Basic Care and Comfort 280 questions NCLEX-RN
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Basic Care and Comfort Drill 1
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This drill taken: January 16, 2022
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Question 1
The nurse is performing the Weber assessment test on a client who reports hearing loss
in the left ear. Which finding would indicate to the nurse the client is experiencing
conductive hearing loss?
A
The client hears the sound vibrate from the top of the head in the affected ear. Correct
Answer (Blank)
, B
The client hears the sound by air conduction longer than feeling bone conduction.
C
The client feels the bone conduction longer than hearing the sound conduction.
D
The client pushes on the tragus while repeating back what is whispered.
Question Explanation
Rationale: For the Weber test, the tuning fork is placed on the bridge of the forehead, nose, or
teeth. In a normal test, the sound is heard equally in both ears. With unilateral conductive loss,
sound is heard in the affected ear. With unilateral sensorineural loss, sound is heard in the
normal or better-hearing side. In a Rinne test, the tuning fork is placed on the mastoid bone
behind the ear until the client can no longer feel the vibration. The fork is then moved beside
the ear. In a normal test, air conduction is greater than bone conduction. The whisper test has
the client repeat what is heard while pushing on the tragus.
Concepts tested
NCLEX: Basic Care and Comfort
Question 2
The nurse is reviewing written education with a client. The nurse notes the client
squinting and moving the document close to their eyes. What assessment tool would be
used to collect additional information about this patient's problem?
A
Snellen chart
B
Jaeger test Correct Answer (Blank)
C
Confrontation test
D
Ishihara cards
,Question Explanation
Rationale: The Snellen chart is used to assess far vision; the Jaeger test is used for near vision.
Confrontation tests assess visual field and peripheral field deficits. Ishihara cards assess for the
ability to differentiate color.
Concepts tested
NCLEX: Basic Care and Comfort
Question 3
The nurse is assessing a client who had a cerebrovascular accident for complications.
Which finding observed by the nurse would indicate the client is experiencing Broca’s
aphasia?
A
The client is unable to comprehend what others are saying.
B
The client speaks in nonsensical sentences.
C
The client has difficulty forming words. Correct Answer (Blank)
D
The client demonstrates the inability to understand written words.
Question Explanation
Rationale: Patients with a stroke in the brain’s left hemisphere are more likely to have language
deficits. Damage to the Wernicke area may lead to difficulty understanding verbal
communication, called receptive aphasia. Damage to the Broca area causes problems with
speaking or finding words, called expressive aphasia. The client with Broca’s aphasia has slow
speech, difficulty in choosing words, and difficulty forming words. This leads to frustration as
the client’s comprehension is intact. Wernicke’s aphasia is a loss of comprehension. Fluency
remains but is nonsensical. Anomic aphasia leads to the inability to identify written words.
Concepts tested
NCLEX: Basic Care and Comfort
Question 4
, The nurse is assessing the client with a hearing deficit for pre-existing knowledge of
hearing aid care. Which of the following statements by the client demonstrates correct
care?
A
“I clean my hearing aids with a disinfectant cleanser weekly.”
B
“I open the battery door at night.” Correct Answer (Blank)
C
“I use a paper clip to clean the microphone port.”
D
“A whistling sound means I need to have my hearing aid checked.”
Question Explanation
Rationale: If the patient uses a hearing aid, check the batteries routinely and clean the earpieces
or ear mold daily with mild soap and water. A whistling sound that is audible when the hearing
aid is held in the hand with the power on and the volume high indicates that the battery is
functioning properly. The microphone port should be cleaned with a hearing aid brush and pick.
The shell and molds of the hearing aid should be cleaned with a chemical-free damp cloth.
Concepts tested
NCLEX: Basic Care and Comfort
Question 5
The nurse is assessing a client for proper use of a prosthetic leg. Which of the following
actions by the client is correct?
A
The client applies a stump sock over the residual limb. Correct Answer (Blank)
B
The client lubricates the prosthetic knee joint.
C
The client pads all areas of the socket that irritate the skin.
D
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