Basic Care and Comfort NCLEX | Nurselytic

Questions 44

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Basic Care and Comfort NCLEX Questions

Extract:


Question 1 of 5

When making an occupied bed, it is important for the nurse to:

Correct Answer: B

Rationale: Using a bath blanket or top sheet keeps the client warm and provides privacy. Keeping the bed in the low position and working above raised side rails might strain the nurse's back. Continually moving back and forth to tuck and arrange linen is time-consuming and disorganized.

Question 2 of 5

The nurse is evaluating the client's ability to perform active ROM. Which illustration demonstrates the client's ability to correctly perform eversion?

Correct Answer: C

Rationale: C: Eversion is turning the foot outward. A: Shows external rotation. B: Shows internal rotation. D: Shows inversion.

Question 3 of 5

The nurse explains to a client who underwent gastric resection that which of the following meals is most likely to cause rapid emptying of the stomach?

Correct Answer: D

Rationale: Meals that are high in carbohydrates promote rapid gastric emptying. The other options are associated with decreased emptying time.

Question 4 of 5

The nurse is caring for the newly admitted male client who is unconscious. The UAP asks if the client should be shaved. What is the nurse's best response?

Correct Answer: A

Rationale: A: Removal of facial hair varies based on personal and cultural preferences, which should be assessed first. B: Bathing order is irrelevant without preferences. C: Electric razors are safe but preferences are unknown. D: Shaving does not require a doctor's order.

Question 5 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.

Order the Items

Source Container

Prepare suction supplies and equipment and pour sterile saline into a sterile container.
Place finger over suction control port of catheter and suction intermittently while withdrawing the catheter.
Put on sterile gloves.
Lubricate the catheter with sterile saline, insert into naris, and advance into pharynx.
When the client inhales, advance the catheter into the trachea.
Pick up suction catheter with the dominant hand and attach it to connection tubing; avoid contamination of the glove on the dominant hand.
Place tip into sterile saline container while applying suction to clear secretions from the tubing

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.

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