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Exam (elaborations)

NCLEX Basic Care and Comfort

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NCLEX Basic Care and Comfort

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NCLEX Basic Care and Comfort (Parental Care and
Comfort) EXAM PRACTICE TEST QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES | INSTANT DOWNLOAD PDF


1. A nurse is assisting a client with limited mobility to eat. Which action is most appropriate?
A. Feed the client quickly to avoid fatigue
B. Place the client in a semi-Fowler’s position
C. Allow the client to do as much as possible independently
D. Offer liquids after each bite
Correct answer: C. Allow the client to do as much as possible independently.
Rationale: Promotes independence and dignity, enhancing self-esteem and comfort.



2. The nurse provides oral hygiene for an unconscious patient. Which position is safest?
A. Supine
B. Side-lying
C. Fowler’s
D. Prone
Correct answer: B. Side-lying.
Rationale: Prevents aspiration by allowing secretions to drain out of the mouth.



3. A client with a fractured femur complains of severe pain despite medication. What should the
nurse do first?
A. Reposition the leg
B. Notify the physician
C. Check circulation and alignment
D. Apply ice to the site
Correct answer: C. Check circulation and alignment.
Rationale: Unrelieved pain may indicate impaired circulation or compartment syndrome.

,4. A nurse changes a bedridden client’s position every two hours primarily to:
A. Increase muscle tone
B. Prevent pressure ulcers
C. Improve appetite
D. Encourage socialization
Correct answer: B. Prevent pressure ulcers.
Rationale: Regular repositioning prevents skin breakdown from prolonged pressure.



5. The best way to promote comfort for a postoperative abdominal surgery patient is to:
A. Offer oral fluids
B. Encourage deep breathing
C. Provide a pillow for splinting when coughing
D. Raise the head of the bed
Correct answer: C. Provide a pillow for splinting when coughing.
Rationale: Reduces pain and protects the incision site during coughing or movement.



6. When bathing an elderly client, the nurse should:
A. Use hot water to keep the client warm
B. Wash from clean to dirty areas
C. Use firm, brisk strokes to improve circulation
D. Apply lotion before drying
Correct answer: B. Wash from clean to dirty areas.
Rationale: Prevents the spread of microorganisms and promotes comfort.



7. Which intervention is best to prevent foot drop in an immobilized patient?
A. Apply a footboard
B. Use high-top shoes
C. Perform passive range of motion exercises
D. Elevate the legs
Correct answer: A. Apply a footboard.
Rationale: Keeps feet in dorsiflexed position, preventing contractures.

, 8. A client with dyspnea finds it difficult to breathe when lying flat. The best position is:
A. Supine
B. High Fowler’s
C. Prone
D. Dorsal recumbent
Correct answer: B. High Fowler’s.
Rationale: Promotes lung expansion and comfort in breathing.



9. The nurse provides back care to a patient. What is the primary purpose?
A. Provide relaxation and comfort
B. Improve muscle tone
C. Assess for lesions
D. Apply medication
Correct answer: A. Provide relaxation and comfort.
Rationale: Back care promotes relaxation and relieves muscle tension.



10. A nurse caring for a client with dry mucous membranes should:
A. Restrict fluids
B. Encourage frequent sips of water
C. Apply alcohol-based mouthwash
D. Give saltwater rinses
Correct answer: B. Encourage frequent sips of water.
Rationale: Keeps mucous membranes moist and prevents discomfort.



11. For a patient on bed rest, which nursing action prevents complications?
A. Encourage use of the call bell
B. Perform passive range of motion exercises
C. Keep the room temperature low
D. Apply restraints for safety
Correct answer: B. Perform passive range of motion exercises.
Rationale: Prevents joint stiffness and muscle atrophy.



12. When assisting a patient with toileting, the nurse should first:
A. Close the door for privacy

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