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Basic Care and Comfort - NCLEX Power Hour

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A newborn infant receives the first dose of hepatitis B vaccine within 12 hours of birth. The nurse instructs the parent regarding the immunization schedule for this vaccine and should tell the parent that the second vaccine is administered at which time periods?

a)

3 years of age and then during the adolescent years

b)

8 months of age and then 1 year after the initial dose

c)

6 months of age and then 8 months after the initial dose

d)

1 to 2 months of age and then 6 months after the initial dose

2.

The nurse is giving a client with chronic obstructive pulmonary disease (COPD) information related to the positions used to breathe more easily. The nurse teaches the client to assume which position?

a)

Sit bolt upright in bed with the arms crossed over the chest.

b)

Lie on the side with the head of the bed at a 45-degree angle.

c)

Sit in a reclining chair tilted slightly back with the feet elevated.

d)

Sit on the edge of the bed with the arms leaning on an overbed table.

3.

The nurse has given dietary instructions to a client diagnosed with acute glomerulonephritis. The nurse determines that the client understands the information presented when the client states the importance of taking which action?

a)

Limiting protein intake

b)

Increasing intake of high-fiber foods

c)

Limiting intake of magnesium-rich foods

d)

Increasing intake of potassium-rich foods

4.

The nurse is working with a client who has admitted to be currently abusing intravenous (IV) drugs. When teaching the client about health maintenance, which are the most appropriate actions by the nurse? Select all that apply.

a)

Insist that the client stop the drug use.

b)

Outline the elements of a healthy diet.

c)

Teach aseptic conditions for IV drug use.

d)

Teach the client the elements of basic nutrition.

e)

Educate the client about short- and long-term drug effects.

5.

The nurse has conducted teaching, with a client who experienced pulmonary embolism, about methods to prevent recurrence after discharge. Which client statement demonstrates understanding of the teaching?

a)

"I will limit the intake of fluids."

b)

"I will sit down whenever possible."

c)

"I am planning to continue to wear supportive hose."

d)

"I will cross my legs only at the ankle and not at the knees."

6.

A postpartum nurse is performing an assessment on a client who delivered a viable newborn 2 hours ago. The nurse palpates the fundus and notes the character of the lochia. Which characteristic of the lochia should the nurse expect to note at this time?

a)

Pink lochia

b)

White lochia

c)

Dark red lochia

d)

Serosanguineous lochia

7.

The nursing instructor is teaching a group of nursing students about mumps. The nursing instructor knows additional teaching is required if a nursing student suggests which intervention be included in the plan of care?

a)

"The client will be given a regular diet."

b)

"The client will be placed on droplet and contact precautions."

c)

"The nurse will apply hot or cold compresses as prescribed to the neck."

d)

"The client will be placed on bed rest until parotid gland swelling subsides."

8.

The nurse is assessing the apical heart rate of a client. The nurse places the stethoscope in which anatomical area? Refer to figure.


(From Jarvis C: Physical examination and health assessment, ed 6, St. Louis, 2012, Saunders.)

a)

a

b)

b

c)

c

d)

d

9.

The nurse is conducting a health screening on a client with a family history of hypertension. Which assessment finding should alert the nurse to the need for further teaching related to stroke (brain attack) prevention?

a)

Eats two bowls of high-fiber grain cereal with skim milk for breakfast

b)

Has a blood pressure of 118/78 mm Hg and has lost 10 pounds recently

c)

Uses condoms for pregnancy and disease prevention and jogs 2 miles daily

d)

Uses oral contraceptives for pregnancy prevention and works as a manager of a busy medical-surgical unit

10.

What should the nurse plan to include when developing a discharge teaching plan for a client diagnosed with chronic arterial insufficiency? Select all that apply.

a)

Avoid the use of tobacco products.

b)

Wear rounded-toe shoes with soft insoles.

c)

Wash the feet daily with warm water and mild soap, and dry well.

d)

Use a mirror weekly to visualize the hard-to-access places of the feet.

e)

Seek assistance from a podiatrist for the removal of any ingrown toenails.