NCLEX-PN
Basic Care and Comfort NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the client who was just admitted to a surgical unit following abdominal surgery. Which assessment finding requires immediate intervention by the nurse?
Correct Answer: D
Rationale: D: A round JP drain indicates lost suction, requiring immediate emptying and compression. A: Minor bloody NG returns are normal post-surgery. B: 92% saturation is adequate. C: Small drainage is monitorable.
Question 2 of 5
The client has asked if you would be able to offer any alternative or complementary therapy during their hospitalization. Which of the following would be appropriate to suggest? A. Physical therapy,B. Music therapy, C. Psychiatric therapy, D. Occupational therapy, E. Pet therapy
Correct Answer: A
Rationale: Music therapy and pet therapy are two forms of alternative or complementary therapy that may improve the client's condition and level of comfort. Physical, occupational, and/or psychiatric therapy are treatments that may be part of the client's care plan, and they are not considered complementary or alternative treatments. Additionally, they usually require a prescription or referral where music therapy and pet therapy typically do not.
Question 3 of 5
The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
Correct Answer: B
Rationale: New prosthetic hips should have an abduction pillow in place to avoid adduction.
Question 4 of 5
The goals of palliative care include all of the following except:
Correct Answer: C
Rationale: The goals of palliative care include choices A, B, and D.
Choice C is not part of palliative care. All aspects of medical, emotional, social, and spiritual needs of the dying client should be focused on until the end of life.
Question 5 of 5
A client is on a clear liquid diet. She drinks half of a 12-ounce juice, 4 ounces of soup, and has a 6-ounce JELLO0. How many milliliters of fluid did the patient ingest?
Correct Answer: B
Rationale: 1 ounce = 30 ml, so Juice, 6 ounces (half of 12 oz) × 30 = 180 ml (Remember that oz is an abbreviation for ounces.) Soup, 4 ounces × 30 = 120 ml JELL-OB, 6 ounces × 30 = 180 ml 180 + 120 + 180 = 480 ml Note that gelatin, ice cream, and other things that are liquid at room temperature are counted as fluids.