Performance
Exit
ELSEVIER ADAPTIVE QUIZZING (EAQ)_RATIONALES| NCLEX PRACTICE
EXAM BASIC CARE AND COMFORT| COMPLETE GUIDE| GRADEDA+
Completed on Mar 10, 2022 10:26 pm
Which statements regarding acne are correct? Select all that apply. One, some, or all
responses may be correct.
Some correct answers were not selected
Acne is a hormonal disease.
Acne may be caused by stress.
Family history could be a reason for acne.
Propionibacterium acnes causes acne.
Acne is commonly found on the face, chest, upper back, and neck.
Rationale
1 of 377 3/11/2022, 10:56
, Stress and family history may cause acne formation. The causative organism is Propionibacterium acnes. Acne is
commonly found on the face, chest, upper back, and neck where there are a higher number of sebaceous
glands. Acne is not a hormonal disease; rather, it is a skin disease due to hormonal imbalance.
Which foods identified by the mother of a child with celiac disease indicate that she
understands which foods to avoid feeding the child?
Bacon and eggs
Macaroni and cheese
Tuna salad and rice cakes
Chicken leg and corn on the cob
Rationale
Children with celiac disease cannot digest the gliadin component of gluten. Foods containing grains such as
wheat, rye, oats, and barley should be avoided; macaroni is contraindicated because it is a wheat product.
Bacon and eggs, tuna and rice cakes, and chicken and corn are gluten-free foods.
Test-Taking Tip: Prepare for exams when and where you are most alert and able to concentrate. If you are most
alert at night, study at night. If you are most alert at 2 AM, study in the early morning hours. Study where you
can focus your attention and avoid distractions. This may be in the library or in a quiet corner of your home.
The key point is to keep on doing what is working for you. If you are distracted or falling asleep, you may want
to change when and where you are studying.
Which intervention would the nurse recommend for post-cesarean gas pain?
Lying on the right side
Walking around the room
Using a straw when drinking water
Supporting the incision when moving
Rationale
Walking around as much as possible can help expel excess gas after a cesarean birth. The client also may be
advised to lie on the left (not right) side and rock in a rocking chair. The client should avoid using a straw when
drinking water or other fluids. Supporting the incision when moving relieves incisional pain, but does not
promote expulsion of gas.
Which client statement indicates understanding of content taught about removing his or
her three-way indwelling catheter and continuous bladder irrigation (CBI)?
2 of 377 3/11/2022, 10:56
, 'I probably will have diluted urine.'
'I probably will be unable to urinate.'
'I probably will produce dark red urine.'
'I probably will experience some burning on urination.'
Rationale
Because of the trauma to the mucous membranes of the urinary tract, burning on urination is an expected
response that should subside gradually. Deliberate dilution of the client’s urine ceases after removal of the
three-way indwelling catheter in which the continuous bladder irrigation is connected. However, the urine may
have a slight pink tinge because of the trauma from the surgery and the presence of the catheter. An inability to
urinate may happen if removal the indwelling catheter occurs too soon when there is still edema of the urethra
or the client loses bladder tone. Production of dark red urine is a sign of hemorrhage, which should not occur.
Test-Taking Tip: Have confidence in your initial response to an item because it more than likely is the correct
answer.
How long should a toddler sleep each day?
8 hours
9 to 10 hours
11 to 12 hours
13 to 14 hours
Rationale
Toddlers should sleep around 11 to 12 hours each day, with most still taking one nap during the day.
Sleeping 8 hours or 9 to 10 hours is too little sleep for most toddlers. Infants (but not most toddlers) sleep 13 to
14 hours each day.
The mean arterial pressure (MAP) for a client who has a blood pressure of 180/95 mm Hg
is 2 123 mm Hg. Record answer as a whole number.
Rationale
3 Bof B377 3/11/2022, B10:56
AM
, A Bblood Bpressure Bof B180/95 Bmm BHg Bis Ban BMAP Bof B123, Bcalculated Bby B(systolic Bblood Bpressure B+ B2 Bx Bdiastolic
Bpressure) B/ B3. BAn BMAP Bof B>60 Bis Bneeded Bto Badequately Bperfuse Band Bsustain Bthe Bvital Borgans Bof Ban Baverage
Bperson Bunder Bmost Bconditions.
