NCLEX-PN
Basic Care and Comfort NCLEX PN Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a patient in the ICU. The patient has the following signs: weak pulse, quick respiration, acetone breath, and nausea. Which of the following conditions is most likely occurring?
Correct Answer: B
Rationale: All of the clinical signs indicate a hyperglycemic condition.
Question 2 of 5
For safety, the nurse should ask the client to:
Correct Answer: C
Rationale: When performing a paracentesis, the client must be sitting up to allow the fluid to settle to the lower abdomen.
To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.
Question 3 of 5
The death of a beloved spouse places the surviving partner in which type of crisis?
Correct Answer: D
Rationale: A situational crisis is an unexpected, unplanned event, such as the death of a spouse. Option 1 is a normal maturational crisis;
Choices 2 and 3 are not recognized crisis states.
Question 4 of 5
The LPN is preparing to clean a client's PEG tube. Which of the following tasks should the nurse perform? A. Gently remove crusty drainage from the site. B. Pull the tube in multiple directions to ensure it is secure. C. Thoroughly dry the skin around the tube site with a clean towel. D. Use mild soap to clean around the tube site. E. Apply talcum powder to the tube site.
Correct Answer: C
Rationale: LPNs caring for the PEG tube should be careful to not disrupt the tube, pull on the tube, or apply any ointment or powder near or on the tube. Talcum powder may irritate the stoma.
Question 5 of 5
A client with dumping syndrome should ___ while a client with GERD should ___
Correct Answer: B
Rationale: Clients with dumping syndrome should lie down after eating to decrease dumping syndrome. GERD clients should sit up to prevent backflow of acid into the esophagus.