NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except:
Correct Answer: C
Rationale: The client's legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.
Question 2 of 5
Common problems for supervisors include all of the following except:
Correct Answer: A
Rationale: Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.
Question 3 of 5
Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
Correct Answer: A
Rationale: The hypothalamus, when injured, can cause fluctuations and disruptions in sleep patterns.
Question 4 of 5
The hospitalized client is at risk for thromboembolism. Which direction should the nurse include when teaching this client about wearing antiembolism hose stockings?
Correct Answer: B
Rationale: B: Applying stockings before standing maximizes compression and prevents edema. A: Stockings complement ambulation. C: Pain suggests circulation issues, not requiring pain medication. D: Crossing legs impedes circulation.
Question 5 of 5
Which of the following devices may be applicable to a bedridden patient to address potential venous insufficiency? A .Shear-reducing mattress B. Sequential compression devices C. Compression stockings D.Non-skid socks
Correct Answer: A
Rationale: For a client with venous insufficiency, sequential compression devices (SCDs) and compression stockings can be applied to improve venous return from the lower extremities.