RN Domain 3: Basic Care and Comfort (Quiz 2) Welcome to your NCLEX-RN Practice Quizzes. Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 3 (Quiz 2): Basic Care and Comfort. (25 questions) Please click NEXTÂ to start your Free NCLEX-RN Practice Quizzes right away. Best of Luck! 1. RN Basic Care and Comfort,NCLEX-RN A client who sustained a fractured femur in a construction accident is admitted to the orthopedic unit directly from surgery. The client is in skeletal traction. Which nursing action is the PRIORITY? A. Maintain strict and proper body alignment B. Perform frequent neurovascular checks. C. Attach an overhead trapeze to the bed. D. Provide meticulous care at pin insertion sites. None 2. RN Basic Care and Comfort,NCLEX-RN The healthcare provider is preparing a patient for a total colectomy and the placement of an ileostomy. The patient asks where the stoma will be located. The healthcare provider identifies which of the following areas as the correct stoma site? A. C B. B C. A D. D None 3. RN Basic Care and Comfort,NCLEX-RN A patient receiving chemotherapy is experiencing stomatitis. Which of the following should the healthcare provider offer the patient? A. Hot soup for lunch and dinner B. Warm saline rinses four times each day C. Plenty of ice chips between meals D. Vigorous oral care with a commercial mouthwash None 4. RN Basic Care and Comfort,NCLEX-RN A 32-year-old female with no significant history comes to the clinic for a routine check-up. Where is the most appropriate spot to measure this client's pulse? A. Apical B. Radial C. Carotid D. Femoral None 5. RN Basic Care and Comfort,NCLEX-RN The nurse in the prenatal clinic is teaching a client who is a vegetarian how to avoid iron-deficiency anemia during her pregnancy. Which food choice by the client indicates a need for further instruction? A. Black bean burger and tomato juice B. Lentil stew and strawberries C. Instant oatmeal and orange juice D. Scrambled eggs and wheat toast None 6. RN Basic Care and Comfort,NCLEX-RN The nurse is educating a client with primary adrenal insufficiency (Addison's disease) on diet and nutrition changes needed to manage the client's disease. Which statement by the client would indicate that the nurse's instructions have been effective? A. I should increase sodium and fluids, but limit potassium B. I will increase sodium and potassium, but limit fluids. C. I should increase fluids, but limit sodium and potassium. D. I will increase potassium and fluids, but limit sodium. None 7. RN Basic Care and Comfort,NCLEX-RN The nurse is instructing a client with a new sigmoid colostomy about caring for the colostomy. The nurse explains that to best regulate the bowel, the client should perform colostomy irrigation at the same time every day. What is the optimal time for doing this? A. Two hours before bedtime B. An hour before a meal C. An hour after a meal D. Every two hours all day None 8. RN Basic Care and Comfort,NCLEX-RN After a client was diagnosed with gastroesophageal reflux disease (GERD), the nurse educates the client about diet. Which of the following foods should the client avoid? A. White bread B. Bananas C. Pineapple D. Grilled salmon None 9. RN Basic Care and Comfort,NCLEX-RN A client comes to the clinic, complaining of severe gastrointestinal distress. Which abdominal physical assessment step does the nurse do first? A. Inspection B. Auscultation C. Palpation D. Percussion None 10. RN Basic Care and Comfort,NCLEX-RN After your patient dies, the patient's family gathers at the bedside and asks you to step out while their clergy performs a religious rite for the deceased. As the patient's nurse, what is your most appropriate course of action? A. Allow the ceremony but remain as a witness. B. Inform the family that religious rites are not allowed. C. Educate the family about custody of care and stay in the room. D. Allow the ceremony and step out of the room. None 11. RN Basic Care and Comfort,NCLEX-RN The nurse teaching a 14-year-old client about her cervico-thoracolumbosacral orthosis (CTLSO) brace. Which statement by the client would indicate a lack of understanding about the brace? A. I can take it off in hot weather. B. I can remove it when take a shower. C. I should wear loose clothing underneath it. D. I must wear it all day and night. None 12. RN Basic Care and Comfort,NCLEX-RN When a patient's nasogastric (NG) tube stops draining, what is the nurse's first action? A. Clamp for 1 hour. B. Check tube placement. C. Instill 50 mL of water. D. Retract 2 inches. None 13. RN Basic Care and Comfort,NCLEX-RN The nurse is planning care for a client with status-post CVA and limited