Basic Care and Comfort NCLEX
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is assisting a client with limited mobility to reposition in bed. Which technique is best to
prevent skin breakdown?
a. Reposition every 6 hours
✔✔b. Reposition at least every 2 hours
c. Leave the client on the same side all day
d. Keep the head of bed elevated continuously
**Rationale:** Repositioning every 2 hours prevents pressure injuries.
A client with a cast on the right arm asks how to reduce swelling. What should the nurse
suggest?
a. Keep the arm below heart level
✔✔b. Elevate the arm above heart level
c. Apply heat packs
d. Wrap the cast in plastic wrap
**Rationale:** Elevation promotes venous return and reduces swelling.
1
,A nurse is feeding a client with dysphagia. What is the priority intervention?
a. Offer thin liquids with a straw
✔✔b. Keep client in an upright position
c. Encourage quick swallowing
d. Allow client to lie back while eating
**Rationale:** Upright position reduces risk of aspiration.
A client with limited mobility is at risk for constipation. What should the nurse encourage?
a. High-fat diet
✔✔b. Increased fluid and fiber intake
c. Avoiding exercise
d. Skipping breakfast
**Rationale:** Fluids and fiber help stimulate bowel movements.
The nurse is providing oral care to an unconscious client. Which position is best?
a. Supine with head flat
✔✔b. Side-lying with head turned
2
,c. Prone with arms at side
d. Sitting upright
**Rationale:** Side-lying prevents aspiration of oral secretions.
The nurse is helping a client use a cane. Which teaching is correct?
a. Hold the cane on the weak side
✔✔b. Hold the cane on the strong side
c. Move cane with strong leg
d. Keep cane far from the body
**Rationale:** Cane is used on the strong side for balance support.
The nurse is caring for a client with an indwelling urinary catheter. Which action prevents
infection?
a. Keep drainage bag above bladder level
✔✔b. Maintain closed drainage system
c. Disconnect tubing daily
d. Irrigate with tap water every shift
**Rationale:** Closed drainage prevents bacteria entry.
3
, A client reports dry mouth due to oxygen therapy. What should the nurse do?
a. Limit fluid intake
✔✔b. Provide frequent oral care
c. Turn off the oxygen
d. Increase room temperature
**Rationale:** Oral care relieves dryness from oxygen use.
A nurse is caring for a client with a stage I pressure injury on the heel. What is the best
intervention?
a. Massage the reddened area
✔✔b. Keep heel elevated off the bed
c. Apply tight bandage
d. Place directly on pillow with weight
**Rationale:** Elevation reduces pressure and promotes healing.
The nurse is helping a client transfer from bed to chair. Which instruction is correct?
a. Stand with feet close together
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is assisting a client with limited mobility to reposition in bed. Which technique is best to
prevent skin breakdown?
a. Reposition every 6 hours
✔✔b. Reposition at least every 2 hours
c. Leave the client on the same side all day
d. Keep the head of bed elevated continuously
**Rationale:** Repositioning every 2 hours prevents pressure injuries.
A client with a cast on the right arm asks how to reduce swelling. What should the nurse
suggest?
a. Keep the arm below heart level
✔✔b. Elevate the arm above heart level
c. Apply heat packs
d. Wrap the cast in plastic wrap
**Rationale:** Elevation promotes venous return and reduces swelling.
1
,A nurse is feeding a client with dysphagia. What is the priority intervention?
a. Offer thin liquids with a straw
✔✔b. Keep client in an upright position
c. Encourage quick swallowing
d. Allow client to lie back while eating
**Rationale:** Upright position reduces risk of aspiration.
A client with limited mobility is at risk for constipation. What should the nurse encourage?
a. High-fat diet
✔✔b. Increased fluid and fiber intake
c. Avoiding exercise
d. Skipping breakfast
**Rationale:** Fluids and fiber help stimulate bowel movements.
The nurse is providing oral care to an unconscious client. Which position is best?
a. Supine with head flat
✔✔b. Side-lying with head turned
2
,c. Prone with arms at side
d. Sitting upright
**Rationale:** Side-lying prevents aspiration of oral secretions.
The nurse is helping a client use a cane. Which teaching is correct?
a. Hold the cane on the weak side
✔✔b. Hold the cane on the strong side
c. Move cane with strong leg
d. Keep cane far from the body
**Rationale:** Cane is used on the strong side for balance support.
The nurse is caring for a client with an indwelling urinary catheter. Which action prevents
infection?
a. Keep drainage bag above bladder level
✔✔b. Maintain closed drainage system
c. Disconnect tubing daily
d. Irrigate with tap water every shift
**Rationale:** Closed drainage prevents bacteria entry.
3
, A client reports dry mouth due to oxygen therapy. What should the nurse do?
a. Limit fluid intake
✔✔b. Provide frequent oral care
c. Turn off the oxygen
d. Increase room temperature
**Rationale:** Oral care relieves dryness from oxygen use.
A nurse is caring for a client with a stage I pressure injury on the heel. What is the best
intervention?
a. Massage the reddened area
✔✔b. Keep heel elevated off the bed
c. Apply tight bandage
d. Place directly on pillow with weight
**Rationale:** Elevation reduces pressure and promotes healing.
The nurse is helping a client transfer from bed to chair. Which instruction is correct?
a. Stand with feet close together
4
