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EDAPT: NCLEX Readiness: Basic Care and
Comfort Questions and Answers Latest
Update
The nurse is caring for a client who has had a left-sided ischemic stroke
and is having difficulty with expressive aphasia. Which interventions would
be most appropriate to assist the client with communication? Select all that
apply. Ans: ▸ Offer the client a white board for communication.
▸ Decrease the amount of environmental noise.
▸ Give the client time to respond.
The nurse is caring for a client who has been diagnosed with metastatic
brain cancer and is moving to hospice care. For each potential prescription,
click to specify if the prescription is anticipated, nonessential, or
contraindicated for the care of the client. Ans: Anticipated:
▸ Apply fentanyl patch 50 mcg every 72 hours.
▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
Nonessential:
▸ Educate the client and family about narcotic addiction.
Contraindicated:
▸ Treat with curative radiation to head and neck once a week.
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▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose death was
anticipated. Priority nursing actions include __________ and __________. Ans:
▸ Replacing dentures
▸ Placing arms at the sides
Sleep disturbances can have detrimental health effects on clients with
medical conditions. Match the consequence of sleep disturbance to each
client scenario. Each consequence may relate to more than one scenario.
Ans: Client With a Stage III Pressure Ulcer:
▸ Decreased tissue renewal
▸ Increased stress response
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 the right ear. The
healthcare provider writes a prescription to irrigate the ear. Please the
nursing actions for this procedure in the correct order. Ans: 1. Place the
client in the sitting position.
© 2025 All rights reserved
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2. Place the emesis basin under the ear.
3. Pull the auricle up and back.
4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if the action is
appropriate or contraindicated for a client with rheumatoid arthritis (RA).
Ans: Appropriate:
▸ Offer moist heat.
▸ 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 receive hygiene
measures first? Ans: An older adult with diabetes who was incontinent of
urine and stool
The nurse must understand sleep across the lifespan. Match the client's age
to the correct sleep characteristic. Ans: 2-year-old - May have separation
anxiety.
Neonate - Displays high percentage of rapid eye movement (REM) sleep.
10-year-old - May resist sleeping to show independence.
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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 hospital after
falling at home. The client is unable to ambulate, and their left leg is
shortened and externally rotated. The nurse notes ecchymosis on the left
lateral hip. The client is placed in skin traction.
For each potential nursing action, indicate whether the action is indicated,
nonessential, or contraindicated. Ans: Indicated:
▸ Inspect the skin every two hours.
▸ Incentive spirometry every two hours.
Nonessential:
▸ Assess vital signs every hour.
▸ Monitor blood glucose every two hours.
Contraindicated:
▸ Place the traction weights on the bed.
▸ Assess neurovascular status every day.
While ambulating with crutches, the client moves injured side's crutch
forward with the injured leg and then moves the non-injured crutch at the
same time as the injured leg. The nurse will document that the client is
using a __________ gait while ambulating.
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Basic Care and
Comfort Questions and Answers Latest
Update
The nurse is caring for a client who has had a left-sided ischemic stroke
and is having difficulty with expressive aphasia. Which interventions would
be most appropriate to assist the client with communication? Select all that
apply. Ans: ▸ Offer the client a white board for communication.
▸ Decrease the amount of environmental noise.
▸ Give the client time to respond.
The nurse is caring for a client who has been diagnosed with metastatic
brain cancer and is moving to hospice care. For each potential prescription,
click to specify if the prescription is anticipated, nonessential, or
contraindicated for the care of the client. Ans: Anticipated:
▸ Apply fentanyl patch 50 mcg every 72 hours.
▸ Treat with hydromorphone 7.5 mg oral (po) around the clock.
Nonessential:
▸ Educate the client and family about narcotic addiction.
Contraindicated:
▸ Treat with curative radiation to head and neck once a week.
© 2025 All rights reserved
, 2 | Page
▸ Hold hydromorphone for RR <10.
The nurse is providing postmortem care to a client whose death was
anticipated. Priority nursing actions include __________ and __________. Ans:
▸ Replacing dentures
▸ Placing arms at the sides
Sleep disturbances can have detrimental health effects on clients with
medical conditions. Match the consequence of sleep disturbance to each
client scenario. Each consequence may relate to more than one scenario.
Ans: Client With a Stage III Pressure Ulcer:
▸ Decreased tissue renewal
▸ Increased stress response
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 the right ear. The
healthcare provider writes a prescription to irrigate the ear. Please the
nursing actions for this procedure in the correct order. Ans: 1. Place the
client in the sitting position.
© 2025 All rights reserved
, 3 | Page
2. Place the emesis basin under the ear.
3. Pull the auricle up and back.
4. Direct the solution above the impaction.
5. Use mild lubricant drops to soften the wax.
For each nonpharmacologic pain relief action, indicate if the action is
appropriate or contraindicated for a client with rheumatoid arthritis (RA).
Ans: Appropriate:
▸ Offer moist heat.
▸ 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 receive hygiene
measures first? Ans: An older adult with diabetes who was incontinent of
urine and stool
The nurse must understand sleep across the lifespan. Match the client's age
to the correct sleep characteristic. Ans: 2-year-old - May have separation
anxiety.
Neonate - Displays high percentage of rapid eye movement (REM) sleep.
10-year-old - May resist sleeping to show independence.
© 2025 All rights reserved
, 4 | Page
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 hospital after
falling at home. The client is unable to ambulate, and their left leg is
shortened and externally rotated. The nurse notes ecchymosis on the left
lateral hip. The client is placed in skin traction.
For each potential nursing action, indicate whether the action is indicated,
nonessential, or contraindicated. Ans: Indicated:
▸ Inspect the skin every two hours.
▸ Incentive spirometry every two hours.
Nonessential:
▸ Assess vital signs every hour.
▸ Monitor blood glucose every two hours.
Contraindicated:
▸ Place the traction weights on the bed.
▸ Assess neurovascular status every day.
While ambulating with crutches, the client moves injured side's crutch
forward with the injured leg and then moves the non-injured crutch at the
same time as the injured leg. The nurse will document that the client is
using a __________ gait while ambulating.
© 2025 All rights reserved
