NCSBN - National Council of State Boards of Nursing Basic Care and Comfort Questions and Answers

Question 1

A nurse is caring for an older adult client who has been on bed rest for 3 days following hip surgery.
The client reports new-onset tenderness and visible swelling in their left calf.
What is the nurse's priority action?

Accepted Answer

Keep the client's leg elevated on pillows and notify the healthcare provider.

Answer

Encourage the client to perform active range-of-motion exercises.

Answer

Massage the affected leg to promote circulation.

Answer

Apply a warm, moist compress to the area for 20 minutes.

Question 2

A nurse is calculating the total fluid intake for a client during an 8-hour shift. The client consumed 6 oz of juice, 8 oz of water, 4 oz of gelatin, and received 100 mL of intravenous fluids. How many milliliters (mL) should the nurse document as the total intake?

Accepted Answer

640 mL

Answer

540 mL

Answer

440 mL

Answer

720 mL

Question 3

Which of the following actions is essential for a nurse to perform to prevent a catheter-associated urinary tract infection (CAUTI) for a client with an indwelling urinary catheter?

Accepted Answer

Ensuring the drainage bag is kept below the level of the bladder.

Answer

Irrigating the catheter with sterile saline every 12 hours.

Answer

Changing the indwelling catheter every 72 hours.

Answer

Disconnecting the catheter from the tubing to obtain a urine sample.

Question 4

A nurse is preparing to provide oral hygiene to an unconscious client. To minimize the risk of aspiration, the nurse should place the client in which position?

Accepted Answer

Side-lying with the head turned toward the mattress.

Answer

Supine with the head of the bed flat.

Answer

High-Fowler's with the head tilted forward.

Answer

Prone with a pillow under the abdomen.

Question 5

A nurse is creating a plan of care to promote rest and sleep for a client in a busy hospital setting. Which nursing intervention is most effective?

Accepted Answer

Cluster nursing tasks to minimize interruptions during the night.

Answer

Offer a caffeinated beverage in the evening to help the client stay awake during the day.

Answer

Encourage a 60-minute nap in the late afternoon.

Answer

Keep the room brightly lit at all times to ensure client safety.

Question 6

A client is 12 hours postoperative following abdominal surgery and reports a pain level of 7 on a 0-10 scale. The client received an analgesic 2 hours ago. In addition to assessing the need for further medication, which non-pharmacological comfort measure should the nurse implement first?

Accepted Answer

Assisting the client to a comfortable position using pillows for support.

Answer

Encouraging the client to ambulate briskly in the hallway.

Answer

Applying a cold pack directly over the surgical incision.

Answer

Vigorously massaging the abdomen near the incision site.

A nurse is caring for an older adult client who has been on bed rest for 3 days following hip surgery.The client reports new-onset tenderness and visible swelling in their left calf.What is the nurse's priority action?

A nurse is caring for an older adult client who has been on bed rest for 3 days following hip surgery.
The client reports new-onset tenderness and visible swelling in their left calf.
What is the nurse's priority action?