When caring for a client with anorexia nervosa, how many kilograms per week is a
B B B B B B B B B B B B B B
reasonable goal for weight gain? Record answer as a whole number.
B B B B B B B B B B B
0.5 1 kg/week
Rationale
A Breasonable Bgoal Bfor Bweight Bgain Bis Bapproximately B1 Bkg Bper Bweek. BIt Bis Bimportant Bto Ballow Bthe Bclient Bto
Bgain Bweight Bslowly Binstead Bof Bpushing Bfor Brapid Bweight Bgain, Bwhich Bcan Bincrease Banxiety Band
Bdepression Bor Beven Brelapse.
Test-Taking BTip: BWhen Btaking Bthe BNCLEX Bexam, Ban Bon-screen Bcalculator Bwill Bbe Bavailable Bfor Byou Bto Bdetermine
Byour Bresponse, Bwhich Byou Bwill Bthen Btype Bin Bthe Bprovided Bspace.
According to Naegele rule, which is the expected date of delivery (EDD) of a client whose
B B B B B B B B B B B B B B B
last menstrual period began on April 15?
B B B B B B B
B January B8
B January B22
B February B8
B February B22
Rationale
To Bdetermine BEDD Bwith Bthe Buse Bof BNaegele Brule, Bsubtract B3 Bmonths Bfrom Bthe Bdate Bof Bthe Blast Bmenstrual
Bperiod Band Badd B7 Bdays; Bin Bthis Bcase Bthe BEDD Bis BJanuary B22. BJanuary B8 Bis B2 Bweeks Btoo Bearly Baccording Bto Bthis
Bformula.
February B8 Bis Btoo Blate. BFebruary B22 Bwould Bbe B1 Bmonth Bpast Bthe Btrue BEDD.
Which is a sensory simulation strategy a laboring client can use as a nonpharmacological
B B B B B B B B B B B B B
strategy for pain management?
B B B B
B Gentle Bmassage Bof Bthe Babdomen
B Biofeedback-assisted Brelaxation Btechniques
B B Application Bof Ba Bheat Bpack Bto Bthe Blower
4 Bof B377 3/11/2022, B10:56
AM
Exit
ELSEVIER ADAPTIVE QUIZZING (EAQ)_RATIONALES| NCLEX PRACTICE
EXAM BASIC CARE AND COMFORT| COMPLETE GUIDE| GRADEDA+
Completed on Mar 10, 2022 10:26 pm
Which statements regarding acne are correct? Select all that apply. One, some, or all
responses may be correct.
Some correct answers were not selected
Acne is a hormonal disease.
Acne may be caused by stress.
Family history could be a reason for acne.
Propionibacterium acnes causes acne.
Acne is commonly found on the face, chest, upper back, and neck.
Rationale
1 of 377 3/11/2022, 10:56
, Stress and family history may cause acne formation. The causative organism is Propionibacterium acnes. Acne is
commonly found on the face, chest, upper back, and neck where there are a higher number of sebaceous
glands. Acne is not a hormonal disease; rather, it is a skin disease due to hormonal imbalance.
Which foods identified by the mother of a child with celiac disease indicate that she
understands which foods to avoid feeding the child?
Bacon and eggs
Macaroni and cheese
Tuna salad and rice cakes
Chicken leg and corn on the cob
Rationale
Children with celiac disease cannot digest the gliadin component of gluten. Foods containing grains such as
wheat, rye, oats, and barley should be avoided; macaroni is contraindicated because it is a wheat product.
Bacon and eggs, tuna and rice cakes, and chicken and corn are gluten-free foods.
Test-Taking Tip: Prepare for exams when and where you are most alert and able to concentrate. If you are most
alert at night, study at night. If you are most alert at 2 AM, study in the early morning hours. Study where you
can focus your attention and avoid distractions. This may be in the library or in a quiet corner of your home.
The key point is to keep on doing what is working for you. If you are distracted or falling asleep, you may want
to change when and where you are studying.
Which intervention would the nurse recommend for post-cesarean gas pain?
Lying on the right side
Walking around the room
Using a straw when drinking water
Supporting the incision when moving
Rationale
Walking around as much as possible can help expel excess gas after a cesarean birth. The client also may be
advised to lie on the left (not right) side and rock in a rocking chair. The client should avoid using a straw when
drinking water or other fluids. Supporting the incision when moving relieves incisional pain, but does not
promote expulsion of gas.
