NCLEX-PN
Basic Care and Comfort NCLEX PN Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the female client who is 65 inches tall and has a small body frame. Based on the information in the chart illustrated, what is the client's approximate ideal body weight?
Correct Answer: 117
Rationale: Height is 5'5†(65/ 12 = 5 remainder 5). Formula: 105 lb for 5 ft + 5 lb × 5 = 130 lb. Small frame subtracts 10% (130 × 0.1 = 13 lb). 130 − 13 = 117 lb.
Question 2 of 5
The LPN is observing a client using crutches for a leg injury. Which of these would indicate a need for more education?
Correct Answer: B
Rationale: Resting the axilla on the top of the crutch can cause nerve damage and the client should have a firm grip on the handles.
Question 3 of 5
A client's postoperative pain seems to be getting worse instead of better. When the nurse asks the client, 'Why do you think it's getting worse?' the client replies, 'My wife died last month. It's all I can think about.' The nurse must now consider:
Correct Answer: D
Rationale: The client's grief over his wife's death is likely exacerbating his pain perception, requiring grief and loss interventions to address the affective component.
Question 4 of 5
The client is receiving 2 liters of oxygen by nasal cannula. Which rationale should the nurse use to explain the reason for oxygen being bubbled through a humidifier?
Correct Answer: B
Rationale: B: Humidification prevents nasal passage drying. A: Oxygen doesn't burn. C: No chemical reaction occurs with tubing. D: Environmental gases don't contaminate oxygen.
Question 5 of 5
The nurse is taking the client's temperature. What should the nurse do to correctly obtain the temperature with a tympanic thermometer?
Correct Answer: A
Rationale: A: Sealing the ear canal ensures accurate readings. B: Irrigation is unnecessary and affects results. C: The pinna is pulled upward in adults. D: Tympanostomy tubes don't affect readings after initial placement.