RN NCLEX-RN Basic Care & Comfort 4

Question 1

A nurse is preparing to administer a cleansing enema. At what angle should the rectal tube be inserted in an adult?

Accepted Answer

Directed upward toward the umbilicus

Answer

The rectal tube is inserted at about a 30–40° angle directed toward the umbilicus to follow the natural curve of the rectum and sigmoid colon.

Question 2

A client using a walker is preparing to sit in a chair. What is the correct sequence of actions?

Accepted Answer

Back up to the chair, place both hands on the armrests, then lower into the chair

Answer

The client backs up, confirms contact with the chair, then transfers grip to the armrests for a stable, controlled seated transfer.

Question 3

A client has a prescription for sitz baths after hemorrhoid surgery. Which instruction is correct?

Accepted Answer

Sit in the sitz bath for 20 minutes three to four times per day

Answer

Sitz baths at comfortable warm temperature (98–105°F) for 20 minutes, three to four times daily, promote comfort and healing after anorectal surgery.

Question 4

A nurse is caring for a client who reports pain rated 8/10 after repositioning. The nurse has a PRN analgesic order. What should the nurse do first?

Accepted Answer

Perform a focused assessment to identify the cause and character of pain

Answer

A complete pain assessment (location, quality, onset, aggravating factors) before intervention ensures the correct treatment and identifies any new complications.

Question 5

Which action by a nursing student during perineal care of a female client requires correction?

Accepted Answer

Cleaning from the anus toward the urethral meatus

Answer

Cleaning from the anus toward the urethra introduces fecal bacteria to the urinary meatus, increasing urinary tract infection risk.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN NCLEX-RN Basic Care & Comfort 4