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NCLEX Basic Care & Comfort Exam Prep Questions And Answers ()
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NCLEX Basic Care & Comfort Exam Prep Questions And Answers(202472025)
The client with tuberculosis is to be discharged home with nursing follow-up. Which aspect of
nursing care will have the highest priority?
a) assessing the client's environment for sanitation
b) coordinating various agency services
c) teaching the client about the disease and its treatment
d) offering the client emotional support - ✔✔teaching the client about the disease and its treatment
Explanation:
Ensuring that the client is well educated about tuberculosis is the highest priority. Education of the
client and family is essential to help the client understand the need for completing the prescribed
drug therapy to cure the disease.
Which of the following expected outcomes would be appropriate for the client who has ulcerative
colitis? The client:
a) Maintains a daily record of intake and output.
b) Uses a heating pad to decrease abdominal cramping.
c) Accepts that a colostomy is inevitable at some time in his life.
d) Verbalizes the importance of small, frequent feedings. - ✔✔Verbalizes the importance of small,
frequent feedings.
Explanation:
Small, frequent feedings are better tolerated by clients with ulcerative colitis as they lessen the
amount of fecal material present in the gastrointestinal tract and decrease stimulation.
A 5-year-old child with burns on the trunk and arms has no appetite. The nurse and parent develop
a plan of care to stimulate the child's appetite. Which suggestion made by the parent would indicate
the need for additional teaching?
a) deciding that the parent will feed the child
b) serving smaller and more frequent meals
c) offering the child finger foods that the child likes
d) withholding dessert and treats unless meals are eaten - ✔✔withholding dessert and treats unless
meals are eaten
Explanation:
,Withholding certain foods until the child complies is punitive and rarely successful.
A nurse is caring for a severely depressed client who is barely functioning. The priority nursing
goal for this client would be to:
a) assess for level of depression and continue antidepressant medication.
b) assess for and maintain adequate nutrition and hydration.
c) assess for the client's hygiene needs and ensure that these needs are met.
d) involve the client's family in his care as much as possible. - ✔✔assess for and maintain adequate
nutrition and hydration.
Explanation:
Food and fluid intake may be compromised in a client who is severely depressed. The nurse must
ensure that the client is adequately hydrated and is receiving proper nutrition
An adolescent is diagnosed with iron deficiency anemia. After emphasizing the importance of
consuming dietary iron, the nurse asks him to select iron-rich breakfast items from a sample menu.
Which selection demonstrates knowledge of dietary iron sources?
a) Ham and eggs
b) Bagel and cream cheese
c) Grapefruit and white toast
d) Pancakes and a banana - ✔✔Ham and eggs
Explanation:
Good sources of dietary iron include red meat, egg yolks, whole wheat breads, seafood, nuts,
legumes, iron-fortified cereals, and green, leafy vegetables.
Which intervention is essential when performing dressing changes on a client with a diabetic foot
ulcer?
a) Using sterile technique during the dressing change
b) Cleaning the wound with a povidone-iodine solution
c) Debriding the wound three times per day
d) Applying a heating pad - ✔✔Remove elastic stockings once per day and observe lower
extremities.
Explanation:
, Elastic stockings are used to promote venous return and prevent deep vein thrombosis. A client
with peripheral vascular disease and diabetes is at risk for skin breakdown, and the nurse must
therefore remove the stockings once per day to observe the condition of the skin
The nurse is teaching the mother of a newly diagnosed diabetic child about the principles of the
diabetic diet. Which of the following statements by the mother indicates effective teaching?
a) "Snacks are used to keep blood glucose at acceptable levels during times when the insulin level
peaks."
b) "By spreading the calories throughout the day in small, frequent meals, the risk of
hyperglycemia is eliminated."
c) "Snacks are used to offset the desire for sweets and to keep the meals smaller so my child can
eat better."
d) "Most children find it difficult to eat all the calories required by their diets in three main meals."
- ✔✔"Snacks are used to keep blood glucose at acceptable levels during times when the insulin
level peaks."
Explanation:
Snacks are included in the diabetic diet to offset periods of peak insulin action. Because of the lack
of pancreatic functioning, the child does not receive differing amounts of insulin in response to the
glucose level in the bloodstream. The child with diabetes mellitus is given insulin at specific times;
dietary intake must be matched to the insulin peaks and troughs.
A child, age 2, with a history of recurrent ear infections is brought to the clinic with a fever and
irritability. To elicit the most pertinent information about the child's ear problems, the nurse should
ask the parent:
a) "Does your child tug at either ear?"
b) "Does anyone in your family have hearing problems?"
c) "Does your child have any hearing problems?"
d) "Does your child's ear hurt?" - ✔✔"Does your child tug at either ear?"
Explanation:
Although all of the options are appropriate questions to ask when assessing a young child's ear
problems, questions about the child's behavior, such as "Does your child tug at either ear?" are
most useful because a young child usually can't describe symptoms accurately.
Which of the following interventions would likely be most effective for the client to use at home
when managing the discomfort of rhinoplasty 2 days after surgery?
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