NCLEX-PN
Basic Care and Comfort NCLEX PN Questions Questions
Extract:
Question 1 of 5
The client with diarrhea has had four bowel movements in the past eight hours, measuring 150 mL, 100 mL, 100 mL and 150 mL. The client is to receive one-to-one replacement with a bolus of IV 0.9% NaCl to be infused over the next two hours. How many mL of 0.9% NaCl will the nurse infuse each hour?
Correct Answer: 250
Rationale:
Total loss is 500 mL (150+100+100+150). One-to-one replacement means 500 mL over 2 hours, so 500/ 2 = 250 mL per hour.
Question 2 of 5
To remove hard contact lenses from an unresponsive client, the nurse should:
Correct Answer: D
Rationale:
To remove hard contact lenses, the upper and lower eyelids are gently maneuvered to help loosen the lens and slide it out of the eye. The lens must be situated on the cornea, not the sclera, before removal. An attempt to grasp a hard lens might result in a scratch on the cornea. Clean gloves are an option if drainage is present.
Question 3 of 5
Which of these types of fluid output is not typically measured?
Correct Answer: C
Rationale: Evaporative water from respiration is a form of insensible loss and is typically not measured.
Question 4 of 5
The death of a beloved spouse places the surviving partner in which type of crisis?
Correct Answer: D
Rationale: A situational crisis is an unexpected, unplanned event, such as the death of a spouse. Option 1 is a normal maturational crisis;
Choices 2 and 3 are not recognized crisis states.
Question 5 of 5
Which of the following NSAIDS is most commonly used for a brief time for acute pain?
Correct Answer: C
Rationale:
Toradol (ketorolac) is frequently used for short-term acute pain management due to its potent analgesic effects, administered IM, IV, or PO.