NCLEX RN Basic Care and Comfort
Exam 5 100 Questions plus Correct
Answers (Verified Answers) Plus
Rationales 2026 Q & A Instant
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Question 1
A nurse is caring for a client who has limited mobility after a stroke. Which
intervention is most appropriate to prevent pressure injuries?
A. Massage reddened areas every shift
B. Reposition the client at regular intervals
C. Keep the head of the bed elevated at 60 degrees
D. Place a donut-shaped cushion under the sacrum
Answer: B. Reposition the client at regular intervals
Rationale: Regular repositioning relieves prolonged pressure and promotes
tissue perfusion. Massage over reddened areas can cause additional tissue
damage, and donut-shaped devices can impair circulation.
Question 2
A client reports difficulty sleeping in the hospital. Which nursing intervention is
most appropriate?
A. Encourage daytime naps lasting 3 hours
B. Offer caffeinated beverages before bedtime
C. Reduce environmental noise and provide a consistent bedtime routine
D. Wake the client every hour for assessment
,Answer: C. Reduce environmental noise and provide a consistent bedtime
routine
Rationale: Minimizing noise, light, and interruptions promotes sleep.
Excessive daytime sleeping and caffeine can interfere with nighttime sleep.
Question 3
Which position is best for a client experiencing dyspnea?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Sims'
Answer: B. High-Fowler's
Rationale: High-Fowler's positioning promotes maximal lung expansion and
decreases pressure from abdominal organs on the diaphragm.
Question 4
A nurse is assisting a client with oral hygiene. Which action is appropriate for an
unconscious client?
A. Place the client flat on the back
B. Use large amounts of water to rinse the mouth
C. Position the client laterally and use suction as needed
D. Insert a toothbrush deeply into the mouth
Answer: C. Position the client laterally and use suction as needed
Rationale: Lateral positioning and suction reduce the risk of aspiration.
Unconscious clients cannot reliably protect their airway.
Question 5
Which intervention is most appropriate when assisting a client with bathing?
A. Expose the entire body during the bath
B. Maintain privacy and expose only the area being washed
C. Use very hot water to increase comfort
D. Perform the bath without assessing skin condition
,Answer: B. Maintain privacy and expose only the area being washed
Rationale: Maintaining privacy and warmth promotes dignity and comfort.
The nurse should also inspect the skin throughout bathing.
Question 6
A client has been prescribed a low-sodium diet. Which food should the nurse
recommend?
A. Canned soup
B. Processed luncheon meat
C. Fresh baked chicken
D. Salted crackers
Answer: C. Fresh baked chicken
Rationale: Fresh, minimally processed foods are generally lower in sodium
than canned and processed foods.
Question 7
A client with dysphagia is receiving meals. Which intervention is most
appropriate?
A. Encourage the client to eat while lying down
B. Offer thin liquids rapidly
C. Position the client upright during meals
D. Encourage talking while chewing
Answer: C. Position the client upright during meals
Rationale: Upright positioning decreases aspiration risk. Clients with
dysphagia should receive food and fluids according to their prescribed
swallowing precautions.
Question 8
A nurse is helping a client use a walker. Which instruction is correct?
A. Move the walker after stepping forward with both feet
B. Move the walker forward, then step into it
C. Pull the walker toward the body while walking
D. Keep the walker several feet ahead of the body
, Answer: B. Move the walker forward, then step into it
Rationale: The client should advance the walker a short distance, place it
securely, and then step forward into the walker while maintaining stability.
Question 9
Which intervention is most effective for preventing constipation in an
ambulatory adult?
A. Restrict fluids
B. Encourage activity and adequate fluid and fiber intake
C. Encourage prolonged bed rest
D. Administer antidiarrheal medication
Answer: B. Encourage activity and adequate fluid and fiber intake
Rationale: Physical activity, adequate hydration, and dietary fiber promote
normal bowel motility and stool formation.
Question 10
A client has urinary incontinence. Which nursing intervention promotes skin
integrity?
A. Leave wet linens in place until the next scheduled bath
B. Cleanse and dry the skin promptly after each episode
C. Apply powder heavily to all affected areas
D. Restrict fluid intake throughout the day
Answer: B. Cleanse and dry the skin promptly after each episode
Rationale: Prompt cleansing and drying reduce moisture-associated skin
damage and the risk of pressure injury.
Question 11
A client is at risk for falls. Which intervention is appropriate?
