NCLEX-PN
Basic Care and Comfort NCLEX PN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a patient who is hard-of-hearing. Which of the following steps may be appropriate when communicating with the patient?
Correct Answer: A
Rationale: For a client who is hard-of-hearing, verbal communication should be kept concise. If assistive devices are available, they should be used.
Question 2 of 5
The client with diarrhea has had four bowel movements in the past eight hours, measuring 150 mL, 100 mL, 100 mL and 150 mL. The client is to receive one-to-one replacement with a bolus of IV 0.9% NaCl to be infused over the next two hours. How many mL of 0.9% NaCl will the nurse infuse each hour?
Correct Answer: 250
Rationale:
Total loss is 500 mL (150+100+100+150). One-to-one replacement means 500 mL over 2 hours, so 500/ 2 = 250 mL per hour.
Question 3 of 5
Which of the following is least relevant when reviewing the client's risk for elimination impairment?
Correct Answer: C
Rationale: The client's family history is least relevant when determining the risk for elimination impairment.
Question 4 of 5
The nurse provides a postoperative client with an analgesic medication and darkens the room before the client goes to sleep for the night. The nurse's actions:
Correct Answer: C
Rationale: Reduction of environmental stimuli (particularly light and noise) from the cerebral cortex (which can be an area of arousal) facilitates sleep. Sleep occurs when there is a decreased input into this area.
Question 5 of 5
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Correct Answer: D
Rationale: Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and easier to evacuate.