NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
An LPN is caring for a primarily bedridden client. Which finding should be of least concern?
Correct Answer: D
Rationale: Capillary refill time of longer than three seconds may indicate inadequate blood flow; capillary refill time of 2-3 seconds is a normal finding. Swollen feet, brown discoloration, and leg pain may be signs of venous insufficiency to the lower extremities.
Question 2 of 5
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
Correct Answer: B
Rationale: Promoting healthy nutritional practices is an appropriate nursing goal for a client at risk for nutritional problems.
Choice A is incorrect because it is a nursing intervention, not a goal statement.
Choice C is incorrect because it is a therapeutic treatment.
Choice D is incorrect because weight gain is an appropriate goal only if the client is underweight.
Question 3 of 5
Which of these would be an appropriate meal for a client with Celiac disease?
Correct Answer: C
Rationale: Rice, fruits, vegetables, meat, dairy, and tapioca are all safe gluten-free options. Oats can be a gluten-free food if they are specially labeled, but many are processed on the same equipment as wheat and so they should not automatically be considered a safe item. Unless marked, granola typically contains oats that could have been exposed to gluten. While fresh fruit is safe, dried and prepackaged fruits may contain additives that contain gluten. Rye is wheat derivative, and many cream sauces contain flour as a base.
Question 4 of 5
The nurse is evaluating the client's ability to perform active ROM. Which illustration demonstrates the client's ability to correctly perform eversion?
Correct Answer: C
Rationale: C: Eversion is turning the foot outward. A: Shows external rotation. B: Shows internal rotation. D: Shows inversion.
Question 5 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.