of water.
4. D Use a mild soap and water, then apply a barrier powder to the skin.

Question 3

A 58-year-old client with type 2 diabetes mellitus and peripheral neuropathy is admitted for a foot ulcer. The nurse is providing morning care and notices dried drainage on the client's left great toe. Which action should the nurse take when cleaning the client's feet?

1. A Soak the feet in warm water for 15 minutes to soften the dried drainage before cleaning.
2. B Apply an antiseptic solution directly to the dried drainage to disinfect the wound.
3. C Use a soft washcloth and mild soap to gently clean the area, then pat dry thoroughly.
4. D Scrub the dried drainage with a gauze pad to remove all debris quickly.

Question 4

A 72-year-old client with Parkinson's disease is admitted to a long-term care facility. The client has a tremor, rigidity, and bradykinesia. The nursing assistant reports that the client refuses to bathe, stating, 'I'm too tired and shaky.' Which nursing response is most appropriate?

1. A Offer the client a bed bath every other day instead of a shower
2. B Explain to the client that daily bathing is necessary to prevent infection
3. C Delegate the bath to the nursing assistant with instructions to complete it quickly
4. D Schedule the bath for a time when the client's medication is at peak effect