EDAPT_ NCLEX Readiness_
Basic Care and Comfort
Exam
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,The nurse is caring for a client who has had a left-sided ▸ Offer the client a white board for communication.
ischemic stroke and is having difficulty with expressive ▸ Decrease the amount of environmental noise.
aphasia. Which interventions would be most appropriate to ▸ Give the client time to respond.
assist the client with communication? Select all that apply.
The nurse is caring for a client who has been diagnosed Anticipated:
with metastatic brain cancer and is moving to hospice ▸ Apply fentanyl patch 50 mcg every 72 hours.
care. For each potential prescription, click to specify if the ▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
prescription is anticipated, nonessential, or contraindicated
for the care of the client. Nonessential:
▸ Educate the client and family about narcotic addiction.
Contraindicated:
▸ Treat with curative radiation to head and neck once a week.
▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose ▸ Replacing dentures
death was anticipated. Priority nursing actions include ▸ Placing arms at the sides
__________ and __________.
Sleep disturbances can have detrimental health effects on Client With a Stage III Pressure Ulcer:
clients with medical conditions. Match the consequence of ▸ Decreased tissue renewal
sleep disturbance to each client scenario. Each ▸ Increased stress response
consequence may relate to more than one scenario.
Client With Alzheimer's Disease:
▸ Decreased ability to concentrate
▸ Increased confusion and irritability
Client With Fall Risk:
▸ Decreased reflexes
▸ Decreased ability to concentrate
▸ Decreased visual acuity
The nurse is caring for a client with impacted cerumen in 1. Place the client in the sitting position.
the right ear. The healthcare provider writes a prescription 2. Place the emesis basin under the ear.
to irrigate the ear. Please the nursing actions for this 3. Pull the auricle up and back.
procedure in the correct order. 4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if Appropriate:
the action is appropriate or contraindicated for a client with ▸ Offer moist heat.
rheumatoid arthritis (RA). ▸ Offer guided imagery teaching.
▸ Refer the client for acupuncture.
Contraindicated:
▸ Offer a rigorous exercise program.
▸ Assist the client to flex the legs and arms.
When planning care for several clients, which client should An older adult with diabetes who was incontinent of urine and stool
receive hygiene measures first?
The nurse must understand sleep across the lifespan. 2-year-old - May have separation anxiety.
Match the client's age to the correct sleep characteristic.
Neonate - Displays high percentage of rapid eye movement (REM) sleep.
10-year-old - May resist sleeping to show independence.
70-year-old - Has shorter episodes of deep sleep.
4-year-old - Bedtime fears and bed-wetting may occur.
16-year-old - Likely to have an electronic device on at bedtime.
50-year-old - Insomnia may be common.
, The nurse is caring for a client who was admitted to the Indicated:
hospital after falling at home. The client is unable to ▸ Inspect the skin every two hours.
ambulate, and their left leg is shortened and externally ▸ Incentive spirometry every two hours.
rotated. The nurse notes ecchymosis on the left lateral hip.
The client is placed in skin traction. Nonessential:
▸ Assess vital signs every hour.
For each potential nursing action, indicate whether the ▸ Monitor blood glucose every two hours.
action is indicated, nonessential, or contraindicated.
Contraindicated:
▸ Place the traction weights on the bed.
▸ Assess neurovascular status every day.
While ambulating with crutches, the client moves injured ▸ 2-point
side's crutch forward with the injured leg and then moves ▸ Swing-to
the non-injured crutch at the same time as the injured leg. ▸ Strong
The nurse will document that the client is using a
__________ gait while ambulating.
While ambulating with crutches, the client moves both
crutches forward and then moves both legs forward to the
same point as the crutches. The nurse will document that
the client is using a __________ gait while ambulating.
When educating on the use of a cane going up the stairs,
the nurse will instruct the client to move the __________
leg up first.
Select to highlight the areas that are concerning to the ▸ 7/10 sharp pain
nurse. Click to apply. ▸ Facial grimacing
▸ Diaphoretic
Identify the additional assessments the nurse should ▸ Size of indwelling urinary catheter
complete for this client during the admissions assessment. ▸ Urine output and color
Select the five (5) that apply. ▸ Pain assessment after repositioning
▸ Bowel sounds
▸ Pedal pulses
Identify the staging of the pressure injury, 2 supporting Findings:
findings, and 2 management strategies. Select the correct ▸ Sacral pain
answers in the boxes provided. ▸ Open, shallow wound
Staging:
▸ Stage 2
Management Strategies:
▸ Reposition
▸ Hydrocolloid dressing
Identify the appropriate actions the nurse should take. ▸ Prop client's affected leg on stool in extended position while in chair.
Click to select and drag the correct response(s) in the ▸ Remove indwelling urinary catheter.
boxes provided to the right. ▸ Place pillow between knees while client in bed.
▸ Assist client by washing back, legs, and perineum.
▸ Instruct client not to cross legs.
▸ Implement bed and chair alarm.
Identify the correct actions that the nurse should take. ▸ Align height of walker to allow elbow flexion of 20 degrees.
Select all that apply. ▸ Encourage daughter to perform leg massage.
▸ Encourage client to do foot pumps.
