NCLEX-PN
NCLEX Basic Care and Comfort Questions
Question 1 of 5
A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
Correct Answer: A
Rationale: A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.
Question 2 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 3 of 5
The nurse applies a warm, moist compress to the site where an IV solution has infiltrated. Which response is correct when the client asks the purpose of the compress?
Correct Answer: D
Rationale: D: Warm compresses increase blood flow, promoting healing. A: Cold causes numbness. B: Heat increases metabolic needs. C: Cold reduces histamine release.
Question 4 of 5
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
Correct Answer: D
Rationale: This nurse manager is demonstrating assertive behavior. Aggressive behavior dominates or embarrasses. Passive behavior is nervous or timid. Passive-aggressive behavior is dominating or manipulative without directness.
Question 5 of 5
The nurse is observing the UAP prepare a shower for the client who requires assistance with ambulation and hygiene. Which action(s) by the UAP indicate understanding of the procedure? Select all that apply.
Correct Answer: C,D,E
Rationale: C: A shower chair prevents falls for a client with ambulation issues. D: A nonskid surface enhances safety. E: Assisting with hard-to-reach areas supports hygiene. A: Water should be 110°-115°F for comfort. B: Locking the door is unsafe for a client needing assistance.