NCLEX-PN
NCLEX Basic Care and Comfort Questions
Extract:
Question 1 of 5
Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?
Correct Answer: A
Rationale: Clients with burns are hypermetabolic and require increased protein levels to maintain a positive nitrogen balance.
Choices 2 and 3 are incorrect; carbohydrate levels do not help clients to meet this goal.
Choice 4 is incorrect; a client with major burns requires a high-protein diet.
Question 2 of 5
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguious drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: Serosanguious drainage is expected at this time. The dressing should be reinforced. Changing a new postop dressing increases the risk of infection. An abdominal binder interferes with visualization of the dressing.
Question 3 of 5
The nurse is using Cognitive-Behavioral methods of pain control and knows that these methods can be expected to do all the following except:
Correct Answer: A
Rationale: These interventions (strategies) help the client in all areas of client well-being. Focusing on perception and thought, cognitive techniques are designed to influence how one interprets events and bodily sensations.
Question 4 of 5
In managing nausea related to Morphine epidural analgesia, the nurse should administer:
Correct Answer: D
Rationale: Compazine (prochlorperazine) is an antiemetic effective for opioid-induced nausea, unlike the other options, which are analgesics or anti-inflammatories.
Question 5 of 5
The focus of a nurse case manager is:
Correct Answer: B
Rationale: By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience.