1. The client with tuberculosis is to teaching the client about the disease
be discharged home with nursing and its treatment
follow-up. Which aspect of nursing Explanation:
care will have the highest priority? Ensuring that the client is well educat-
a) assessing the client's environ- ed about tuberculosis is the highest
ment for sanitation priority. Education of the client and
b) coordinating various agency ser- family is essential to help the client
vices understand the need for completing
c) teaching the client about the dis- the prescribed drug therapy to cure
ease and its treatment the disease.
d) offering the client emotional sup-
port
2. Which of the following expected out- Verbalizes the importance of small,
comes would be appropriate for the frequent feedings.
client who has ulcerative colitis? Explanation:
The client: Small, frequent feedings are better
a) Maintains a daily record of intake tolerated by clients with ulcerative col-
and output. itis as they lessen the amount of fecal
b) Uses a heating pad to decrease material present in the gastrointesti-
abdominal cramping. nal tract and decrease stimulation.
c) Accepts that a colostomy is in-
evitable at some time in his life.
d) Verbalizes the importance of
small, frequent feedings.
3. A 5-year-old child with burns on the withholding dessert and treats unless
trunk and arms has no appetite. The meals are eaten
nurse and parent develop a plan of Explanation:
care to stimulate the child's appetite. Withholding certain foods until the
Which suggestion made by the par- child complies is punitive and rarely
ent would indicate the need for addi- successful.
tional teaching?
a) deciding that the parent will feed
the child
b) serving smaller and more fre-
quent meals
c) offering the child finger foods that
the child likes
, NCLEX Basic Care & Comfort Test Questions with 100% Verified Answers
d) withholding dessert and treats
unless meals are eaten
4. A nurse is caring for a severely de- assess for and maintain adequate nu-
pressed client who is barely func- trition and hydration.
tioning. The priority nursing goal for Explanation:
this client would be to: Food and fluid intake may be compro-
a) assess for level of depression mised in a client who is severely de-
and continue antidepressant med- pressed. The nurse must ensure that
ication. the client is adequately hydrated and
b) assess for and maintain adequate is receiving proper nutrition
nutrition and hydration.
c) assess for the client's hygiene
needs and ensure that these needs
are met.
d) involve the client's family in his
care as much as possible.
5. An adolescent is diagnosed with Ham and eggs
iron deficiency anemia. After em- Explanation:
phasizing the importance of con- Good sources of dietary iron include
suming dietary iron, the nurse asks red meat, egg yolks, whole wheat
him to select iron-rich breakfast breads, seafood, nuts, legumes,
items from a sample menu. Which iron-fortified cereals, and green, leafy
selection demonstrates knowledge vegetables.
of dietary iron sources?
a) Ham and eggs
b) Bagel and cream cheese
c) Grapefruit and white toast
d) Pancakes and a banana
6. Which intervention is essential Remove elastic stockings once per
when performing dressing changes day and observe lower extremities.
on a client with a diabetic foot ulcer? Explanation:
a) Using sterile technique during the Elastic stockings are used to promote
dressing change venous return and prevent deep vein
b) Cleaning the wound with a povi- thrombosis. A client with peripheral
done-iodine solution vascular disease and diabetes is at
c) Debriding the wound three times risk for skin breakdown, and the nurse