NCLEX: Basic Care & Comfort questions with correct answers
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Course
Bsnc
Institution
Bsnc
A 10-year-old boy is admitted to the pediatric unit with a diagnosis of viral meningitis. He is experiencing a severe headache, vomiting, photophobia, drowsiness, and a stiff neck. The nurse can make him more comfortable by
a. Providing a large, soft pillow
b. Closing the shades and dimming the...
NCLEX: Basic Care & Comfort questions with
correct answers
A 10-year-old boy is admitted to the pediatric unit with a diagnosis of
viral meningitis. He is experiencing a severe headache, vomiting,
photophobia, drowsiness, and a stiff neck. The nurse can make him more
comfortable by
a. Providing a large, soft pillow
b. Closing the shades and dimming the lights
c. Encouraging him to drink fluids
d. Teaching him deep breathing Correct Answer-b. Closing the shades
and dimming the lights
The home health nurse notices that a client with a diagnosis of multiple
sclerosis is having a recent difficulty chewing and swallowing. The
appropriate diet for this client is
a. Mechanical soft
b. Pureed
c. Full liquid
d. Clear liquid Correct Answer-A mechanical soft diet has a consistency
that the client may be able to handle; this diet should be tried first.
A full liquid diet can be challenging for a client with poor swallowing.
,Pureed foods can cause the client to regress or feel embarrassed.
A clear liquid diet is not indicated and does not supply sufficient
calories.
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?
a. High-seat commode
b. TENS unit
c. Abduction pillow
d. Recliner Correct Answer-a. High-seat commode
A high-seat commode keeps the hip higher than the knee.
A recliner is helpful because it prevents 90° flexion, but it is not
necessary for activities of daily living (ADL).
A TENS (Transcutaneous Electrical Nerve Stimulation) unit helps with
pain management
An abduction pillow is used to prevent hip adduction and possibly
dislocation of the prosthesis, but neither are part of ADL.
,Which lab value indicates hypokalemia?
a. 5.6 mEq/L
b. 3.6 mEq/L
c. 3.2 mEq/L
d. 4.2 mEq/L Correct Answer-c. 3.2 mEq/L
The normal serum potassium (K) range is 3.5-5.0 mEq/L. For this
question, the only correct option is 3.2 mEq/L.
Hypokalemia is associated with an increased risk of cardiac arrhythmias.
The nurse should report this result immediately and be prepared to
administer a potassium supplement.
The nurse is teaching parents to instill eye drops for their 4-month-old
daughter. The parents tell the nurse that she shuts her eyes tightly to
avoid the drops. Which instruction by the nurse is most appropriate?
a. They should instill the drops into the conjunctival sac.
b. The parents should wait until their daughter is relaxed.
c. The parents should put the drops into the inner canthus.
d. They should open her eyes with a thumb and forefinger. Correct
Answer-c. The parents should put the drops into the inner canthus.
, Infants instinctively resist anything regarding their eyes by tightly
closing them. The best way to instill eye drops is to gently restrain the
baby's head while the baby is in a supine position and put the drops at
the inner canthus of the eyes.
When the baby opens its eyes and blinks, the medication will flow into
the eyes. The nurse should encourage the parents to be gentle and speak
to the baby during the procedure.
A nurse working at a community health fair is administering
intramuscular injections of flu vaccinations. Which injection technique
will avoid leakage into subcutaneous tissue?
a. Injection at a 45-degree angle
b. Injection by Z-track method
c. Massaging the injection site
d. Aspiration prior to injection Correct Answer-b. Injection by Z-track
method
Which of the following is the proper procedure for cleaning and storing
of dentures as part of a client's HS oral care?
a. Remove dentures, clean with cool water, place in denture cup with
cool water, leave within reach at client's bedside.
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