NCLEX-PN
Basic Care and Comfort NCLEX Questions Questions
Question 1 of 5
The client who has bilateral hand burns reports wearing soft contact lenses that need to be removed. Which action(s) are important for the nurse to include in this procedure? Select all that apply.
Correct Answer: A,C,E
Rationale: A: Hand hygiene and gloves prevent infection. C: Normal saline keeps lenses moist if no lens solution is available. E: Looking up aids safe lens removal. B: Pinching over the pupil risks corneal abrasion. D: Irrigation could damage or lose the lens.
Question 2 of 5
All of the following are common reasons that nurses are reluctant to delegate except:
Correct Answer: C
Rationale: If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more likely to delegate. Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it themselves.
Question 3 of 5
Which of the following is least important to test when assessing the client's motor skills?
Correct Answer: B
Rationale: When assessing a client's motor skills, testing the client's strength, balance and coordination are most important. The client's knowledge of ergonomics is less relevant.
Question 4 of 5
A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
Correct Answer: B
Rationale: Unilateral pupil changes indicate changes in ICP.
Question 5 of 5
Which of these does not need to be included when calculating a client's fluid intake?
Correct Answer: C
Rationale: Pudding is a semi-solid and does not melt at room temperature, so it should not be included in fluid intake calculations.