UNAR Personal Care Skills 2 — Questions and Answers
Question 1: When providing perineal care to a female resident, the nursing assistant should clean in which direction?
- Back to front
- Front to back (Correct answer)
- Side to side
- In a circular motion
Correct answer: Front to back
Cleaning front to back prevents contamination of the urethra and vagina with bacteria from the rectal area.
Question 2: A resident has a partial weight-bearing restriction. During AM care, which action is correct when transferring them to a shower chair?
- Have the resident bear full weight briefly to pivot
- Use a gait belt and allow only the prescribed amount of weight bearing (Correct answer)
- Skip the shower and do a bed bath instead
- Ask another resident to help support them
Correct answer: Use a gait belt and allow only the prescribed amount of weight bearing
A gait belt must be used and the resident may only bear the amount of weight specified in the care plan.
Question 3: Which water temperature is safest when filling a basin for a resident's hand and foot soak?
- Hot — around 110°F to soften skin
- Warm — between 105°F and 110°F
- Comfortably warm — between 95°F and 105°F, verified with thermometer (Correct answer)
- Cool — below 85°F to prevent burns
Correct answer: Comfortably warm — between 95°F and 105°F, verified with thermometer
Water for soaks should be 95–105°F and always checked with a thermometer before placing a resident's skin in it.
Question 4: When assisting a resident to brush their teeth, the nursing assistant notices the gums are bleeding. What is the appropriate response?
- Continue brushing more gently and note at end of shift
- Stop brushing, document the observation, and report to the nurse (Correct answer)
- Apply pressure with a towel and do not report unless bleeding persists
- Rinse the mouth with hydrogen peroxide and continue care
Correct answer: Stop brushing, document the observation, and report to the nurse
Bleeding gums are an abnormal finding that must be reported to the nurse promptly and documented.
Question 5: A resident who wears a hearing aid needs a shower. What should the nursing assistant do with the hearing aid before the shower?
- Leave it in — modern aids are waterproof
- Remove it and store it safely in its case (Correct answer)
- Cover it with a plastic bag while showering
- Turn it off but leave it in place
Correct answer: Remove it and store it safely in its case
Hearing aids must be removed before bathing or showering because water can permanently damage the device.
Question 6: Which statement best describes the purpose of applying lotion after bathing a resident?
- It eliminates the need for future bathing as often
- It moisturizes the skin and helps prevent skin breakdown (Correct answer)
- It is only necessary for residents with documented dry skin
- It replaces the need for perineal care
Correct answer: It moisturizes the skin and helps prevent skin breakdown
Applying lotion after bathing helps maintain skin integrity by moisturizing and preventing the cracking that can lead to pressure injuries.
Question 7: A resident refuses their scheduled bath. What is the nursing assistant's best first action?
- Proceed with the bath anyway to maintain hygiene
- Document the refusal and notify the nurse (Correct answer)
- Wait an hour and attempt to force the bath
- Give a partial bath without informing the resident
Correct answer: Document the refusal and notify the nurse
Residents have the right to refuse care; the nursing assistant must respect that right, document it, and report it to the nurse.
When providing perineal care to a female resident, the nursing assistant should clean in which direction?