Basic Care and Comfort NCLEX PN Questions

Extract:

Question 1 of 5

Which of the following foods present a problem for a client diagnosed with Celiac Disease?

Correct Answer: B

Rationale: Celiac disease, or celiac sprue, is a malabsorption disorder affecting the small intestine in which there is a problem with the ingestion of gluten, a protein normally found in grain products such as wheat, rye, oats, or barley. The other choices reflect substances that do not contain gluten and should not pose problems for a client with this disorder.

Question 2 of 5

Physical examination of a client regarding mobility status should:

A. begin with gait. B. be oriented to time, place, and person. C. begin with the Romberg test. D. begin with the Tandem Walk test.

Correct Answer: A

Rationale: Gait is usually assessed as the client walks into the room. Normal gait is smooth, flowing, and rhythmic without assistive devices.

Question 3 of 5

The client reports pain in the right leg even though it was amputated. Which complementary therapy should the nurse use to control the phantom pain associated with the client's amputation?

A. A small dose of alprazolam at 8-hour intervals in addition to prescribed oxycodone and acetaminophen q6h pm B. A high-fiber diet and 2000 mL fluid intake in 24 hours while taking hydromorphone at 4- to 6-hour intervals pm C. Progressive relaxation exercises three times daily in addition to use of a transdermal patch of fentanyl D. A local anesthetic as a nerve block in addition to prescribed long-acting oxycodone

Correct Answer: C

Rationale: C: Progressive relaxation is a complementary therapy that aids phantom pain relief with analgesics. A: Alprazolam is conventional, not complementary. B: Diet addresses opioid side effects, not pain. D: Nerve blocks are conventional medical interventions.

Question 4 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.

Question 5 of 5

Which is an appropriate outcome for the nursing diagnosis of Body Image Disturbance for a client with anorexia nervosa?

A. The client verbalizes knowledge of a maintenance diet. B. The client demonstrates assertiveness with family. C. The client verbalizes her body size accurately. D. The client demonstrates control of obsessive behaviors.

Correct Answer: C

Rationale: Part of the problem for anorexic clients is an altered view of their body appearance (visualizing themselves as fat even when they are emaciated). Knowledge of a maintenance diet involves a knowledge deficit. Assertiveness with family involves possible resolution of family-dynamic issues. Control of obsessive behaviors involves psychological adaptation.

Basic Care and Comfort NCLEX PN Questions | Nurselytic

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