BASIC CARE & COMFORT QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT RATED A+
NEWLY UPDATED 2025
Which patient in the orthopedic unit is most likely to develop skin
breakdown?
Answer: ✔✔ An elderly patient with a hip fracture who is in Buck's traction.
Older adults have thinner skin and less muscle, which increases their risk.
Being in traction limits movement, making skin breakdown more likely.
What is the nurse’s top priority before removing a nasogastric (NG) tube?
Answer: ✔✔ Check for a doctor’s order to remove the tube.
A prescription is required to stop NG tube treatment, so confirming that
order is the most important first step.
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. Which of the following statements indicates
the client understands the teaching? - ANSWER✔✔"Liver must be eliminated
from my diet."
-The nurse should encourage the client who has gout to avoid organ meats, such as
liver due to high levels of purine.
-Patients who have gout should include fruit servings as part of a healthy diet
A nurse is caring for a client who is prescribed an infusion of 5% dextrose in
water. Which of the following is the amount of dextrose in this solution? -
ANSWER✔✔5 g/100 mL
-A solution of 5% dextrose in water contains 5 grams of dextrose per 100 mL.
A nurse is providing oral care for an immobilized client. Which of the following
interventions should the nurse take? - ANSWER✔✔Position the client on one side
before starting oral care.
-This is the appropriate action. Placing the client on one side encourages fluids to
run out of the client's mouth, lessening the risk of aspiration and choking.
,A nurse is caring for a client who has type 1 diabetes mellitus. Which of the
following should the nurse recommend to the client as an appropriate sweetener? -
ANSWER✔✔Nonnutritive sugar substitute
-Clients who have type 1 diabetes mellitus should limit carbohydrate intake.
Nonnutritive sugar substitutes allow the client to sweeten the taste of foods without
increasing carbohydrate intake.
A nurse is caring for a client who requires cold applications with an ice bag to
reduce the swelling and pain of an ankle injury. Which of the following is an
appropriate nursing intervention? - ANSWER✔✔Apply the bag for 30 min at a
time.
-The nurse should leave the bag in place for 30 min, but should check the client's
skin after 15 min to make sure there are no unexpected effects.
-Wait 1 hr after removing the ice to reapply
A nurse auscultates a client's bowel sounds. Which of the following actions by the
nurse would require intervention by a charge nurse? - ANSWER✔✔Palpates the
abdomen prior to performing auscultation.
-Bowel sounds should be auscultated prior to palpation because manipulation of
the abdomen can alter the frequency and intensity of bowel sounds. Bowel sounds
should be auscultated in all four quadrants with the warm diaphragm of a
stethoscope.
-If an NG tube is present, it should be clamped during auscultation to prevent the
sound of suction being mistaken for bowel sounds.
-Bowel sounds are best auscultated between meals
A nurse is reinforcing teaching about nutritional considerations with the parents of
a toddler. Which of the following statements by the parents indicates
understanding of the teaching? - ANSWER✔✔"The quality of food I provide him
is more important than the quantity."
-Toddlers are very picky eaters and usually eat only one or two adequate meals
each day. Therefore, it is essential that the meals are balanced with essential
nutrients. The nutritious quality of the food is much more important than the
quantity. Toddlers generally prefer finger foods because of increasing autonomy.
Eating habits established in the first 2 to 3 years of life tend to have lasting effects
on subsequent years.
, A nurse is caring for a client who has been on strict bed rest for 1 week. Which of
the following findings indicates client readiness to ambulate? -
ANSWER✔✔Performs active range of motion exercise to all extremities
-During periods of immobility, it is important to have the client perform range of
motion (ROM) exercise to reduce the hazards of immobility (e.g., contractures,
loss of muscle mass, and thrombosis). A client who is weak may be able to
perform only passive ROM exercises, during which the nurse assists the client by
supporting the extremities during movement. During active ROM, the client is
doing the movement with little to no assistance. The client may be able to actively
move some extremities and joints and require assistance with others. This is a
collaborative effort with physical therapy to safely ensure that the client restores
mobility.
A nurse is caring for a client following the surgical placement of a colostomy.
Which of the following statements indicates the client understands the dietary
teaching? - ANSWER✔✔"Eating yogurt can help decrease the amount of gas that I
have."
-The client who has a colostomy can include yogurt into his diet to help reduce
odors and intestinal gas.
A nurse is caring for a client following a left hip arthroplasty. Which of the
following should the nurse implement to prevent dislocation? -
ANSWER✔✔Maintain foam wedge between legs.
-Because the muscle surrounding the hip joint has been cut to expose and replace
the diseased joint, clients are at risk for hip dislocation. Proper body alignment
after total hip arthroplasty includes keeping the affected leg slightly abducted. A
major complication of total hip arthroplasty is subluxation (partial dislocation) or
total dislocation. In some facilities, abduction devices such as foam wedges and
pillows are placed between legs. Adduction of the hip should be avoided to prevent
dislocation.
- ANSWER✔✔A major complication of total hip replacement is subluxation
(partial dislocation) or total dislocation. In addition to preventing adduction, the
client should avoid flexing the hips more than 90°, not 60°. The nurse should use
diagrams or demonstrate correct positioning to help reinforce this information prior
to the surgical procedure.
A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which
of the following statements indicate to the nurse a need for further instruction? -
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT RATED A+
NEWLY UPDATED 2025
Which patient in the orthopedic unit is most likely to develop skin
breakdown?
