NSG 3100 NCLEX QUESTIONS UNIT 1
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
The nurse is preparing to provide morning care to a client. What should the
nurse explain to the clients the reason for a daily bath?
1. Assess skin integrity
2. Develop a nurse/client relationship
3. Moisturize the skin
4. Stimulate circulation - CORRECT-ANSWERS4. Stimulate Circulation
Rationale 1: Giving a bath to a client will allow the nurse to assess the skin
but this is not the most important purpose.
Rationale 2: Giving a bath to a client will allow the nurse to develop a
nurse/client relationship but this is not the most important purpose.
Rationale 3: Giving a bath to a client will allow the nurse to moisturize the
skin but this is not the most important purpose.
Rationale 4: The three major reasons for a bath are to remove waste
products such as perspiration, stimulate circulation, and refresh the client.
The nurse is preparing to bath a client on the first postoperative day. Which
nursing intervention should take priority?
1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath. - CORRECT-ANSWERS3. Raise
side rails when gathering supplies
,Rationale 1: Applying lotion to the skin would be performed before or after,
not during, the bath.
Rationale 2: Changing the water needs to be done before it becomes cold,
but it is not a priority.
Rationale 3: Raising the side rails would take priority when planning care.
This is a safety issue, andsafety is second on Maslow's Hierarchy of Needs.
The client is only 1 day postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed before or after, not
during, the bath and only with adoctors order.
The nurse identifies the diagnosis Self-Care Deficit related to cognitive
impairment as appropriate for a client. What should the nurse select as an
expected outcome for this client?
1. The client will be able to name the staff that works on the day shift.
2. The client will eliminate safety hazards in her environment
3. The client, with supervision, will brush her teeth
4. The nurse will stress the importance of adequate fluid intake. - CORRECT-
ANSWERS3. The client, with supervision, will brush her teeth.
Rationale 1: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, naming the staff is not within the clients realm of
understanding.
Rationale 2: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, eliminating safety hazards is not within the clients
realm of understanding.
, Rationale 3: A client with cognitive impairment would be able to brush her
teeth but only with supervision. The client would not voluntarily brush her
teeth without prompting from the staff.
Rationale 4: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, stressing adequate fluid intake is not within the
clients realm of understanding.
The nurse is caring for a client with diabetes. What should the nurse include
as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90F to 98.6F.
4. Inspect feet thoroughly once a week. - CORRECT-ANSWERS2. Dry toes
thoroughly
Rationale 1: Toenails should be cut straight across, and nurses do not cut
diabetic clients toenails. Only a podiatrist should handle this task.
Rationale 2: Toes should be dried thoroughly after being washed to impede
fungal growth and preventmaceration.
Rationale 3: The water to wash the feet should be 100F to 110F.
Rationale 4: Feet should be inspected each day, not once a week, for early
detection of any problems.
client has the nursing diagnosis Risk for Impaired Skin Integrity related to
immobility. Which nursing intervention should be identified for this clients
problem?
1. Encourage the client to eat at least 40% of meals.
2. Keep linens dry and wrinkle-free.
3. Restrict fluid intake.
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
The nurse is preparing to provide morning care to a client. What should the
nurse explain to the clients the reason for a daily bath?
1. Assess skin integrity
2. Develop a nurse/client relationship
3. Moisturize the skin
4. Stimulate circulation - CORRECT-ANSWERS4. Stimulate Circulation
Rationale 1: Giving a bath to a client will allow the nurse to assess the skin
but this is not the most important purpose.
Rationale 2: Giving a bath to a client will allow the nurse to develop a
nurse/client relationship but this is not the most important purpose.
Rationale 3: Giving a bath to a client will allow the nurse to moisturize the
skin but this is not the most important purpose.
Rationale 4: The three major reasons for a bath are to remove waste
products such as perspiration, stimulate circulation, and refresh the client.
The nurse is preparing to bath a client on the first postoperative day. Which
nursing intervention should take priority?
1. Apply lotion to the extremities.
2. Change the water when it becomes cold.
3. Raise side rails when gathering supplies.
4. Remove the soiled dressing during the bath. - CORRECT-ANSWERS3. Raise
side rails when gathering supplies
,Rationale 1: Applying lotion to the skin would be performed before or after,
not during, the bath.
Rationale 2: Changing the water needs to be done before it becomes cold,
but it is not a priority.
Rationale 3: Raising the side rails would take priority when planning care.
This is a safety issue, andsafety is second on Maslow's Hierarchy of Needs.
The client is only 1 day postop and may still besedated, posing a risk for a
potential fall.
Rationale 4: A dressing change would be performed before or after, not
during, the bath and only with adoctors order.
The nurse identifies the diagnosis Self-Care Deficit related to cognitive
impairment as appropriate for a client. What should the nurse select as an
expected outcome for this client?
1. The client will be able to name the staff that works on the day shift.
2. The client will eliminate safety hazards in her environment
3. The client, with supervision, will brush her teeth
4. The nurse will stress the importance of adequate fluid intake. - CORRECT-
ANSWERS3. The client, with supervision, will brush her teeth.
Rationale 1: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, naming the staff is not within the clients realm of
understanding.
Rationale 2: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, eliminating safety hazards is not within the clients
realm of understanding.
, Rationale 3: A client with cognitive impairment would be able to brush her
teeth but only with supervision. The client would not voluntarily brush her
teeth without prompting from the staff.
Rationale 4: Cognitive impairment limits the clients ability to understand and
comprehend; therefore, stressing adequate fluid intake is not within the
clients realm of understanding.
The nurse is caring for a client with diabetes. What should the nurse include
as foot care for this client?
1. Cut toenails in a rounded shape and file.
2. Dry toes thoroughly.
3. Wash feet with water at a temperature of 90F to 98.6F.
4. Inspect feet thoroughly once a week. - CORRECT-ANSWERS2. Dry toes
thoroughly
Rationale 1: Toenails should be cut straight across, and nurses do not cut
diabetic clients toenails. Only a podiatrist should handle this task.
Rationale 2: Toes should be dried thoroughly after being washed to impede
fungal growth and preventmaceration.
Rationale 3: The water to wash the feet should be 100F to 110F.
Rationale 4: Feet should be inspected each day, not once a week, for early
detection of any problems.
client has the nursing diagnosis Risk for Impaired Skin Integrity related to
immobility. Which nursing intervention should be identified for this clients
problem?
1. Encourage the client to eat at least 40% of meals.
2. Keep linens dry and wrinkle-free.
3. Restrict fluid intake.