mobility. The client is scheduled for occupational therapy at 10:00 a.m. and physical therapy at 2:00 p.m. What times are most appropriate for nursing care? A. AM care at 0800, PM care at 1600 B. AM care at 0800, PM care at 1500 C. AM care at 0900, PM care at 1500 D. AM care at 0900, PM care at 1600 None 14. RN Basic Care and Comfort,NCLEX-RN When cleaning the perineal area around the site of an indwelling catheter, the nurse should A. scrub the tubing toward the urinary meatus B. vigorously wash the periurethral area. C. wipe the catheter away from the urinary meatus. D. apply powder after giving perineal care. None 15. RN Basic Care and Comfort,NCLEX-RN The nurse prepares a 5-year-old girl for a preoperative IV insertion. Which statement is most appropriate to reduce the child's anxiety? A. Just look at the TV while I do this. B. Hold on to your doll. This is going to hurt. C. Tell me if this feels more like a pinch or a bug bite. D. It's going to hurt a little, but I know you're a brave girl. None 16. RN Basic Care and Comfort,NCLEX-RN The parent of a child with a short leg fiberglass cast phones the clinic because the child complains of constant itching inside the cast. Which intervention is appropriate for the nurse to suggest? A. Apply powder or a mild lotion. B. Use a blunt-ended object to scratch the itchy spot: C. Tap on the cast at the itchy spot. D. Trickle ice water into the cast. None 17. RN Basic Care and Comfort,NCLEX-RN A client has a pressure ulcer on the sacrum. While assessing it, the nurse observes that it has partial thickness, loss of dermis, and a red-pink wound bed. Which stage will the nurse assign this pressure ulcer? A. Stage 1 B. Stage III C. Stage II D. Stage IV None 18. RN Basic Care and Comfort,NCLEX-RN To measure an adult client's apical heart rate, where does the nurse place the stethoscope? A. Fourth left intercostal space at midclavicular line B. Third left intercostal space at midclavicular line C. Fifth left intercostal space at midclavicular line D. Second left intercostal space at midclavicular line None 19. RN Basic Care and Comfort,NCLEX-RN When taking the blood pressure of a client who is seated, which position must the client change so that the nurse can get an accurate measurement? A. Uncross the legs. B. Lean the head back. C. Sit up straight. D. Put down the phone. None 20. RN Basic Care and Comfort,NCLEX-RN The nurse is providing postmortem care for a client who was being treated for Staphylococcus aureus. Which transmission-based precautions are indicated? A. Standard precautions B. Contact precautions C. Airborne precautions D. Droplet precautions None 21. RN Basic Care and Comfort,NCLEX-RN A patient with a diagnosis of lung cancer is receiving chemotherapy. The patient resulting in decreased food intake. What should the healthcare provider recommend to the patient to promote adequate nutrition? A. Eat large meals but less frequently throughout the day. B. Eat small meals throughout the day. C. Eat only when feeling hungry. D. Eat only favorite foods to increase appetite. None 22. RN Basic Care and Comfort,NCLEX-RN The palliative care nurse is caring for a client with advanced multiple myeloma. Which intervention is MOST appropriate? A. Limit administration of opioid medications. B. Monitor blood work for hypocalcemia C. Maintain fluid intake at 1 liter per day. D. Use gentle repositioning techniques. None 23. RN Basic Care and Comfort,NCLEX-RN A client returns to the unit after abdominal surgery. While monitoring the client, the nurse observes a moderate amount of red blood on the dressing. The nurse will document this type of wound drainage as A. Serosanguineous B. Purulent C. Serous D. Sanguineous None 24. RN Basic Care and Comfort,NCLEX-RN Which of the following is the proper procedure for cleaning and storing dentures as part of a client's HS oral care? A. Remove dentures, rinse quickly with hot water, place on a paper towel next to the sink. B. Remove dentures, clean with cool water, place in denture cup with cool water, leave within reach at client's bedside. C. Remove dentures, clean with cool water, wrap them in a clean wash cloth, leave next to the sink. D. Remove dentures, clean with hot water, place in empty denture cup, leave within reach at client's bedside. None 25. RN Basic Care and Comfort,NCLEX-RN A nurse is caring for a client whose heel has a pressure ulcer covered with intact hard, dry, black tissue. Which is the appropriate dressing for this client? A. Apply a hydrocolloid dressing. B. Cover with sterile gauze. C. No dressing is necessary. D. Do a wet-to-dry dressing change. None 1 out of 25 Time is Up! Time's up
