Basic Care and Comfort NCLEX

Extract:

Question 1 of 5

The nurse needs nasotracheal suctioning. The nurse explains the procedure to the client and performs hand hygiene. Prioritize the nurse's remaining actions to perform the nasotracheal suctioning by placing each step in the correct order.

Correct Answer: A,C,F,D,E,B,G

Rationale: A: Preparing supplies comes first. C: Sterile gloves maintain asepsis. F: Handling catheter keeps dominant hand sterile. D: Lubrication aids insertion. E: Advancing during inhalation ensures tracheal placement. B: Intermittent suction prevents trauma. G: Clearing tubing prevents reinsertion of secretions.

Question 2 of 5

Common problems for supervisors include all of the following except:

A. the supervisor facilitates development of staff members. B. the supervisor micromanages staff members. C. the supervisor wants to control the style in which a staff member correctly performs a task. D. the supervisor does not delegate.

Correct Answer: A

Rationale: Facilitating the development of staff members is an important goal for a supervisor. Micromanagement, intolerance for individual differences in style, and inability to delegate all interfere with team building and overall effectiveness.

Question 3 of 5

The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

A. Pull the client toward you, and pivot him on the unaffected limb B. Pull the client toward you, and pivot him on the affected limb C. Push the client toward the bed, and pivot him on the affected limb D. Stand the client on both legs, and push him toward the bed

Correct Answer: A

Rationale: Pulling the client and pivoting on the unaffected limb ensures safety and leverages the client's stronger side for support.

Question 4 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

A. enhance personal control over legal care decisions B. encourage medical treatment decision making prior to need C. give one federal standard for living wills and durable powers of attorney D. emphasize client education

Correct Answer: B

Rationale: The PSDA encourages advance directives to promote proactive medical decision-making, ensuring clients' wishes are honored before a crisis.

Question 5 of 5

The client with intermittent abdominal pain recently had a barium enema. The client calls the nurse to report passage of a soft-formed, pale-colored stool. What is the nurse's best response?

A. This is an expected finding after administration of barium. B. Describe any abdominal pain you had when passing the stool. C. What foods or fluids did you eat after you completed the test? D. You need to increase the amount of water you are drinking.

Correct Answer: A

Rationale: A: Pale stools are expected due to residual barium. B: Pain doesn't cause pale stools. C: Diet doesn't affect barium-related stool color. D: Water aids barium passage but isn't indicated for soft stools.

Basic Care and Comfort NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN