NCLEX Basic Care & Comfort Questions
and Answers Already Passed
A patient with limited mobility is at risk for skin breakdown. What is the best nursing
intervention?
Reposition the patient every four hours
Use powder to keep the skin dry
✔✔Reposition the patient every two hours
Apply cold packs to pressure areas
What is the most effective way to promote sleep for a hospitalized patient?
Encourage a late afternoon nap
✔✔Provide a quiet environment with dim lighting
Offer caffeinated beverages before bedtime
Administer sleeping pills every night
Which diet is most appropriate for a patient with difficulty swallowing?
High-protein solid foods
✔✔Pureed diet with thickened liquids
1
,Low-fat and low-calorie meals
High-fiber raw vegetables
What is the primary benefit of elevating the head of the bed for a patient with difficulty
breathing?
✔✔It promotes lung expansion and improves oxygenation
It prevents pressure ulcers
It enhances blood circulation
It reduces muscle strain
A nurse is assisting a patient with ambulation. What is the correct initial step?
Encourage the patient to move quickly to prevent dizziness
✔✔Assist the patient to sit on the edge of the bed and dangle their legs
Immediately help the patient stand up with support
Have the patient walk independently with minimal guidance
What should the nurse do first when a patient refuses to eat the food provided?
Offer high-calorie supplements immediately
2
,✔✔Determine the reason for the refusal
Ask the healthcare provider for a new diet order
Provide snacks and desserts instead of the main meal
How should the nurse position a patient who is at risk for aspiration during oral feeding?
Flat in bed with the head turned to the side
✔✔Sitting upright at a 90-degree angle
Semi-Fowler’s position with head slightly elevated
Prone position to promote swallowing
Which action best prevents falls in a patient at risk?
✔✔Ensure the call light and personal items are within reach
Restrict all physical activity
Apply restraints as a precaution
Place a “Fall Risk” sign on the door
What is the primary purpose of using a gait belt when transferring a patient?
To help the patient stand independently
3
, ✔✔To provide additional support and safety during transfers
To reduce the workload on the nurse
To prevent the patient from moving too quickly
How can the nurse best promote comfort for a patient experiencing mild pain?
✔✔Provide a warm compress and encourage relaxation techniques
Administer prescribed opioids immediately
Encourage the patient to avoid movement
Apply ice packs to all painful areas
What should the nurse teach a patient about using a walker?
Use the walker as a seat when tired
✔✔Advance the walker first, then step into it
Move both legs at the same time while holding the walker
Push the walker forward as far as possible before stepping
A patient is experiencing constipation. What is the first intervention?
Administer a prescribed laxative
4
and Answers Already Passed
A patient with limited mobility is at risk for skin breakdown. What is the best nursing
intervention?
Reposition the patient every four hours
Use powder to keep the skin dry
✔✔Reposition the patient every two hours
Apply cold packs to pressure areas
What is the most effective way to promote sleep for a hospitalized patient?
Encourage a late afternoon nap
✔✔Provide a quiet environment with dim lighting
Offer caffeinated beverages before bedtime
Administer sleeping pills every night
Which diet is most appropriate for a patient with difficulty swallowing?
High-protein solid foods
✔✔Pureed diet with thickened liquids
1
,Low-fat and low-calorie meals
High-fiber raw vegetables
What is the primary benefit of elevating the head of the bed for a patient with difficulty
breathing?
✔✔It promotes lung expansion and improves oxygenation
It prevents pressure ulcers
It enhances blood circulation
It reduces muscle strain
A nurse is assisting a patient with ambulation. What is the correct initial step?
Encourage the patient to move quickly to prevent dizziness
✔✔Assist the patient to sit on the edge of the bed and dangle their legs
Immediately help the patient stand up with support
Have the patient walk independently with minimal guidance
What should the nurse do first when a patient refuses to eat the food provided?
Offer high-calorie supplements immediately
2
,✔✔Determine the reason for the refusal
Ask the healthcare provider for a new diet order
Provide snacks and desserts instead of the main meal
How should the nurse position a patient who is at risk for aspiration during oral feeding?
Flat in bed with the head turned to the side
✔✔Sitting upright at a 90-degree angle
Semi-Fowler’s position with head slightly elevated
Prone position to promote swallowing
Which action best prevents falls in a patient at risk?
✔✔Ensure the call light and personal items are within reach
Restrict all physical activity
Apply restraints as a precaution
Place a “Fall Risk” sign on the door
What is the primary purpose of using a gait belt when transferring a patient?
To help the patient stand independently
3
, ✔✔To provide additional support and safety during transfers
To reduce the workload on the nurse
To prevent the patient from moving too quickly
How can the nurse best promote comfort for a patient experiencing mild pain?
✔✔Provide a warm compress and encourage relaxation techniques
Administer prescribed opioids immediately
Encourage the patient to avoid movement
Apply ice packs to all painful areas
What should the nurse teach a patient about using a walker?
Use the walker as a seat when tired
✔✔Advance the walker first, then step into it
Move both legs at the same time while holding the walker
Push the walker forward as far as possible before stepping
A patient is experiencing constipation. What is the first intervention?
Administer a prescribed laxative
4
