NCLEX Basic Care and Comfort Questions Answers

Prepare for the NCLEX with our Basic Care and Comfort under Psychosocial Integrity questions and answers featuring comprehensive rationales: access free practice tests, detailed explanations, and downloadable PDFs. Perfect for NCLEX-RN and NCLEX-PN candidates, our resources ensure you master essential nursing care. Boost your exam preparation with our expert study materials.

Physiological Integrity – Basic Care and Comfort questions compose 6 to 12 percent of the NCLEX-RN. These questions test your knowledge of assisting clients in daily living activities. They may address personal hygiene, oral hydration, nutrition, elimination, assistive devices, mobility, sleep, and non-pharmacological comfort interventions.

NCLEX Basic Care and Comfort Questions Answers

Q1. A nurse is providing oral care to an unconscious client. Which action is most important to prevent aspiration?

  • (A) Placing the client in a supine position
  • (B) Using a large amount of water to rinse the mouth
  • (C) Positioning the client on their side
  • (D) Avoiding the use of mouthwash
View Answer
Answer: (C)
Rationale: Positioning the client on their side helps prevent aspiration by allowing secretions to drain out of the mouth.

Q2. A nurse is assisting a client with limited mobility to use a bedpan. What is the best position for the client?

  • (A) Supine with knees flexed
  • (B) Semi-Fowler’s position
  • (C) Prone with a pillow under the abdomen
  • (D) Trendelenburg position
View Answer
Answer: (B)
Rationale: Placing the client in a Semi-Fowler’s position facilitates the use of the bedpan and promotes comfort.

Q3. A nurse is providing care for a client with an indwelling urinary catheter. Which intervention is most important to prevent infection?

  • (A) Changing the catheter every 48 hours
  • (B) Keeping the catheter bag above the level of the bladder
  • (C) Maintaining a closed drainage system
  • (D) Irrigating the catheter daily
View Answer
Answer: (C)
Rationale: Maintaining a closed drainage system reduces the risk of introducing pathogens and helps prevent infection.

Q4. A nurse is caring for a client who is at risk for developing pressure ulcers. Which intervention should the nurse implement?

  • (A) Repositioning the client every 4 hours
  • (B) Using a donut-shaped cushion
  • (C) Applying a moisture barrier cream to the skin
  • (D) Encouraging the client to remain in one position
View Answer
Answer: (C)
Rationale: Applying a moisture barrier cream helps protect the skin from moisture and reduces the risk of pressure ulcers.

Q5. A nurse is assisting a client with dysphagia to eat. Which intervention is most appropriate?

  • (A) Offering thin liquids
  • (B) Encouraging the client to eat quickly
  • (C) Placing the client in an upright position
  • (D) Using a straw for all liquids
View Answer
Answer: (C)
Rationale: Placing the client in an upright position helps prevent aspiration and facilitates safer swallowing.

Q6. A nurse is teaching a client with diabetes about foot care. Which statement indicates a need for further teaching?

  • (A) “I will inspect my feet daily for cuts and sores.”
  • (B) “I should soak my feet in hot water every day.”
  • (C) “I will wear well-fitting shoes to protect my feet.”
  • (D) “I should keep my feet clean and dry.”
View Answer
Answer: (B)
Rationale: Soaking feet in hot water can cause burns and should be avoided; warm water should be used instead.

Q7. A nurse is caring for a client with limited mobility. Which intervention is most important to prevent contractures?

  • (A) Applying warm compresses to joints
  • (B) Performing range-of-motion exercises regularly
  • (C) Keeping the client in bed at all times
  • (D) Using restraints to prevent movement
View Answer
Answer: (B)
Rationale: Performing range-of-motion exercises helps maintain joint flexibility and prevent contractures.

Q8. A nurse is providing perineal care to a female client. Which technique is most appropriate?

  • (A) Cleaning from back to front
  • (B) Using a circular motion to clean
  • (C) Cleaning from front to back
  • (D) Using the same washcloth for the entire perineal area
View Answer
Answer: (C)
Rationale: Cleaning from front to back helps prevent the spread of bacteria from the anal area to the urethra and vagina.

Q9. A nurse is assisting a client with ambulation using a walker. Which instruction should the nurse provide?

  • (A) “Move the walker and your weak leg forward simultaneously.”
  • (B) “Use the walker only when you feel unsteady.”
  • (C) “Push the walker far ahead and then step forward.”
  • (D) “Move the walker forward, then step with your strong leg first.”
View Answer
Answer: (A)
Rationale: Moving the walker and the weak leg forward simultaneously provides stability and balance during ambulation.

Q10. A nurse is providing care to a client with chronic pain. Which non-pharmacological intervention is most appropriate to include in the care plan?

