RN NCLEX-RN Basic Care & Comfort 5

Question 1

A nurse is applying antiembolism stockings (TEDs) to a client. Which action is correct?

Accepted Answer

Apply stockings in the morning before the client gets out of bed

Answer

Antiembolism stockings should be applied before the client gets out of bed to prevent venous pooling that occurs with dependency, maximizing their effectiveness.

Question 2

A nurse is caring for a client with dysphagia. Which dietary modification is the priority safety intervention?

Accepted Answer

Thicken liquids to the consistency prescribed by the speech therapist

Answer

Thickened liquids slow the flow of food/fluid to allow time for the impaired swallowing reflex to activate, directly reducing aspiration risk in dysphagia.

Question 3

A nurse is caring for a client in skeletal traction. Which assessment finding requires the nurse to contact the provider?

Accepted Answer

Pin sites with purulent drainage and surrounding warmth

Answer

Purulent drainage and warmth at pin sites indicate infection, a serious complication of skeletal traction that requires prompt provider notification.

Question 4

A nurse is performing range-of-motion exercises on a client's shoulder. The client grimaces when the arm is abducted. What should the nurse do?

Accepted Answer

Stop the exercise, assess the client's pain level, and document the finding

Answer

Non-verbal pain cues such as grimacing indicate the client is experiencing pain and the nurse must stop, assess, and document before proceeding.

Question 5

A nurse is caring for a client who has been placed in restraints. Which assessment must be completed and documented every 2 hours?

Accepted Answer

Skin integrity, circulation, and the client's need for the restraint

Answer

Every 2-hour restraint checks must include circulatory status, skin integrity, and re-evaluation of whether the restraint remains necessary per The Joint Commission standards.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN NCLEX-RN Basic Care & Comfort 5