Basic Care and Comfort NCLEX PN Questions

Extract:

Question 1 of 5

The nurse is developing guidelines to assist personnel in meeting the hygiene needs of clients with dementia. Which guidelines are appropriate for the nurse to include? Select all that apply.

Correct Answer: B,C,D,E

Rationale: B: Calm environments reduce agitation. C: Participation fosters cooperation. D: Pain management improves compliance. E: Separating tasks minimizes distress. A: Quick bathing increases agitation.

Question 2 of 5

Physical examination of a client regarding mobility status should:

A. begin with gait. B. be oriented to time, place, and person. C. begin with the Romberg test. D. begin with the Tandem Walk test.

Correct Answer: A

Rationale: Gait is usually assessed as the client walks into the room. Normal gait is smooth, flowing, and rhythmic without assistive devices.

Question 3 of 5

The LPN is observing a client using crutches for a leg injury. Which of these would indicate a need for more education?

A. The client places the top padding 1-2 inches below the axilla with a firm grip on the handles. B. The client rests the axilla on the top padding and loosely grips the handles with hands. C. The client has a slight bend in the elbow when using the handles. D. When going down the stairs, the client leads with the injured leg.

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 4 of 5

The immobile client is in a hospital bed at home. Which information should the home health nurse include when teaching family caregivers how to safely move and reposition the client?

A. Before moving the client, raise the bed to waist level. After completing the move, return the bed to the lowest level. B. The pillow should be removed from under the client's head when positioning in a dorsal recumbent position. C. Tighten your abdominal muscles and keep your feet together; use a lift sheet and pull the client up in bed. D. When the client is lying on the back, rest the client's heels on the bed and keep the feet perpendicular to the legs.

Correct Answer: A

Rationale: A: Raising the bed to waist level and lowering it after reduces injury risk. B: A pillow prevents neck hyperextension. C: A broad stance, not feet together, improves balance. D: Heels should be off the bed to prevent pressure ulcers.

Question 5 of 5

For safety, the nurse should ask the client to:

A. drink 1000 cc prior to the procedure to affect fluid loss. B. eat foods low in fat. C. empty his bladder prior to the procedure. D. assume the prone position.

Correct Answer: C

Rationale: When performing a paracentesis, the client must be sitting up to allow the fluid to settle to the lower abdomen.
To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty.

Basic Care and Comfort NCLEX PN Questions | Nurselytic

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