NCLEX RN Basic Care and Comfort
Practice Exam 1 100 Questions plus
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Q1. A nurse is assisting a client with oral hygiene. Which action is most
appropriate for a client who is unconscious?
A. Place the client supine and provide mouthwash
B. Position the client on the side and use a soft toothbrush
C. Insert a tongue blade to keep the mouth open
D. Use lemon-glycerin swabs every 2 hours
Answer: Position the client on the side and use a soft toothbrush
Rationale: An unconscious client should be positioned laterally to reduce
aspiration risk. A soft toothbrush allows effective oral care without injuring
the mucosa.
Q2. Which intervention is most appropriate when providing a complete bed
bath?
A. Expose the entire client throughout the bath
B. Begin with the perineal area
C. Wash from the cleanest area to the dirtiest area
D. Use cold water to increase circulation
Answer: Wash from the cleanest area to the dirtiest area
Rationale: Bathing from clean to less-clean areas helps prevent transmission
of microorganisms. Privacy and warmth should also be maintained.
,Q3. A client reports difficulty sleeping in the hospital. Which nursing
intervention is most appropriate?
A. Keep the television on for distraction
B. Encourage caffeine before bedtime
C. Establish a quiet and consistent bedtime routine
D. Wake the client every hour for assessment
Answer: Establish a quiet and consistent bedtime routine
Rationale: Reducing environmental stimulation and maintaining a regular
sleep routine promote restorative sleep.
Q4. Which position is best for a client receiving an enteral feeding through a
gastrostomy tube?
A. Flat supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: High-Fowler's
Rationale: Elevating the head of the bed during enteral feeding reduces the
risk of aspiration.
Q5. A client has difficulty swallowing after a stroke. Which intervention is
appropriate?
A. Encourage thin liquids
B. Place food on the affected side of the mouth
C. Provide thickened liquids as prescribed
D. Encourage the client to eat while lying down
Answer: Provide thickened liquids as prescribed
Rationale: Thickened liquids are often easier to control and may reduce
aspiration in clients with dysphagia.
,Q6. Which finding indicates that a client may be experiencing urinary retention?
A. Frequent large-volume urination
B. Distended bladder and small amounts of urine
C. Clear urine without discomfort
D. Urinary output of 2,000 mL/day
Answer: Distended bladder and small amounts of urine
Rationale: Urinary retention can cause bladder distention, suprapubic
discomfort, and frequent passage of small amounts of urine.
Q7. Which intervention helps prevent constipation in an immobile client?
A. Restrict fluids
B. Encourage fiber and adequate fluid intake
C. Provide a low-residue diet
D. Maintain bed rest
Answer: Encourage fiber and adequate fluid intake
Rationale: Adequate fluids, dietary fiber, and mobility help promote normal
bowel function.
Q8. A client has been prescribed a bedpan. Which intervention promotes
successful elimination?
A. Place the bedpan on a cold surface
B. Keep the client completely flat
C. Provide privacy and adequate positioning
D. Leave the client unattended for an extended period
Provide privacy and adequate positioning
Answer:
, Rationale: Privacy, comfort, and appropriate positioning help reduce anxiety
and promote elimination.
Q9. Which nursing intervention is appropriate for a client with diarrhea?
A. Encourage foods high in insoluble fiber
B. Monitor fluid and electrolyte status
C. Restrict all oral fluids
D. Administer laxatives
Answer: Monitor fluid and electrolyte status
Rationale: Diarrhea can cause significant fluid and electrolyte losses, making
monitoring and replacement important.
Q10. A client is experiencing nausea. Which intervention is appropriate?
A. Encourage large meals
B. Provide strong-smelling foods
C. Offer small, frequent meals
D. Encourage the client to lie flat after eating
Answer: Offer small, frequent meals
Rationale: Small, frequent meals are often better tolerated and may decrease
nausea.
Q11. Which action should the nurse take when assisting a client from bed to a
wheelchair?
A. Lock the wheelchair brakes
B. Keep the wheelchair several feet away
C. Have the client stand before applying nonskid footwear
D. Pull the client by the arms
Answer: Lock the wheelchair brakes
Practice Exam 1 100 Questions plus
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Q1. A nurse is assisting a client with oral hygiene. Which action is most
appropriate for a client who is unconscious?