Basic Care and Comfort
Exam
(2025-2026)
Question and Answers
Expert Verified
(With A+ Grades Guarantee)
,The nurse is caring for a client who has had a left-sided ▸ Offer the client a white board for communication.
ischemic stroke and is having difficulty with expressive ▸ Decrease the amount of environmental noise.
aphasia. Which interventions would be most appropriate to ▸ Give the client time to respond.
assist the client with communication? Select all that apply.
The nurse is caring for a client who has been diagnosed Anticipated:
with metastatic brain cancer and is moving to hospice ▸ Apply fentanyl patch 50 mcg every 72 hours.
care. For each potential prescription, click to specify if the ▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
prescription is anticipated, nonessential, or contraindicated
for the care of the client. Nonessential:
▸ Educate the client and family about narcotic addiction.
Contraindicated:
▸ Treat with curative radiation to head and neck once a week.
▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose ▸ Replacing dentures
death was anticipated. Priority nursing actions include ▸ Placing arms at the sides
__________ and __________.
Sleep disturbances can have detrimental health effects on Client With a Stage III Pressure Ulcer:
clients with medical conditions. Match the consequence of ▸ Decreased tissue renewal
sleep disturbance to each client scenario. Each ▸ Increased stress response
consequence may relate to more than one scenario.
Client With Alzheimer's Disease:
▸ Decreased ability to concentrate
▸ Increased confusion and irritability
Client With Fall Risk:
▸ Decreased reflexes
▸ Decreased ability to concentrate
▸ Decreased visual acuity
The nurse is caring for a client with impacted cerumen in 1. Place the client in the sitting position.
the right ear. The healthcare provider writes a prescription 2. Place the emesis basin under the ear.
to irrigate the ear. Please the nursing actions for this 3. Pull the auricle up and back.
procedure in the correct order. 4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if Appropriate:
the action is appropriate or contraindicated for a client with ▸ Offer moist heat.
rheumatoid arthritis (RA). ▸ Offer guided imagery teaching.
▸ Refer the client for acupuncture.
Contraindicated:
▸ Offer a rigorous exercise program.
▸ Assist the client to flex the legs and arms.
When planning care for several clients, which client should An older adult with diabetes who was incontinent of urine and stool
receive hygiene measures first?
The nurse must understand sleep across the lifespan. 2-year-old - May have separation anxiety.
Match the client's age to the correct sleep characteristic.
Neonate - Displays high percentage of rapid eye movement (REM) sleep.
10-year-old - May resist sleeping to show independence.
70-year-old - Has shorter episodes of deep sleep.
4-year-old - Bedtime fears and bed-wetting may occur.
16-year-old - Likely to have an electronic device on at bedtime.
50-year-old - Insomnia may be common.
, The nurse is caring for a client who was admitted to the Indicated:
hospital after falling at home. The client is unable to ▸ Inspect the skin every two hours.
ambulate, and their left leg is shortened and externally ▸ Incentive spirometry every two hours.
rotated. The nurse notes ecchymosis on the left lateral hip.
The client is placed in skin traction. Nonessential:
▸ Assess vital signs every hour.
For each potential nursing action, indicate whether the ▸ Monitor blood glucose every two hours.
action is indicated, nonessential, or contraindicated.
Contraindicated:
▸ Place the traction weights on the bed.
▸ Assess neurovascular status every day.
While ambulating with crutches, the client moves injured ▸ 2-point
side's crutch forward with the injured leg and then moves ▸ Swing-to
the non-injured crutch at the same time as the injured leg. ▸ Strong
The nurse will document that the client is using a
__________ gait while ambulating.
While ambulating with crutches, the client moves both
crutches forward and then moves both legs forward to the
same point as the crutches. The nurse will document that
the client is using a __________ gait while ambulating.
When educating on the use of a cane going up the stairs,
the nurse will instruct the client to move the __________
leg up first.
Select to highlight the areas that are concerning to the ▸ 7/10 sharp pain
nurse. Click to apply. ▸ Facial grimacing
▸ Diaphoretic
Identify the additional assessments the nurse should ▸ Size of indwelling urinary catheter
complete for this client during the admissions assessment. ▸ Urine output and color
Select the five (5) that apply. ▸ Pain assessment after repositioning
▸ Bowel sounds
▸ Pedal pulses
Identify the staging of the pressure injury, 2 supporting Findings:
findings, and 2 management strategies. Select the correct ▸ Sacral pain
answers in the boxes provided. ▸ Open, shallow wound
Staging:
▸ Stage 2
Management Strategies:
▸ Reposition
▸ Hydrocolloid dressing
Identify the appropriate actions the nurse should take. ▸ Prop client's affected leg on stool in extended position while in chair.
Click to select and drag the correct response(s) in the ▸ Remove indwelling urinary catheter.
boxes provided to the right. ▸ Place pillow between knees while client in bed.
▸ Assist client by washing back, legs, and perineum.
▸ Instruct client not to cross legs.
▸ Implement bed and chair alarm.
Identify the correct actions that the nurse should take. ▸ Align height of walker to allow elbow flexion of 20 degrees.
Select all that apply. ▸ Encourage daughter to perform leg massage.
▸ Encourage client to do foot pumps.
