NCLEX-PN
NCLEX Basic Care and Comfort Questions
Extract:
Question 1 of 5
A nurse is assessing a 18 year-old female who has recently suffered a TBI. The nurse should report these findings immediately to the physician, due to the possibility the patient is experiencing which of the following conditions?
Correct Answer: A
Rationale: The patient is at high risk of developing increased intracranial pressure (ICP) due to the traumatic brain injury, which can cause a slower pulse and impaired respiration.
Question 2 of 5
Which of the following statements is true about syphilis?
Correct Answer: D
Rationale: Syphilis is an acute and chronic treponemal disease that can be cured with antibiotics, such as a single IM dose of long-acting penicillin G (benzathine penicillin) for primary, secondary, or early latent syphilis. The cause and transmission (sexual contact) are clear, and healing of the primary lesion does not indicate a cure without treatment.
Question 3 of 5
Client self-determination is the primary focus of:
Correct Answer: B
Rationale: Advocacy for clients by nurses is the primary focus of the client's right to autonomy and self-determination. Confidentiality involves the maintenance of the privacy of the client and information regarding him or her. Malpractice insurance is a type of insurance for professionals.
Question 4 of 5
A client with dysphagia is ready to eat lunch. Which of these foods on the tray would be best to start with when assisting the client?
Correct Answer: B
Rationale: A client with dysphagia is at risk for aspiration. A liquid thickener will allow the LPN to assess the client's ability to swallow prior to introducing pureed or solid foods. Since Jell-O™ melts into a clear liquid, it should not be used when assessing swallowing ability.
Question 5 of 5
The LPN is caring for a 32-year-old female client who is 8 hours post-op after a tonsillectomy. Which of these would be an appropriate action taken by the nurse?
Correct Answer: A
Rationale: Referred pain in the ear is normal after a tonsillectomy because of related nerve pathways. Vitals should be monitored every 15 minutes in the immediate postoperative period and then every 4 hours thereafter. Straws and hot beverages should be avoided as they may irritate the throat and disturb healing.