NCLEX-RN Basic Care & Comfort Marathon (2025/2026) — Comprehensive Assessment (150 Questions & Verified Answers | Nursing Fundamentals | NCLEX®-RN® Readiness)

🩺 NCLEX-RN Basic Care & Comfort Marathon 2025/2026
Topic: Nursing Fundamentals — Basic Care & Comfort​
Total Questions: 150​
Focus: NCLEX-RN® Readiness | Patient Care | ADLs | Comfort Promotion | Mobility | Hygiene
| Nutrition | Rest




✅ Questions & Verified Answers (1–25)
1. A nurse is assisting a client with limited mobility to transfer from bed to wheelchair. What is
the first step in ensuring client safety?​
A. Positioning the wheelchair parallel to the bed​
B. Locking the wheelchair brakes​
C. Placing a gait belt around the client’s waist​

✅
D. Assisting the client to sit on the edge of the bed​

💡
Correct Answer: B​
Rationale: Safety first — always lock the brakes before transfers to prevent wheelchair
movement.



2. A client reports discomfort while on bed rest. Which action by the nurse promotes comfort?​
A. Applying a cold compress​
B. Encouraging frequent position changes​
C. Increasing oral fluid intake​

✅
D. Placing a pillow under the knees​

💡
Correct Answer: B​
Rationale: Repositioning relieves pressure, promotes circulation, and reduces discomfort.



3. The nurse assists a client with a partial bed bath. Which area should be washed last?​
A. Arms​
B. Perineal area​
C. Face​

✅
D. Chest​

💡
Correct Answer: B​
Rationale: The perineal area is cleaned last to prevent cross-contamination.

,4. A postoperative patient is on bed rest. To prevent deep vein thrombosis (DVT), the nurse
should:​
A. Encourage deep breathing exercises​
B. Massage the legs gently​
C. Apply sequential compression devices​

✅
D. Elevate the legs above the heart​

💡
Correct Answer: C​
Rationale: SCDs promote venous return and prevent blood stasis.



5. The nurse assists a client who is weak after surgery to ambulate for the first time. The nurse
should:​
A. Walk in front of the client​
B. Stand on the client’s weak side​
C. Hold the client under the arms​

✅
D. Use a transfer board​

💡
Correct Answer: B​
Rationale: Standing on the weak side provides better support if the client loses balance.



6. During oral care for an unconscious patient, the nurse should position the client:​
A. Supine with the head elevated​
B. Side-lying with head turned to the side​
C. High Fowler’s position​

✅
D. Flat with chin tilted up​

💡
Correct Answer: B​
Rationale: Side-lying prevents aspiration by allowing secretions to drain.



7. A nurse provides passive range-of-motion exercises to a bed-bound client. The purpose is to:​
A. Increase muscle mass​
B. Prevent joint contractures​
C. Improve coordination​

✅
D. Promote circulation to the brain​

💡
Correct Answer: B​
Rationale: Passive ROM maintains joint flexibility and prevents stiffness or contractures.



8. The nurse observes a client who uses a cane. Proper technique includes:​
A. Holding the cane on the weak side​

, B. Moving the cane and weak leg together​
C. Holding the cane in front of both feet​

✅
D. Moving the cane with the strong leg​

💡
Correct Answer: B​
Rationale: Move cane and weak leg together to maintain balance and reduce strain.



9. When providing foot care to a diabetic client, the nurse should:​
A. Soak feet in warm water for 20 minutes​
B. Trim nails straight across​
C. Use lotion between the toes​

✅
D. Use a razor to remove calluses​

💡
Correct Answer: B​
Rationale: Trim nails straight to prevent ingrown nails and infection; avoid soaking or lotion
between toes.



10. A nurse assists a client to eat. Which nursing action promotes independence?​
A. Feeding the client rapidly to finish meals​
B. Cutting food and placing it on the spoon for the client​
C. Encouraging the client to feed themselves as much as possible​

✅
D. Limiting mealtime to 10 minutes​

💡
Correct Answer: C​
Rationale: Promotes dignity, independence, and self-esteem.



11. A nurse notes redness over the sacral area of a bed-bound patient. What is the priority
action?​
A. Apply a warm compress​
B. Massage the reddened area​
C. Reposition the patient every 2 hours​

✅
D. Document as a Stage II ulcer​

💡
Correct Answer: C​
Rationale: Repositioning prevents further pressure injury; avoid massage on reddened
skin.



12. The nurse prepares to assist a client with toileting. Which action demonstrates respect for
dignity?​
A. Leaving the door open​
B. Using medical terminology during explanation​
C. Ensuring privacy and closing the curtain​