Basic Care and Comfort NCLEX | Nurselytic

Questions 44

NCLEX-PN

NCLEX-PN Test Bank

Basic Care and Comfort NCLEX Questions

Extract:


Question 1 of 5

The LPN is assisting the client with an NG tube with activities of daily living. Which of these statements would indicate need for teaching reinforcement?

Correct Answer: A

Rationale: Even when an NG tube is in place, the client still should brush his or her teeth twice daily. Good oral hygiene reduces the risk of introducing bacteria that may cause an infection.

Question 2 of 5

The LPN is assisting the client with an NG tube with activities of daily living. Which of these statements would indicate need for teaching reinforcement?

Correct Answer: A

Rationale: Even when an NG tube is in place, the client still should brush his or her teeth twice daily. Good oral hygiene reduces the risk of introducing bacteria that may cause an infection.

Question 3 of 5

The client with an indwelling urinary catheter requires discharge teaching. Which interventions should the nurse include in the teaching plan? Select all that apply.

Correct Answer: B,C,E

Rationale: B: Daily cleansing with soap and water prevents infection. C: Securing the catheter reduces trauma. E: Hand hygiene minimizes infection risk. A: Monthly changes are recommended unless blockage occurs. D: Showering is safe if the client's condition allows.

Question 4 of 5

The nurse needs nasotracheal suctioning. The nurse explains the procedure to the client and performs hand hygiene. Prioritize the nurse's remaining actions to perform the nasotracheal suctioning by placing each step in the correct order.

Order the Items

Source Container

Prepare suction supplies and equipment and pour sterile saline into a sterile container.
Place finger over suction control port of catheter and suction intermittently while withdrawing the catheter.
Put on sterile gloves.
Lubricate the catheter with sterile saline, insert into naris, and advance into pharynx.
When the client inhales, advance the catheter into the trachea.
Pick up suction catheter with the dominant hand and attach it to connection tubing; avoid contamination of the glove on the dominant hand.
Place tip into sterile saline container while applying suction to clear secretions from the tubing

Correct Answer: A,C,F,D,E,B,G

Rationale: A: Preparing supplies comes first. C: Sterile gloves maintain asepsis. F: Handling catheter keeps dominant hand sterile. D: Lubrication aids insertion. E: Advancing during inhalation ensures tracheal placement. B: Intermittent suction prevents trauma. G: Clearing tubing prevents reinsertion of secretions.

Question 5 of 5

When making an occupied bed, it is important for the nurse to:

Correct Answer: B

Rationale: Using a bath blanket or top sheet keeps the client warm and provides privacy. Keeping the bed in the low position and working above raised side rails might strain the nurse's back. Continually moving back and forth to tuck and arrange linen is time-consuming and disorganized.

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