A. Place the client supine and provide mouthwash
B. Position the client on the side and use a soft toothbrush
C. Insert a tongue blade to keep the mouth open
D. Use lemon-glycerin swabs every 2 hours
Answer: Position the client on the side and use a soft toothbrush
Rationale: An unconscious client should be positioned laterally to reduce
aspiration risk. A soft toothbrush allows effective oral care without injuring
the mucosa.
Q2. Which intervention is most appropriate when providing a complete bed
bath?
A. Expose the entire client throughout the bath
B. Begin with the perineal area
C. Wash from the cleanest area to the dirtiest area
D. Use cold water to increase circulation
Answer: Wash from the cleanest area to the dirtiest area
Rationale: Bathing from clean to less-clean areas helps prevent transmission
of microorganisms. Privacy and warmth should also be maintained.
,Q3. A client reports difficulty sleeping in the hospital. Which nursing
intervention is most appropriate?
A. Keep the television on for distraction
B. Encourage caffeine before bedtime
C. Establish a quiet and consistent bedtime routine
D. Wake the client every hour for assessment
Answer: Establish a quiet and consistent bedtime routine
Rationale: Reducing environmental stimulation and maintaining a regular
sleep routine promote restorative sleep.
Q4. Which position is best for a client receiving an enteral feeding through a
gastrostomy tube?
A. Flat supine
B. High-Fowler's
C. Trendelenburg
D. Prone
Answer: High-Fowler's
Rationale: Elevating the head of the bed during enteral feeding reduces the
risk of aspiration.
Q5. A client has difficulty swallowing after a stroke. Which intervention is
appropriate?
A. Encourage thin liquids
B. Place food on the affected side of the mouth
C. Provide thickened liquids as prescribed
D. Encourage the client to eat while lying down
Answer: Provide thickened liquids as prescribed
Rationale: Thickened liquids are often easier to control and may reduce
aspiration in clients with dysphagia.
,Q6. Which finding indicates that a client may be experiencing urinary retention?
A. Frequent large-volume urination
B. Distended bladder and small amounts of urine
C. Clear urine without discomfort
D. Urinary output of 2,000 mL/day
Answer: Distended bladder and small amounts of urine
Rationale: Urinary retention can cause bladder distention, suprapubic
discomfort, and frequent passage of small amounts of urine.
Q7. Which intervention helps prevent constipation in an immobile client?
A. Restrict fluids
B. Encourage fiber and adequate fluid intake
C. Provide a low-residue diet
D. Maintain bed rest
Answer: Encourage fiber and adequate fluid intake
Rationale: Adequate fluids, dietary fiber, and mobility help promote normal
bowel function.
Q8. A client has been prescribed a bedpan. Which intervention promotes
successful elimination?
A. Place the bedpan on a cold surface
B. Keep the client completely flat
C. Provide privacy and adequate positioning
D. Leave the client unattended for an extended period
Provide privacy and adequate positioning
Answer:
, Rationale: Privacy, comfort, and appropriate positioning help reduce anxiety
and promote elimination.
Q9. Which nursing intervention is appropriate for a client with diarrhea?
A. Encourage foods high in insoluble fiber
B. Monitor fluid and electrolyte status
C. Restrict all oral fluids
D. Administer laxatives
Answer: Monitor fluid and electrolyte status
Rationale: Diarrhea can cause significant fluid and electrolyte losses, making
monitoring and replacement important.
Q10. A client is experiencing nausea. Which intervention is appropriate?
A. Encourage large meals
B. Provide strong-smelling foods
C. Offer small, frequent meals
D. Encourage the client to lie flat after eating
Answer: Offer small, frequent meals
Rationale: Small, frequent meals are often better tolerated and may decrease
nausea.
Q11. Which action should the nurse take when assisting a client from bed to a
wheelchair?
A. Lock the wheelchair brakes
B. Keep the wheelchair several feet away
C. Have the client stand before applying nonskid footwear
D. Pull the client by the arms
Answer: Lock the wheelchair brakes
