Basic Care and Comfort RN NCLEX Questions

Basic Care and Comfort RN NCLEX Questions Related

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The nurse is teaching a group of nursing students about proper client positioning. Which statement by a student nurse indicates an understanding of proper positioning?

  • A. A client receiving an enema should be placed on the right side in the Sims' position.
  • B. A client with a below-the-knee amputation should be positioned with the affected limb elevated at a 45-degree angle.
  • C. Clients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed.
  • D. Clients with a craniotomy should be positioned with the head of bed at a 20-degree angle with the head in a neutral, midline position.
Correct Answer: C

Rationale: Upright positioning with legs dangling (C) reduces preload in pulmonary edema. Enemas use left Sims' position (A), amputation stumps are elevated briefly (B), and craniotomy positioning is 30-45 degrees (D).

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The clinic nurse is seeing a pregnant client who is expecting her first child. She complains of morning sickness and nasal stuffiness. The nurse recommends interventions to minimize discomfort from her symptoms. Which should the nurse recommend? Select all that apply.

  • A. take ginger pills to alleviate nausea
  • B. drink a full glass of water at each meal
  • C. use a humidifier to help with congestion
  • D. eat dry crackers before getting out of bed in the morning
  • E. eat three regular meals each day to provide needed nutrients
  • F. use an over-the-counter nasal spray such as a saline-based spray
Correct Answer: A,C,D,F

Rationale: Ginger pills (A), humidifier (C), dry crackers (D), and saline spray (F) are safe and effective for nausea and congestion in pregnancy. Large water intake (B) may worsen nausea, and regular meals (E) are less specific.

The unit nurse is precepting a nursing student who is assisting a client with a femur fracture onto a fracture bedpan. Which action by the student nurse requires intervention by the unit nurse? Select all that apply.

  • A. The student nurse tries to lift the client onto the bedpan.
  • B. The student nurse positions the head of the bed between 30 and 45 degrees.
  • C. The student nurse places the call light within reach and tells the client she will return shortly.
  • D. The student nurse places the bedpan with the shallow end under the buttocks toward the sacrum.
  • E. The student nurse places the bedpan with the deeper end under the buttocks toward the sacrum.
Correct Answer: A,D

Rationale: Lifting a client with a femur fracture risks further injury; rolling or sliding is safer. Placing the bedpan with the shallow end toward the sacrum is incorrect, as the deeper end should be under the buttocks for proper alignment and comfort.

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