NCLEX-PN
Basic Care and Comfort NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is observing the UAP providing oral hygiene to the client Which action by the UAP requires follow-up?
Correct Answer: B
Rationale: B: The unconscious client should be placed in a side-lying position with the head turned to the side to prevent aspiration. A: Replacing the upper denture first is correct for ease of insertion. C: Brushing the tongue removes debris, reducing infection risk. D: Gloves adhere to standard precautions for oral care.
Question 2 of 5
A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?
Correct Answer: D
Rationale: Duodenal intestinal fluid is rich in K+, Na+, and bicarbonate. Suctioning to remove excess fluids decreases the client's K+ and Na+ levels.
Question 3 of 5
The nurse is observing the UAP providing oral hygiene to the client Which action by the UAP requires follow-up?
Correct Answer: B
Rationale: B: The unconscious client should be placed in a side-lying position with the head turned to the side to prevent aspiration. A: Replacing the upper denture first is correct for ease of insertion. C: Brushing the tongue removes debris, reducing infection risk. D: Gloves adhere to standard precautions for oral care.
Question 4 of 5
Which of the following is least important to test when assessing the client's motor skills?
Correct Answer: B
Rationale: When assessing a client's motor skills, testing the client's strength, balance and coordination are most important. The client's knowledge of ergonomics is less relevant.
Question 5 of 5
A client is having problems with her ankles. To assess her ankles' ROM, which ROM exercises should the nurse have her perform?
Correct Answer: D
Rationale: Ankle range of motion includes extension, flexion, inversion, and eversion, assessing the joint's full functional capacity.