Answer: ✔✔ An elderly patient with a hip fracture who is in Buck's traction.
Older adults have thinner skin and less muscle, which increases their risk.
Being in traction limits movement, making skin breakdown more likely.
What is the nurse’s top priority before removing a nasogastric (NG) tube?
Answer: ✔✔ Check for a doctor’s order to remove the tube.
A prescription is required to stop NG tube treatment, so confirming that
order is the most important first step.
A nurse is teaching a client how to follow a low-purine diet as prescribed by the
provider for the management of gout. Which of the following statements indicates
the client understands the teaching? - ANSWER✔✔"Liver must be eliminated
from my diet."
-The nurse should encourage the client who has gout to avoid organ meats, such as
liver due to high levels of purine.
-Patients who have gout should include fruit servings as part of a healthy diet
A nurse is caring for a client who is prescribed an infusion of 5% dextrose in
water. Which of the following is the amount of dextrose in this solution? -
ANSWER✔✔5 g/100 mL
-A solution of 5% dextrose in water contains 5 grams of dextrose per 100 mL.
A nurse is providing oral care for an immobilized client. Which of the following
interventions should the nurse take? - ANSWER✔✔Position the client on one side
before starting oral care.
-This is the appropriate action. Placing the client on one side encourages fluids to
run out of the client's mouth, lessening the risk of aspiration and choking.
,A nurse is caring for a client who has type 1 diabetes mellitus. Which of the
following should the nurse recommend to the client as an appropriate sweetener? -
ANSWER✔✔Nonnutritive sugar substitute
-Clients who have type 1 diabetes mellitus should limit carbohydrate intake.
Nonnutritive sugar substitutes allow the client to sweeten the taste of foods without
increasing carbohydrate intake.
A nurse is caring for a client who requires cold applications with an ice bag to
reduce the swelling and pain of an ankle injury. Which of the following is an
appropriate nursing intervention? - ANSWER✔✔Apply the bag for 30 min at a
time.
-The nurse should leave the bag in place for 30 min, but should check the client's
skin after 15 min to make sure there are no unexpected effects.
-Wait 1 hr after removing the ice to reapply
A nurse auscultates a client's bowel sounds. Which of the following actions by the
nurse would require intervention by a charge nurse? - ANSWER✔✔Palpates the
abdomen prior to performing auscultation.
-Bowel sounds should be auscultated prior to palpation because manipulation of
the abdomen can alter the frequency and intensity of bowel sounds. Bowel sounds
should be auscultated in all four quadrants with the warm diaphragm of a
stethoscope.
-If an NG tube is present, it should be clamped during auscultation to prevent the
sound of suction being mistaken for bowel sounds.
-Bowel sounds are best auscultated between meals
A nurse is reinforcing teaching about nutritional considerations with the parents of
a toddler. Which of the following statements by the parents indicates
understanding of the teaching? - ANSWER✔✔"The quality of food I provide him
is more important than the quantity."
-Toddlers are very picky eaters and usually eat only one or two adequate meals
each day. Therefore, it is essential that the meals are balanced with essential
nutrients. The nutritious quality of the food is much more important than the
quantity. Toddlers generally prefer finger foods because of increasing autonomy.
Eating habits established in the first 2 to 3 years of life tend to have lasting effects
on subsequent years.
, A nurse is caring for a client who has been on strict bed rest for 1 week. Which of
the following findings indicates client readiness to ambulate? -
ANSWER✔✔Performs active range of motion exercise to all extremities
-During periods of immobility, it is important to have the client perform range of
motion (ROM) exercise to reduce the hazards of immobility (e.g., contractures,
loss of muscle mass, and thrombosis). A client who is weak may be able to
perform only passive ROM exercises, during which the nurse assists the client by
supporting the extremities during movement. During active ROM, the client is
doing the movement with little to no assistance. The client may be able to actively
move some extremities and joints and require assistance with others. This is a
collaborative effort with physical therapy to safely ensure that the client restores
mobility.
A nurse is caring for a client following the surgical placement of a colostomy.
Which of the following statements indicates the client understands the dietary
teaching? - ANSWER✔✔"Eating yogurt can help decrease the amount of gas that I
have."
-The client who has a colostomy can include yogurt into his diet to help reduce
odors and intestinal gas.
A nurse is caring for a client following a left hip arthroplasty. Which of the
following should the nurse implement to prevent dislocation? -
ANSWER✔✔Maintain foam wedge between legs.
-Because the muscle surrounding the hip joint has been cut to expose and replace
the diseased joint, clients are at risk for hip dislocation. Proper body alignment
after total hip arthroplasty includes keeping the affected leg slightly abducted. A
major complication of total hip arthroplasty is subluxation (partial dislocation) or
total dislocation. In some facilities, abduction devices such as foam wedges and
pillows are placed between legs. Adduction of the hip should be avoided to prevent
dislocation.
- ANSWER✔✔A major complication of total hip replacement is subluxation
(partial dislocation) or total dislocation. In addition to preventing adduction, the
client should avoid flexing the hips more than 90°, not 60°. The nurse should use
diagrams or demonstrate correct positioning to help reinforce this information prior
to the surgical procedure.
A nurse provides teaching to a client who is being fitted for a prosthetic leg. Which
of the following statements indicate to the nurse a need for further instruction? -
