2.

9 HOURS

Continuing Education
TEST

Oral Hygiene Test

1. Coleman and Watson reported
that the average toothbrushing
time for nursing home residents
during oral care delivered by nurs-
ing assistants was
a. 16.2 seconds.
b. 21.4 seconds.
c. 26.6 seconds.
d. 31.8 seconds.
2. According to the same study by
Coleman and Watson, what per-
centage of nursing home residents
received oral care?
a. 6%
b. 16%
c. 26%
d. 36%
3. According to Pyle and col-
leagues, nursing home executive
directors rated residents’ oral
health as
a. good.
b. fair to good.
c. fair to poor.
d. poor.
4. Henry and colleagues’ survey of
nursing home residents indicated
that what percentage of them had
not seen a dentist in more than
5 years?
a. 10%
b. 25%
c. 33%
d. 50%
5. Terpenning and colleagues found
a significant association between
the presence of pathogenic oral
bacteria and the incidence of
a. pulmonary embolism.
b. inflammatory bowel disease.
c. gastroesophageal reflux.
d. aspiration pneumonia.
6. According to Thorstensson and
colleagues, compared with diabetic
subjects who had minimal or no
periodontal disease, diabetic sub-
jects who also had severe peri-
odontal disease had a significantly
higher prevalence of which of the
following?
a. angina
b. cancer
c. heart failure
d. osteoarthritis
7. The first National Health and
Nutrition Examination Survey indi-
cated that periodontal disease is a
significant risk factor for
a. gout.
b. stroke.
c. anemia.
d. endocarditis.
8. The gold standard of oral
hygiene is
a. flossing.
b. rinsing.
c. toothbrushing.
d. swabbing.
9. Nursing home residents show
less resistance to oral care when
caregivers
a. deliver it more frequently.
b. ask family members to perform it.
c. perform it for residents as soon as
they awaken.
d. encourage them to perform it them-
selves.
10. Caregivers might have better
access to the mouths of resistant
residents if they used toothbrushes
that have
a. handles bent back at about 45°.
b. larger heads than standard
brushes do.
c. several bright colors.
d. a suction apparatus.
11. When brushing the teeth of
patients who have severe disabilities
and are prone to gagging and chok-
ing, caregivers should use which of
the following on the brush?
a. hydrogen peroxide
b. a minty mouthwash
c. a pea-size amount of toothpaste
d. enough toothpaste to cover the
entire brushing surface
12. In severely debilitated patients,
caregivers should deliver oral
hygiene care with a foam stick
soaked in
a. normal saline solution.
b. an alcohol-based mouthwash.
c. a chlorhexidine mouth rinse.
d. lemon and glycerin.
13. The preferred position for alert
patients receiving oral care is
a. standing.
b. side-lying.
c. semireclining.
d. sitting upright.
14. Fatal asphyxiation by airway
obstruction typically involves
a. food.
b. mucus.
c. emphysema.
d. anaphylaxis.
15. Some experts recommend
using jejunostomy tubes instead of
gastrostomy tubes to feed patients
who have a history of
a. dehydration.
b. pneumonia.
c. dementia.
d. chronic disability.
16. Of the following, the highest-
priority aspect of oral care at the
end of life is
a. flossing daily.
b. assessing for gum inflammation and
infection.
c. providing comfort through gentle
cleansing.
d. suctioning oral and pharyngeal
secretions. ▼

ajn@wolterskluwer.com AJN ▼ June 2009 ▼ Vol. 109, No. 6 51