NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
Pain tolerance in an elderly client with cancer should:
Correct Answer: B
Rationale: There is potential for a lowered pain tolerance to exist with diminished adaptative capacity.
Question 2 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 3 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 4 of 5
A nurse is working in a pediatric clinic and a mother brings in her 13 month old child who has Down Syndrome. The mother reports, 'My child's muscles feel weak and he isn't moving well. My RN friend checked his reflexes and she said they are diminished.' Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: An atlanto-axial dislocation may have occurred, common in Down Syndrome. Positioning the child's neck in a neutral c-spine posture is the first step to prevent further injury, followed by contacting the doctor.
Question 5 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:
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.