Basic Care and Comfort NCLEX Questions with Answers Rated A
Of the following positions, which one facilitates maximum
air exchange?
a. Orthopneic
a. Orthopneic
This is sitting in a leaning position, which allows for the
b. Trendelenburg
most lung expansion.
c. High Fowler's
d. Lithotomy
After your patient dies, the patient's family gathers at
the bedside and asks you to step out while their clergy
performs a religious rite for the deceased. As the patient's
b. Allow the ceremony and step out of the room
nurse, what is your most appropriate course of action?
Most hospitals do not have a policy that prohibits religious
a. Educate the family about custody of care and stay in the
rites at the time of death. Remaining in the room shows
room
disrespect and lack of trust a time of grieving.
b. Allow the ceremony and step out of the room
c. Inform the family that religious rites are not allowed
d. Allow the ceremony but remain as a witness
A patient with a total hip replacement requires certain
equipment for recovery. Which of the following will assist
the patient with activities of daily living (ADL)?
b. High-seat commode
a. TENS unit
This keeps the hip higher than the knee.
b. High-seat commode
c. Recliner
d. Abduction pillow
After a high school athlete sustains a fractured femur a. I should walk around on my cast as soon as I get home.
during a competition, a full leg plaster cast is applied.
When the nurse provides discharge instructions to the Plaster casts are made up of a bandage and a hard cov-
athlete and their parents six hours later, which statement ering, usually plaster of Paris. Client instructions include:
by the athlete indicates a need for further education? 1) Keep the limb raised on a soft surface for as long
as possible in the first few days, this will help decrease
, Basic Care and Comfort NCLEX Questions with Answers Rated A
a. I should walk around on my cast as soon as I get home. swelling. 2) Keep the cast dry; if the plaster gets wet, it
b. I will prop my cast on two pillows when I lie down. weakens and is unable to support the bone. 3) Do not put
c. I'll put an ice pack over the cast to relieve itching. anything into the cast to relieve itching. A hair dryer on cool
d. I should call my doctor if my toes turn blue or become or an ice pack over the itchy area can help. 4) Immediately
numb. report any pain, tingling, or numbness.
When instructing a patient with Addison's disease about
nutrition, the healthcare provider should NOT recommend
a. a restricted-sodium diet
which of the following dietary modifications?
A patient with Addison's disease (adrenal insuflciency)
a. a restricted-sodium diet
requires normal dietary sodium to maintain electrolyte
b. a client with adequate caloric intake
balance and prevent excess fluid loss.
c. a diet high in grains
d. a high-protein diet
A nurse is caring for a client whose heel has a pressure c. no dressing is necessary
ulcer covered with intact hard, dry, black tissue. Which is
the appropriate dressing for this client? Current standard of care guidelines recommend that sta-
ble, intact (dry, adherent, intact without erythema) eschar
a. do a wet-to-dry dressing change on the heels should not be removed. Eschar works as a
b. cover with sterile gauze natural barrier or biological dressing by protecting the
c. no dressing is necessary wound bed from bacteria. Unless it is wet, draining, or
d. apply a hydrocolloid dressing loose, it should remain in place.
When a patient's nasogastric (NG) tube stops draining, b. check tube placement
what is the nurse's first action?
ALWAYS verify tube placement before taking other mea-
a. clamp for 1 hour sures. NEVER put anything in an NG tube unless you know
b. check tube placement that its tip is in the stomach. Clamping has no ettect on NG
c. instill 50 mL of water tube placement. Retracting without knowing where the tip
d. retract 2 inches is could be unsafe.
The nurse is teaching parents to instill eye drops for their
4-month-old daughter. The parents tell the nurse that she
shuts her eyes tightly to avoid the drops. Which instruction
Of the following positions, which one facilitates maximum
air exchange?
a. Orthopneic
a. Orthopneic
This is sitting in a leaning position, which allows for the
b. Trendelenburg
most lung expansion.
c. High Fowler's
d. Lithotomy
After your patient dies, the patient's family gathers at
the bedside and asks you to step out while their clergy
performs a religious rite for the deceased. As the patient's
b. Allow the ceremony and step out of the room
nurse, what is your most appropriate course of action?
Most hospitals do not have a policy that prohibits religious
a. Educate the family about custody of care and stay in the
rites at the time of death. Remaining in the room shows
room
disrespect and lack of trust a time of grieving.
b. Allow the ceremony and step out of the room
c. Inform the family that religious rites are not allowed
d. Allow the ceremony but remain as a witness
A patient with a total hip replacement requires certain
equipment for recovery. Which of the following will assist
the patient with activities of daily living (ADL)?
b. High-seat commode
a. TENS unit
This keeps the hip higher than the knee.
b. High-seat commode
c. Recliner
d. Abduction pillow
After a high school athlete sustains a fractured femur a. I should walk around on my cast as soon as I get home.
during a competition, a full leg plaster cast is applied.
When the nurse provides discharge instructions to the Plaster casts are made up of a bandage and a hard cov-
athlete and their parents six hours later, which statement ering, usually plaster of Paris. Client instructions include:
by the athlete indicates a need for further education? 1) Keep the limb raised on a soft surface for as long
as possible in the first few days, this will help decrease
, Basic Care and Comfort NCLEX Questions with Answers Rated A
a. I should walk around on my cast as soon as I get home. swelling. 2) Keep the cast dry; if the plaster gets wet, it
b. I will prop my cast on two pillows when I lie down. weakens and is unable to support the bone. 3) Do not put
c. I'll put an ice pack over the cast to relieve itching. anything into the cast to relieve itching. A hair dryer on cool
d. I should call my doctor if my toes turn blue or become or an ice pack over the itchy area can help. 4) Immediately
numb. report any pain, tingling, or numbness.
When instructing a patient with Addison's disease about
nutrition, the healthcare provider should NOT recommend
a. a restricted-sodium diet
which of the following dietary modifications?
A patient with Addison's disease (adrenal insuflciency)
a. a restricted-sodium diet
requires normal dietary sodium to maintain electrolyte
b. a client with adequate caloric intake
balance and prevent excess fluid loss.
c. a diet high in grains
d. a high-protein diet
A nurse is caring for a client whose heel has a pressure c. no dressing is necessary
ulcer covered with intact hard, dry, black tissue. Which is
the appropriate dressing for this client? Current standard of care guidelines recommend that sta-
ble, intact (dry, adherent, intact without erythema) eschar
a. do a wet-to-dry dressing change on the heels should not be removed. Eschar works as a
b. cover with sterile gauze natural barrier or biological dressing by protecting the
c. no dressing is necessary wound bed from bacteria. Unless it is wet, draining, or
d. apply a hydrocolloid dressing loose, it should remain in place.
When a patient's nasogastric (NG) tube stops draining, b. check tube placement
what is the nurse's first action?
ALWAYS verify tube placement before taking other mea-
a. clamp for 1 hour sures. NEVER put anything in an NG tube unless you know
b. check tube placement that its tip is in the stomach. Clamping has no ettect on NG
c. instill 50 mL of water tube placement. Retracting without knowing where the tip
d. retract 2 inches is could be unsafe.
The nurse is teaching parents to instill eye drops for their
4-month-old daughter. The parents tell the nurse that she
shuts her eyes tightly to avoid the drops. Which instruction
