Nclex-Rn Practice Questions-Physıologıcal Integrıty-Basic Care And Comfort Part 2
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Question 1 |
Which outcome is a goal of cognitive behavioral pain intervention?
A | To provide pain relief. |
B | To correct physical dysfunction. |
C | To reduce fear of pain-related immobility. |
D | To change the client’s perceptions of pain. |
Question 2 |
Which brain structures regulate sleep and wakefulness?
A | Thalamus and hypothalamus. |
B | Reticular activating system and bulbar synchronizing region. |
C | Cerebral cortex and reticular activating system. |
D | Hypothalamus and bulbar synchronizing region. |
Question 3 |
The nurse wants to promote comfort and relaxation after giving the client a bed bath. Which action best meets this goal?
A | Providing the client with a back rub. |
B | Dimming the lights in the room. |
C | Providing warm milk and cookies. |
D | Playing soft music. |
Question 4 |
The nurse is providing oral care to an unconscious client. What is the most important step in the care of this client?
A | Performing hand hygiene. |
B | Pulling the curtain around the bed. |
C | Positioning the client in a side-lying position. |
D | Cleaning the teeth using a soft brush. |
Question 5 |
What is the best way for the nurse to assess a client with a dark skin tone?
A | The family may perceive that the nurse is culturally insensitive if asked about the client’s baseline skin tone. |
B | There is never a need to assess for changes in dark skin tone. |
C | The use of a bright, florescent light assists in better visualization of the skin. |
D | The areas of the skin with the least melanin provide the best locations for baseline skin color identification. |
Question 6 |
The nurse is preparing to perform foot care on a client. Which client would most likely require a physician’s order to trim the toenails?
A | A client with coronary artery disease. |
B | A client with diabetes mellitus. |
C | A client with hypertension. |
D | A client with hemiplegia. |
Question 7 |
Which client is at the greatest risk for ineffective oral hygiene?
A | A client who has just had knee surgery after a skiing accident. |
B | A right-handed client who has had a stroke causing mild weakness on the left side of the body. |
C | A client with breast cancer who is experiencing severe nausea and vomiting after chemotherapy. |
D | An independent, elderly client having elective surgery. |
Question 8 |
The nurse is bathing a comatose client. Which nurse’s note best describes additional nursing activities that can be done during the bed bath?
A | Client bathed; tolerated well; range of motion exercises done; client turned to left side. |
B | Client bathed; tolerated well; no skin lesions noted. IV flushes well; site is clear. Dressing is clean, dry, and intact. Leg, arm, and neck rangeof-motion exercises done; no contractures or joint swelling noted. |
C | Client bathed; tolerated well; no skin lesions noted. |
D | Client bathed; tolerated well; no skin lesions noted. IV flushes well; site is clear. Dressing is clean, dry, and intact. Leg, arm, and neck rangeof-motion exercises done; no contractures or joint swelling noted. Physician in to see client. Assisted physician with placement of chest tube. |
Question 9 |
Which is a common misconception about pain?
A | The severity of a client’s illness indicates the amount of pain the client should be experiencing. |
B | Psychogenic pain is real. |
C | Clients are the best authorities on the nature and level of their pain. |
D | Drug abusers and alcoholics can provide accurate information regarding their pain experience. |
Question 10 |
Which is the most accurate statement regarding pain?
A | Pain has been extensively studied and is well understood. |
B | Pain is one of the most common symptoms in medicine. |
C | Pain perception is very objective; every client feels pain the exact same way. |
D | Pain is only a result of physical bodily damage. |
Question 11 |
What is the best definition of palliative care?
A | Care for terminally ill clients. |
B | Symptom management for a client when a disease no longer responds to cure-focused treatment. |
C | Aggressive cure-focused disease treatment and management. |
D | Comfort care. |
Question 12 |
Which list contains common symptoms of terminally ill clients?
A | Hunger, thirst, fatigue, and diarrhea. |
B | Dehydration, nausea, effective breathing, and adequate nutrition. |
C | Discomfort, nausea, ineffective breathing, and fatigue. |
D | Urinary continence, thirst, dehydration, and diarrhea. |
Question 13 |
A terminally ill client is being cared for at home by family members. Based upon the client’s physical assessment, the nurse is aware that the client’s death is imminent. What is the nurse’s most important role in the care of the family at this time?
A | Providing temporary relief of care giving duties to allow the family to rest. |
B | Providing education regarding the symptoms the client will likely experience. |
C | Coordinating a visiting schedule for the family. |
D | Communicating news of the client’s impending death to the family while they are together. |
Question 14 |
Which of the following patients would most benefit from parenteral nutrition?
A | A client with neck cancer. |
B | A client with a CVA. |
C | A client with severe pancreatitis. |
D | An intubated client. |
Question 15 |
Which is the best example of a nurse preventing painful stimuli?
A | Encouraging the client to hit the PCA button before ambulating in the hall. |
B | Instructing the client in deep breathing exercises while the nurse performs a painful dressing change. |
C | Arranging for an elevated toilet seat in the bathroom of a client with knee arthritis. |
D | Placing an ice pack on the hip of a client who recently had a hip replacement. |
Question 16 |
Which client would be an appropriate candidate for oral hydration?
