NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
Correct Answer: D
Rationale: Addiction is not of primary concern when treating the pain of terminally ill clients. Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation.
Question 2 of 5
Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
Correct Answer: A
Rationale: The hypothalamus, when injured, can cause fluctuations and disruptions in sleep patterns.
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
A pregnant client has congenital heart disease. The nurse should expect to see which alterations in this client's diet during pregnancy?
Correct Answer: B
Rationale: Caffeine and sodium restrictions are necessary to reduce cardiac strain and fluid retention in a pregnant client with heart disease, avoiding exacerbation of her condition.
Question 5 of 5
A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1°F at 4 a.m. The nurse determines that this is most likely due to:
Correct Answer: D
Rationale: Biological rhythms that follow a cycle lasting about 24 hours are termed circadian rhythm. The sleep-wake cycle is closely linked with cardiac rhythms, such as body temperature. While a person sleeps, core body temperature drops, often reaching the 24-hour low at 4 a.m. When the sleep period shifts, temperature fluctuations also shift to match the new sleep patterns.