NCLEX-PN
Basic Care and Comfort NCLEX Questions
Extract:
Question 1 of 5
What is the most effective way to prevent skin breakdown?
Correct Answer: B
Rationale: Repositioning is the most effective way to prevent skin breakdown.
Question 2 of 5
The client residing in a nursing home has bilateral weak handgrips and visual and hearing deficits. Which interventions should the nurse implement when the client is eating a meal? Select all that apply.
Correct Answer: A,B,E
Rationale: A: Asking permission promotes autonomy. B: Built-up silverware aids weak grips. E: Sensory aids enhance independence. C: Assistance reduces frustration. D: Feeding discourages independence.
Question 3 of 5
The client began wearing hearing aids 5 weeks earlier. Which statement to the nurse demonstrates that the client is successfully adapting to the hearing aids?
Correct Answer: C
Rationale: C: Hearing aids are expensive and delicate, and they should be stored in a protective container in a dry, safe place. A: Hearing aids should be worn daily to adjust to their use. B: Cotton-tipped swabs should not be inserted into the ear canal due to possible injury and infection. D: Hearing aids should be kept dry except when cleaning the ear mold with mild soap and water.
Question 4 of 5
Nurses caring for clients who have cancer and are taking opioids need to assess for all of the following except:
Correct Answer: D
Rationale: Addiction is not of primary concern when treating the pain of terminally ill clients. Clients with cancer who are taking opioid analgesics can develop tolerance, constipation, and sedation.
Question 5 of 5
Following an automobile accident that caused a head injury to an adult client, the nurse observes that the client sleeps for long periods of time. The nurse determines that the client has experienced injury to the:
Correct Answer: A
Rationale: The hypothalamus, when injured, can cause fluctuations and disruptions in sleep patterns.