A | A pregnant client with uncontrolled nausea and vomiting. |
B | A client with aspiration pneumonia. |
C | A client who has had a stroke, has right-sided facial droop, and coughs when trying to swallow oral secretions. |
D | A client who has had knee surgery. |
Question 17 |
An elderly client is admitted with dehydration and has a pitcher of water at the bedside. The nurse assesses the client’s thirst with every visit to the room and the client denies thirst each time. While calculating the end-of-shift intake and output, the nurse notes the client has had very little to drink. What is the best explanation for this finding?
A | The client has had enough to drink. |
B | The thirst mechanisms of elderly clients are depressed. |
C | The client does not like the choices of fluids offered. |
D | The client’s family is bringing in fluids for the client to drink that are not included in the intake and output totals. |
Question 18 |
What is the main source of energy in the diet?
A | Fats. |
B | Water. |
C | Carbohydrates. |
D | Minerals. |
Question 19 |
A client has just had a nasogastric tube placed. What is the best method for verifying correct placement of the tube in the stomach?
A | X-ray. |
B | Gastric aspiration and pH testing. |
C | Auscultation. |
D | Visualization of the tube markings. |
Question 20 |
A client has just returned from an EGD, where the client was diagnosed with peptic ulcers. The client does not have a history of taking NSAIDs. During the procedure, biopsies and cultures were taken. What lab results can the nurse anticipate?
A | Negative biopsies. |
B | Cultures positive for Helicobacter pylori. |
C | Cultures showing normal gastric flora. |
D | Cultures positive for Staphylococcus. |
Question 21 |
A client is admitted with an open sore on the coccyx. Which nutrient is most important for healing this sore?
A | Protein. |
B | Water. |
C | Fats. |
D | Vitamins. |
Question 22 |
A client is currently under the care of the palliative care service of home health and has been experiencing nausea. What nursing actions will most likely promote comfort in this client?
A | Educate the patient and family in the use of prescribed antiemetics; providing oral care every 2 to 4 hours; consuming a diet of clear liquids and ice chips; and avoiding liquids such as coffee, milk, and citrus juices. |
B | Administer additional pain medication. |
C | Provide education to the patient and family regarding oral care and antiemetic medication. |
D | Take a detailed medical history to determine the cause of the nausea. |
Question 23 |
Which client has the greatest need for perineal care?
A | An elderly client who needs assistance with ADL and has a catheter. |
B | A male client who is very independent, well groomed, and is uncircumcised. |
C | A female client who is 2 days postpartum and ready for discharge to home. |
D | A paraplegic female client who is currently menstruating. |
Question 24 |
The nurse is assessing pain in a 3-year-old client after surgery. Which pain scale should the nurse use to assess this client’s pain level?
A | Numerical scale. |
B | Verbal descriptive scale. |
C | Visual analog scale. |
D | FACES scale. |
Question 25 |
A client has recently been transferred to the medical surgical floor from the ICU after sustaining multiple system traumas. The client has been to the operating room three times in the past 5 days and will require more operations in the coming weeks to repair further injuries. The client is very anxious, rates the current pain as 6 out of 10 on the numeric pain scale, and states the pain medication is not very effective. The client is receiving large doses of both intravenous and oral narcotic and nonsteroidal-type analgesics. The nurse discusses the pain further with the client. The client states a willingness to try anything that might help the pain. What pain control intervention would be most appropriate for this client based upon the information provided?
A | Progressive relaxation. |
B | Increased analgesic dosages. |
C | Distraction. |
D | Herbals. |
Question 26 |
A male client is seen in the physician’s office with complaints of ongoing sleepiness during the day requiring napping. The client reports that he has “nodded off” at the wheel of his car during the day and snores loudly at night. The client is 6’0” tall and weighs 300 lbs. What is the most likely diagnosis for this client?
A | Obstructive sleep apnea. |
B | Narcolepsy. |
C | Insomnia. |
D | Delayed sleep phase syndrome. |
Question 27 |
Which client is at the highest risk for periodontal disease?
A | An 18-year-old client who reports regularly brushing teeth and has a medical history that includes acne, and asthma. |
B | A 45-year-old client who brushes regularly, does not like flossing, and has a medical history that includes hypertension and an appendectomy. |
C | A 55-year-old client who brushes regularly and has a medical history that includes multiple surgeries for broken bones and one case of pneumonia at age 8. |
D | A 75-year-old client who brushes regularly, has a partial plate, and has a medical history that includes hypertension, diabetes, coronary artery disease, and a CABG 3 years ago. |
Question 28 |
How much of the total body weight is composed of water?
A | 80% to 90%. |
B | 70% to 80%. |
C | 60% to 70%. |
D | 50% to 60%. |
Question 29 |
A client has just delivered a baby and is successfully breast-feeding. How many extra kilocalories per day does the client need to consume to compensate for the increased energy requirements of lactation?
A | 1000. |
B | 300. |
C | 500. |
D | 800. |
Question 30 |
Which is an initiative of Healthy People 2010 to improve dental health?
A | Decrease tooth loss caused by tooth decay or periodontal disease for the economically disadvantaged. |
B | Reduce the number of older adults who have lost their natural teeth. |
C | Increase the use of proper flossing techniques. |
D | Reduce the rate of periodontal disease in the economically disadvantaged. |
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