Basic Care and Comfort NCLEX

Extract:

Question 1 of 5

A nursing care plan for a client with sleep problems has been implemented. All of the following should be expected outcomes except:

Correct Answer: B

Rationale: An expected outcome is that the client falls asleep shortly after going to bed.

Question 2 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:

A. the physician in charge of the case is the only person allowed to decide whether organ donation can occur. B. the client's legally responsible party may make the decision for organ donation for the donor if the client is unable to do so. C. the organ procurement organization makes the decision regarding which organs to harvest.

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 3 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?

A. Wearing the hose is unnecessary if ambulating 10 times daily for 5 minutes at a time. B. When at home, apply the stockings in the morning before you stand to get out of bed. C. The hose can cause pain to underlying skin; request pain medication to help alleviate this. D. Cross your legs only while wearing these stockings; otherwise keep the legs uncrossed.

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 4 of 5

The experienced nurse observes the student nurse caring for the client with the wet plaster cast illustrated. Which conclusion by the experienced nurse is correct?

A. The student should not be touching the plaster cast because it is wet. B. The student should be using a pillow to lift the client's casted extremity. C. The student is correctly handling a wet plaster cast with the palms. D. The student should be using fingers and not the palms to handle the cast.

Correct Answer: C

Rationale: C: Using palms prevents indentations in wet casts. A: Wet casts can be touched to reposition. B: Pillows limit inspection of the cast underside. D: Fingers cause pressure points.

Question 5 of 5

The client began wearing hearing aids 5 weeks earlier. Which statement to the nurse demonstrates that the client is successfully adapting to the hearing aids?

A. I need to wear the hearing aids only when I go out in public. B. I clean my ears with a cotton-tipped swab before I insert them. C. I place the hearing aids in the protective box to store them at night. D. I soak the plastic parts of the hearing aids in mild soap and water weekly.

Correct Answer: C

Rationale: C: Hearing aids are expensive and delicate, and they should be stored in a protective container in a dry, safe place. A: Hearing aids should be worn daily to adjust to their use. B: Cotton-tipped swabs should not be inserted into the ear canal due to possible injury and infection. D: Hearing aids should be kept dry except when cleaning the ear mold with mild soap and water.

Basic Care and Comfort NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN