NCLEX-PN
Basic Care and Comfort NCLEX Questions Questions
Extract:
Question 1 of 5
The LPN is receiving the report on a comatose client at the start of the shift at 1500. What statement should be of most concern?
Correct Answer: A
Rationale: Bedridden clients should be repositioned every 2 hours to prevent skin breakdown.
Question 2 of 5
The client who has bilateral hand burns reports wearing soft contact lenses that need to be removed. Which action(s) are important for the nurse to include in this procedure? Select all that apply.
Correct Answer: A,C,E
Rationale: A: Hand hygiene and gloves prevent infection. C: Normal saline keeps lenses moist if no lens solution is available. E: Looking up aids safe lens removal. B: Pinching over the pupil risks corneal abrasion. D: Irrigation could damage or lose the lens.
Question 3 of 5
Assessment of a client with a cast should include:
Correct Answer: A
Rationale: Assessment for adequate circulation is necessary. Signs of impaired circulation include slow capillary refill, cool fingers or toes, and pain.
Question 4 of 5
The client who is Jewish is to receive a kosher meal. Which direction by the nurse to the NA is appropriate?
Correct Answer: B
Rationale: B: Unwrapped utensils ensure kosher compliance. A: Eye contact is not restricted. C: Facing Mecca is a Muslim practice. D: Kosher meals separate dairy and meat.
Question 5 of 5
A nurse is caring for a patient in the step down unit. The patient has signs of increased intracranial pressure. Which of the following is not a sign of increased intracranial pressure?
Correct Answer: B
Rationale: Unilateral pupil changes indicate changes in ICP.