NCLEX-PN
NCLEX Basic Care and Comfort Questions
Extract:
Question 1 of 5
The experienced nurse and the new nurse are preparing to provide phototherapy to the 4-day-old infant with hyperbilirubinemia. Which information should the experienced nurse include when instructing the new nurse about providing phototherapy for the infant?
Correct Answer: B
Rationale: B: Eye shields protect retinas from phototherapy light. A: Clothing reduces skin exposure, hindering bilirubin conversion. C: Increased feedings aid bilirubin excretion. D: Mild rashes are harmless and don't warrant discontinuation.
Question 2 of 5
A client with dysphagia is ready to eat lunch. Which of these foods on the tray would be best to start with when assisting the client?
Correct Answer: B
Rationale: A client with dysphagia is at risk for aspiration. A liquid thickener will allow the LPN to assess the client's ability to swallow prior to introducing pureed or solid foods. Since Jell-O™ melts into a clear liquid, it should not be used when assessing swallowing ability.
Question 3 of 5
A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
Correct Answer: A
Rationale: A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.
Question 4 of 5
The focus of a nurse case manager is:
Correct Answer: B
Rationale: By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience.
Question 5 of 5
Which of the following statements indicates that the nurse understands how to promote rest and sleep for the client?
Correct Answer: C
Rationale:
To promote rest and sleep, the nurse should try to incorporate any client preferences into the evening routine.