A. Keep the bed in the highest position
B. Place the call light within reach
C. Keep personal belongings across the room
D. Encourage the client to walk without assistance
Exam 5 100 Questions plus Correct
Answers (Verified Answers) Plus
Rationales 2026 Q & A Instant
Download Pdf
Question 1
A nurse is caring for a client who has limited mobility after a stroke. Which
intervention is most appropriate to prevent pressure injuries?
A. Massage reddened areas every shift
B. Reposition the client at regular intervals
C. Keep the head of the bed elevated at 60 degrees
D. Place a donut-shaped cushion under the sacrum
Answer: B. Reposition the client at regular intervals
Rationale: Regular repositioning relieves prolonged pressure and promotes
tissue perfusion. Massage over reddened areas can cause additional tissue
damage, and donut-shaped devices can impair circulation.
Question 2
A client reports difficulty sleeping in the hospital. Which nursing intervention is
most appropriate?
A. Encourage daytime naps lasting 3 hours
B. Offer caffeinated beverages before bedtime
C. Reduce environmental noise and provide a consistent bedtime routine
D. Wake the client every hour for assessment
,Answer: C. Reduce environmental noise and provide a consistent bedtime
routine
Rationale: Minimizing noise, light, and interruptions promotes sleep.
Excessive daytime sleeping and caffeine can interfere with nighttime sleep.
Question 3
Which position is best for a client experiencing dyspnea?
A. Supine
B. High-Fowler's
C. Trendelenburg
D. Sims'
Answer: B. High-Fowler's
Rationale: High-Fowler's positioning promotes maximal lung expansion and
decreases pressure from abdominal organs on the diaphragm.
Question 4
A nurse is assisting a client with oral hygiene. Which action is appropriate for an
unconscious client?
A. Place the client flat on the back
B. Use large amounts of water to rinse the mouth
C. Position the client laterally and use suction as needed
D. Insert a toothbrush deeply into the mouth
Answer: C. Position the client laterally and use suction as needed
Rationale: Lateral positioning and suction reduce the risk of aspiration.
Unconscious clients cannot reliably protect their airway.
Question 5
Which intervention is most appropriate when assisting a client with bathing?
A. Expose the entire body during the bath
B. Maintain privacy and expose only the area being washed
C. Use very hot water to increase comfort
D. Perform the bath without assessing skin condition
,Answer: B. Maintain privacy and expose only the area being washed
Rationale: Maintaining privacy and warmth promotes dignity and comfort.
The nurse should also inspect the skin throughout bathing.
Question 6
A client has been prescribed a low-sodium diet. Which food should the nurse
recommend?
A. Canned soup
B. Processed luncheon meat
C. Fresh baked chicken
D. Salted crackers
Answer: C. Fresh baked chicken
Rationale: Fresh, minimally processed foods are generally lower in sodium
than canned and processed foods.
Question 7
A client with dysphagia is receiving meals. Which intervention is most
appropriate?
A. Encourage the client to eat while lying down
B. Offer thin liquids rapidly
C. Position the client upright during meals
D. Encourage talking while chewing
Answer: C. Position the client upright during meals
Rationale: Upright positioning decreases aspiration risk. Clients with
dysphagia should receive food and fluids according to their prescribed
swallowing precautions.
Question 8
A nurse is helping a client use a walker. Which instruction is correct?
A. Move the walker after stepping forward with both feet
B. Move the walker forward, then step into it
C. Pull the walker toward the body while walking
D. Keep the walker several feet ahead of the body
, Answer: B. Move the walker forward, then step into it
Rationale: The client should advance the walker a short distance, place it
securely, and then step forward into the walker while maintaining stability.
Question 9
Which intervention is most effective for preventing constipation in an
ambulatory adult?
A. Restrict fluids
B. Encourage activity and adequate fluid and fiber intake
C. Encourage prolonged bed rest
D. Administer antidiarrheal medication
Answer: B. Encourage activity and adequate fluid and fiber intake
Rationale: Physical activity, adequate hydration, and dietary fiber promote
normal bowel motility and stool formation.
Question 10
A client has urinary incontinence. Which nursing intervention promotes skin
integrity?
A. Leave wet linens in place until the next scheduled bath
B. Cleanse and dry the skin promptly after each episode
C. Apply powder heavily to all affected areas
D. Restrict fluid intake throughout the day
Answer: B. Cleanse and dry the skin promptly after each episode
Rationale: Prompt cleansing and drying reduce moisture-associated skin
damage and the risk of pressure injury.
Question 11
A client is at risk for falls. Which intervention is appropriate?
A. Keep the bed in the highest position
B. Place the call light within reach
C. Keep personal belongings across the room
D. Encourage the client to walk without assistance