Which client statement indicates understanding of content taught about removing his or
her three-way indwelling catheter and continuous bladder irrigation (CBI)?
2 of 377 3/11/2022, 10:56
, 'I probably will have diluted urine.'
'I probably will be unable to urinate.'
'I probably will produce dark red urine.'
'I probably will experience some burning on urination.'
Rationale
Because of the trauma to the mucous membranes of the urinary tract, burning on urination is an expected
response that should subside gradually. Deliberate dilution of the client’s urine ceases after removal of the
three-way indwelling catheter in which the continuous bladder irrigation is connected. However, the urine may
have a slight pink tinge because of the trauma from the surgery and the presence of the catheter. An inability to
urinate may happen if removal the indwelling catheter occurs too soon when there is still edema of the urethra
or the client loses bladder tone. Production of dark red urine is a sign of hemorrhage, which should not occur.
Test-Taking Tip: Have confidence in your initial response to an item because it more than likely is the correct
answer.
How long should a toddler sleep each day?
8 hours
9 to 10 hours
11 to 12 hours
13 to 14 hours
Rationale
Toddlers should sleep around 11 to 12 hours each day, with most still taking one nap during the day.
Sleeping 8 hours or 9 to 10 hours is too little sleep for most toddlers. Infants (but not most toddlers) sleep 13 to
14 hours each day.
The mean arterial pressure (MAP) for a client who has a blood pressure of 180/95 mm Hg
is 2 123 mm Hg. Record answer as a whole number.
Rationale
3 Bof B377 3/11/2022, B10:56
AM
, A Bblood Bpressure Bof B180/95 Bmm BHg Bis Ban BMAP Bof B123, Bcalculated Bby B(systolic Bblood Bpressure B+ B2 Bx Bdiastolic
Bpressure) B/ B3. BAn BMAP Bof B>60 Bis Bneeded Bto Badequately Bperfuse Band Bsustain Bthe Bvital Borgans Bof Ban Baverage
Bperson Bunder Bmost Bconditions.
When caring for a client with anorexia nervosa, how many kilograms per week is a
B B B B B B B B B B B B B B
reasonable goal for weight gain? Record answer as a whole number.
B B B B B B B B B B B
0.5 1 kg/week
Rationale
A Breasonable Bgoal Bfor Bweight Bgain Bis Bapproximately B1 Bkg Bper Bweek. BIt Bis Bimportant Bto Ballow Bthe Bclient Bto
Bgain Bweight Bslowly Binstead Bof Bpushing Bfor Brapid Bweight Bgain, Bwhich Bcan Bincrease Banxiety Band
Bdepression Bor Beven Brelapse.
Test-Taking BTip: BWhen Btaking Bthe BNCLEX Bexam, Ban Bon-screen Bcalculator Bwill Bbe Bavailable Bfor Byou Bto Bdetermine
Byour Bresponse, Bwhich Byou Bwill Bthen Btype Bin Bthe Bprovided Bspace.
According to Naegele rule, which is the expected date of delivery (EDD) of a client whose
B B B B B B B B B B B B B B B
last menstrual period began on April 15?
B B B B B B B
B January B8
B January B22
B February B8
B February B22
Rationale
To Bdetermine BEDD Bwith Bthe Buse Bof BNaegele Brule, Bsubtract B3 Bmonths Bfrom Bthe Bdate Bof Bthe Blast Bmenstrual
Bperiod Band Badd B7 Bdays; Bin Bthis Bcase Bthe BEDD Bis BJanuary B22. BJanuary B8 Bis B2 Bweeks Btoo Bearly Baccording Bto Bthis
Bformula.
February B8 Bis Btoo Blate. BFebruary B22 Bwould Bbe B1 Bmonth Bpast Bthe Btrue BEDD.
Which is a sensory simulation strategy a laboring client can use as a nonpharmacological
B B B B B B B B B B B B B
strategy for pain management?
B B B B
B Gentle Bmassage Bof Bthe Babdomen
B Biofeedback-assisted Brelaxation Btechniques
B B Application Bof Ba Bheat Bpack Bto Bthe Blower
4 Bof B377 3/11/2022, B10:56
AM
