NCLEX-PN
Basic Care and Comfort NCLEX Questions Questions
Extract:
Question 1 of 5
As part of the teaching plan for a client with type I diabetes mellitus, the nurse should include that carbohydrate needs might increase when:
Correct Answer: D
Rationale: Active exercise increases insulin sensitivity, thus lowering blood glucose levels. Additional carbohydrates might be needed to balance the usual insulin dose. All of the other choices increase blood glucose levels.
Question 2 of 5
A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?
Correct Answer: C
Rationale: Preschool-age children require bedtime rituals that should be followed in the hospital if possible.
Choice 1 increases a child's fear.
Choices 2 and 4 do not promote sleep.
Question 3 of 5
The nurse is assessing the client who was just admitted to a surgical unit following abdominal surgery. Which assessment finding requires immediate intervention by the nurse?
Correct Answer: D
Rationale: D: A round JP drain indicates lost suction, requiring immediate emptying and compression. A: Minor bloody NG returns are normal post-surgery. B: 92% saturation is adequate. C: Small drainage is monitorable.
Question 4 of 5
The nurse learns at shift report that the immobile client has bilateral foot drop. Which finding during the nurse's assessment supports the presence of foot drop?
Correct Answer: B
Rationale: B: Inability to hold feet perpendicular indicates foot drop. A: This describes a Babinski sign. C: Foot drop involves persistent plantar flexion, not inability to plantar flex. D: Foot drop prevents dorsiflexion.
Question 5 of 5
Which type of physician should this client be encouraged to see?
Correct Answer: B
Rationale: A gynecologist specializes in the female reproductive system and is best suited to address postmenopausal bleeding, which may indicate conditions like endometrial cancer or hormonal imbalances. A radiologist evaluates imaging, a physiatrist focuses on rehabilitation, and an oncologist treats cancer, but a gynecologist is the primary specialist for this issue.