NCLEX-PN
NCLEX Basic Care and Comfort Questions
Question 1 of 5
Major competencies for the nurse giving end-of-life care include:
Correct Answer: A
Rationale: There are many competencies that the nurse must have to care for families and clients at the end of life. Demonstration of respect and compassion as well as using knowledge and skills in the care of the client and family are major competencies.
Question 2 of 5
A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:
Correct Answer: B
Rationale: Moving the wheelchair close to client's bed and having him stand and pivot on his unaffected extremity to the wheelchair is safer because it provides support with the unaffected limb.
Question 3 of 5
To remove a client's gown when she has an intravenous line, the nurse should:
Correct Answer: C
Rationale: Threading the bag and tubing through the gown sleeve keeps the system intact. Opening an intravenous line causes a break in a sterile system and introduces the potential for infection. Cutting a gown off is not an alternative except in an emergency. IV gowns, which open along sleeves, are widely available.
Question 4 of 5
A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
Correct Answer: B
Rationale: A strain is excessive stretching of a ligament. A sprain involves a twisting motion involving muscles.
Question 5 of 5
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing.