NCLEX-RN Basic Care & Comfort Exam

A client with laryngeal cancer is being discharged home after a total laryngectomy. The nurse is providing education about general postoperative care and precautions.

> Which teaching points should be included? Select all that apply.

The nurse is caring for a comatose client and is creating a plan of care to prevent constipation.

> Success of the client’s bowel care plan is best measured by the effectiveness of which stimulation method?

A nurse is caring for a client who has left homonymous hemianopsia secondary to a traumatic brain injury.

> Which intervention promotes client safety and compensation/adaptation for vision loss?

The nurse is providing dietary guidance for a client with history of recurrent urinary tract infections (UTIs).

>Which fluid is most appropriate to reduce risk of a future UTI?

A pregnant client with chronic cardiac disease is reviewing dietary recommendations with the nurse.

> Which statement by the client indicates appropriate understanding?

An infant is returning from the post anesthesia care unit after repair of a left-sided cleft lip. The nurse is preparing to position the infant safely.

> Which position should the nurse use immediately after surgery?

A nurse is planning therapeutic activities for a client with bipolar disorder who is currently displaying irritability and aggressive tendencies.

> Which activity is most appropriate for the client?

A client diagnosed with acute pharyngitis asks the clinic nurse for guidance on dietary choices to reduce throat discomfort.

> Which instruction should the nurse provide?

The nurse reads in the provider’s progress notes that a client has approximately 600 mL of insensible fluid loss daily.

> The nurse understands that insensible losses occur through which route?

A postpartum client diagnosed with mastitis is reviewing self-care instructions.

> Which statement indicates a need for further teaching?

The nurse reviews discharge instructions with parents of a toddler recovering from orchiopexy for cryptorchidism.

> Which statement by the parents indicates a need for further teaching?

A parent of a child with cancer asks the nurse why radiation therapy has not been recommended in the treatment plan.

> Which response by the nurse is most appropriate?

A client recovering from an acute flare of Ménière’s disease receives discharge teaching regarding dietary management.

> Which client statement indicates correct understanding?

A client with acute cholecystitis receives dietary teaching about reducing gallbladder stimulation.

> Which food choice by the client indicates correct understanding?

A nurse reviews dietary guidance for a child newly diagnosed with Hirschsprung’s disease. The parent asks, “What kind of diet will help my child stay healthy until surgery?”

> Which diet would the nurse expect the provider to prescribe?

A labor nurse notes that a client in the second stage of labor has been pushing effectively for one hour and is becoming visibly fatigued.

> What is the client’s primary physiological need at this time?

A nurse teaches a client with trigeminal neuralgia strategies to reduce painful episodes.

> Which instruction should the nurse include?

> A nurse assists a respiratory therapist in positioning a client for postural drainage. An assistive personnel asks how the therapist determines which positions to use.

> What is the nurse’s best explanation?

A nurse reinforces dietary teaching with the parent of a child newly diagnosed with celiac disease.

> Which food choice by the parent indicates correct understanding of the dietary restrictions?

A nurse provides discharge teaching to a client newly diagnosed with Crohn’s disease regarding dietary management during flare-ups.

> Which statement by the client indicates a need for further teaching?