NCLEX-PN
NCLEX Basic Care and Comfort Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
Correct Answer: D
Rationale: Compazine (prochlorperazine) is an antiemetic effective for opioid-induced nausea, unlike the other options, which are analgesics or anti-inflammatories.
Question 4 of 5
Hazards of improper splinting include:
Correct Answer: D
Rationale: Improper splinting can worsen injuries, impair circulation, and delay critical transport, posing significant risks to the client.
Question 5 of 5
To ensure proper immobilization and increase client comfort when using a rigid splint:
Correct Answer: C
Rationale: Padding spaces in a rigid splint prevents pressure points, enhancing comfort and ensuring effective immobilization.