🩺 Basic Care and Comfort NCLEX Practice Test 2025/2026
Category: Nursing Fundamentals
Total Questions: 200
Verified & Updated for 2025/2026
1. A nurse is assisting a client with limited mobility to reposition in bed. What is the
primary reason for frequent repositioning?
A. To prevent pressure injuries ✅
B. To promote sleep
C. To reduce anxiety
D. To prevent dehydration
2. When providing oral care to an unconscious client, what should the nurse do first?
A. Place the client in side-lying position ✅
B. Use lemon-glycerin swabs
C. Insert dentures
D. Rinse mouth with cold water
3. The nurse is feeding a client who has dysphagia. What action is most important?
✅
A. Offer thin liquids
B. Keep head of bed elevated at 90°
C. Encourage fast swallowing
D. Provide straw for easy drinking
4. A nurse is assisting a client with a partial bed bath. The nurse should wash which area
first?
A. Face ✅
B. Chest
C. Arms
D. Perineal area
,5. When performing perineal care on a female client, the nurse should clean:
✅
A. From back to front
B. From front to back
C. In circular motion
D. Only after meals
6. A client on bed rest requests to use a bedpan. What should the nurse do first?
A. Warm the bedpan ✅
B. Leave client alone
C. Place bed flat
D. Position bed in Trendelenburg
7. The nurse notices redness on a patient’s coccyx. What is the priority action?
A. Document and continue care
✅
B. Massage the area
C. Reposition the client and assess again in 1 hour
D. Apply ice
8. A nurse is transferring a client from bed to wheelchair. What should the nurse do first?
A. Lock the wheelchair wheels ✅
B. Assist to standing
C. Remove footrests
D. Lower bed rails
9. Which nursing intervention promotes normal bowel elimination?
A. Encourage high-fiber diet ✅
B. Limit fluid intake
C. Encourage bed rest
D. Administer laxatives daily
, 10. Which position helps relieve dyspnea in a client with COPD?
✅
A. Supine
B. High Fowler’s
C. Sims’
D. Dorsal recumbent
11. To promote sleep for hospitalized clients, the nurse should:
✅
A. Keep room lights on
B. Maintain quiet environment
C. Give caffeine before bed
D. Increase nighttime activity
12. A nurse observes a client using a walker incorrectly. What should the nurse do?
A. Correct the error immediately and demonstrate proper use ✅
B. Wait for physical therapist
C. Ignore if client feels stable
D. Report to supervisor
13. A client with a leg cast reports itching under the cast. The nurse should:
✅
A. Insert a pencil to scratch
B. Blow cool air with a hair dryer
C. Pour lotion into the cast
D. Remove the cast
14. To prevent foot drop in a bedridden client, the nurse should:
A. Apply footboard or boots ✅
B. Place a pillow under knees
C. Massage feet every hour
D. Keep toes pointed downward
15. The nurse provides mouth care to a client with oxygen therapy. The nurse should:
Category: Nursing Fundamentals
Total Questions: 200
Verified & Updated for 2025/2026
1. A nurse is assisting a client with limited mobility to reposition in bed. What is the
primary reason for frequent repositioning?
A. To prevent pressure injuries ✅
B. To promote sleep
C. To reduce anxiety
D. To prevent dehydration
2. When providing oral care to an unconscious client, what should the nurse do first?
A. Place the client in side-lying position ✅
B. Use lemon-glycerin swabs
C. Insert dentures
D. Rinse mouth with cold water
3. The nurse is feeding a client who has dysphagia. What action is most important?
✅
A. Offer thin liquids
B. Keep head of bed elevated at 90°
C. Encourage fast swallowing
D. Provide straw for easy drinking
4. A nurse is assisting a client with a partial bed bath. The nurse should wash which area
first?
A. Face ✅
B. Chest
C. Arms
D. Perineal area
,5. When performing perineal care on a female client, the nurse should clean:
✅
A. From back to front
B. From front to back
C. In circular motion
D. Only after meals
6. A client on bed rest requests to use a bedpan. What should the nurse do first?
A. Warm the bedpan ✅
B. Leave client alone
C. Place bed flat
D. Position bed in Trendelenburg
7. The nurse notices redness on a patient’s coccyx. What is the priority action?
A. Document and continue care
✅
B. Massage the area
C. Reposition the client and assess again in 1 hour
D. Apply ice
8. A nurse is transferring a client from bed to wheelchair. What should the nurse do first?
A. Lock the wheelchair wheels ✅
B. Assist to standing
C. Remove footrests
D. Lower bed rails
9. Which nursing intervention promotes normal bowel elimination?
A. Encourage high-fiber diet ✅
B. Limit fluid intake
C. Encourage bed rest
D. Administer laxatives daily
, 10. Which position helps relieve dyspnea in a client with COPD?
✅
A. Supine
B. High Fowler’s
C. Sims’
D. Dorsal recumbent
11. To promote sleep for hospitalized clients, the nurse should:
✅
A. Keep room lights on
B. Maintain quiet environment
C. Give caffeine before bed
D. Increase nighttime activity
12. A nurse observes a client using a walker incorrectly. What should the nurse do?
A. Correct the error immediately and demonstrate proper use ✅
B. Wait for physical therapist
C. Ignore if client feels stable
D. Report to supervisor
13. A client with a leg cast reports itching under the cast. The nurse should:
✅
A. Insert a pencil to scratch
B. Blow cool air with a hair dryer
C. Pour lotion into the cast
D. Remove the cast
14. To prevent foot drop in a bedridden client, the nurse should:
A. Apply footboard or boots ✅
B. Place a pillow under knees
C. Massage feet every hour
D. Keep toes pointed downward
15. The nurse provides mouth care to a client with oxygen therapy. The nurse should:
