NCLEX-RN
Basic Care and Comfort NCLEX RN Questions Questions
Question 1 of 3
The nurse is assisting the health care provider performing a liver biopsy on a client. How should the nurse position this client? Select all that apply.
Correct Answer: B,D
Rationale: For a liver biopsy, the client is positioned supine with the right upper abdomen exposed (liver location) and the right arm raised behind the head to expand the rib cage and improve access to the liver.
Question 2 of 3
The nurse is caring for a client who has a nasogastric tube for medication administration and tube feedings. How should the nurse care for the tube during her shift? Select all that apply.
Correct Answer: C,E
Rationale: High-Fowler's position (
C) prevents aspiration, and checking for skin breakdown (E) prevents injury. Hot water (
A) is unsafe, feedings shouldn't hang >4-8 hours (
B), residuals >200-250 mL typically require holding (
D), and absent bowel sounds contraindicate feeding (F).
Question 3 of 3
The nurse is caring for a client who is sedated and on the ventilator in ICU. The family expresses concern about controlling the client's pain when he cannot speak. The nurse explains that assessing pain in a nonverbal client involves watching for which of the following signs? Select all that apply.
Correct Answer: B,C,D,F
Rationale: Biting tubing (
B), grimacing (
C), stiffness/rigidity (
D), and elevated BP/heart rate (F) indicate pain in nonverbal clients. Grabbing rails (
A) is less specific, and urinary output (E) is unrelated.
Question 4 of 3
Correct Answer:
Rationale:
Question 5 of 3
Correct Answer:
Rationale: