Basic Care and Comfort NCLEX PN Questions

Extract:

Question 1 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 2 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.

A. To limit the client's ability to physically resist, two staff should quickly bathe the client. B. Include music and dim lighting to create a calm environment when giving a bed bath. C. Allow clients who are willing and able to participate in some of the hygienic activities. D. Assess for and treat the client's pain before initiating hygienic cares with the client. E. Wash the client's hair and body separately if either activity causes the client distress.

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 3 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.

Question 4 of 5

The LPN is preparing to clean a client's PEG tube. Which of the following tasks should the nurse perform? A. Gently remove crusty drainage from the site. B. Pull the tube in multiple directions to ensure it is secure. C. Thoroughly dry the skin around the tube site with a clean towel. D. Use mild soap to clean around the tube site. E. Apply talcum powder to the tube site.

A. B, D, E B. A, B, C C. A, C, D D. C, D, E

Correct Answer: C

Rationale: LPNs caring for the PEG tube should be careful to not disrupt the tube, pull on the tube, or apply any ointment or powder near or on the tube. Talcum powder may irritate the stoma.

Question 5 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.

Basic Care and Comfort NCLEX PN Questions | Nurselytic

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