Basic Care and Comfort NCLEX questions with
correct answers
Of the following positions, which one facilitates maximum air
exchange?
a. Orthopneic
b. Trendelenburg
c. High Fowler's
d. Lithotomy Correct Answer-a. Orthopneic
This is sitting in a leaning position, which allows for the most lung
expansion.
After your patient dies, the patient's family gathers at the bedside and
asks you to step out while their clergy performs a religious rite for the
deceased. As the patient's nurse, what is your most appropriate course of
action?
a. Educate the family about custody of care and stay in the room
b. Allow the ceremony and step out of the room
c. Inform the family that religious rites are not allowed
d. Allow the ceremony but remain as a witness Correct Answer-b. Allow
the ceremony and step out of the room
,Most hospitals do not have a policy that prohibits religious rites at the
time of death. Remaining in the room shows disrespect and lack of trust
a time of grieving.
A patient with a total hip replacement requires certain equipment for
recovery. Which of the following will assist the patient with activities of
daily living (ADL)?
a. TENS unit
b. High-seat commode
c. Recliner
d. Abduction pillow Correct Answer-b. High-seat commode
This keeps the hip higher than the knee.
After a high school athlete sustains a fractured femur during a
competition, a full leg plaster cast is applied. When the nurse provides
discharge instructions to the athlete and their parents six hours later,
which statement by the athlete indicates a need for further education?
a. I should walk around on my cast as soon as I get home.
b. I will prop my cast on two pillows when I lie down.
c. I'll put an ice pack over the cast to relieve itching.
d. I should call my doctor if my toes turn blue or become numb. Correct
Answer-a. I should walk around on my cast as soon as I get home.
, Plaster casts are made up of a bandage and a hard covering, usually
plaster of Paris. Client instructions include: 1) Keep the limb raised on a
soft surface for as long as possible in the first few days, this will help
decrease swelling. 2) Keep the cast dry; if the plaster gets wet, it
weakens and is unable to support the bone. 3) Do not put anything into
the cast to relieve itching. A hair dryer on cool or an ice pack over the
itchy area can help. 4) Immediately report any pain, tingling, or
numbness.
When instructing a patient with Addison's disease about nutrition, the
healthcare provider should NOT recommend which of the following
dietary modifications?
a. a restricted-sodium diet
b. a client with adequate caloric intake
c. a diet high in grains
d. a high-protein diet Correct Answer-a. a restricted-sodium diet
A patient with Addison's disease (adrenal insufficiency) requires normal
dietary sodium to maintain electrolyte balance and prevent excess fluid
loss.
A nurse is caring for a client whose heel has a pressure ulcer covered
with intact hard, dry, black tissue. Which is the appropriate dressing for
this client?
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