  • (A) Administering acetaminophen as needed
  • (B) Encouraging frequent position changes
  • (C) Using heat or cold therapy as appropriate
  • (D) Providing a high-protein diet
View Answer
Answer: (C)
Rationale: Heat or cold therapy can help alleviate pain and provide comfort without the use of medications.

Q11. A nurse is caring for a client who is on a clear liquid diet. Which item is appropriate to include on the client’s meal tray?

  • (A) Apple juice
  • (B) Milk
  • (C) Cream soup
  • (D) Mashed potatoes
View Answer
Answer: (A)
Rationale: Apple juice is a clear liquid and is appropriate for a clear liquid diet.

Q12. A nurse is providing education to a client about proper body mechanics. Which instruction should the nurse include?

  • (A) “Bend at the waist when lifting heavy objects.”
  • (B) “Keep objects close to your body when lifting.”
  • (C) “Twist your torso when moving heavy objects.”
  • (D) “Lift with your back muscles.”
View Answer
Answer: (B)
Rationale: Keeping objects close to the body when lifting helps maintain balance and reduces the risk of injury.

Q13. A nurse is caring for a client who is bedridden. Which intervention is most important to prevent respiratory complications?

  • (A) Encouraging the client to drink plenty of fluids
  • (B) Turning the client every 4 hours
  • (C) Performing chest physiotherapy
  • (D) Using an incentive spirometer regularly
View Answer
Answer: (D)
Rationale: Using an incentive spirometer helps promote lung expansion and prevent respiratory complications such as pneumonia.

Q14. A nurse is assisting a client with Alzheimer’s disease to dress. Which approach is most effective?

  • (A) Allowing the client to choose their outfit independently
  • (B) Providing step-by-step instructions and assistance
  • (C) Dressing the client quickly to minimize stress
  • (D) Using complicated and detailed instructions
View Answer
Answer: (B)
Rationale: Providing step-by-step instructions and assistance helps the client maintain independence and reduces confusion.

Q15. A nurse is educating a client about the importance of hydration. Which statement indicates the client understands the teaching?

  • (A) “I should drink at least 8 glasses of water a day.”
  • (B) “I only need to drink when I feel thirsty.”
  • (C) “I should limit my fluid intake to prevent frequent urination.”
  • (D) “I can meet my hydration needs with caffeinated beverages.”
View Answer
Answer: (A)
Rationale: Drinking at least 8 glasses of water a day helps maintain proper hydration and overall health.

Q16. A nurse is providing care to a client with limited mobility. Which intervention is most important to prevent muscle atrophy?

  • (A) Encouraging fluid intake
  • (B) Providing a high-protein diet
  • (C) Performing passive range-of-motion exercises
  • (D) Applying heat to muscles
View Answer
Answer: (C)
Rationale: Performing passive range-of-motion exercises helps maintain muscle strength and prevent atrophy.

Q17. A nurse is caring for a client who has difficulty sleeping. Which non-pharmacological intervention is most appropriate?

  • (A) Encouraging daytime napping
  • (B) Establishing a regular bedtime routine
  • (C) Providing a high-caffeine beverage before bed
  • (D) Increasing physical activity before bedtime
View Answer
Answer: (B)
Rationale: Establishing a regular bedtime routine helps promote better sleep hygiene and improve sleep quality.

Q18. A nurse is teaching a client about the use of a cane. Which instruction should the nurse provide?

  • (A) “Hold the cane on your weaker side.”
  • (B) “Move the cane and your weaker leg forward at the same time.”
  • (C) “Move the cane forward first, then your stronger leg.”
  • (D) “Use the cane only when walking on uneven surfaces.”
View Answer
Answer: (B)
Rationale: Moving the cane and the weaker leg forward at the same time provides support and stability while walking.

Q19. A nurse is caring for a client who is receiving enteral nutrition via a nasogastric tube. Which intervention is most important to prevent aspiration?

  • (A) Keeping the client in a supine position
  • (B) Elevating the head of the bed to at least 30 degrees
  • (C) Administering feedings quickly
  • (D) Checking tube placement only once a day
View Answer
Answer: (B)
Rationale: Elevating the head of the bed to at least 30 degrees helps prevent aspiration during enteral feedings.

Q20. A nurse is providing oral hydration to a client with dysphagia. Which technique is most appropriate?

  • (A) Offering small sips of water
  • (B) Using a straw for all liquids
  • (C) Providing thickened liquids
  • (D) Encouraging the client to drink quickly
View Answer
Answer: (C)
Rationale: Providing thickened liquids reduces the risk of aspiration in clients with dysphagia.

Q21. A nurse is providing care for a client with a cast. Which intervention is most important to prevent complications?

  • (A) Keeping the cast covered with plastic
  • (B) Elevating the casted limb above heart level
  • (C) Applying lotion under the cast
  • (D) Encouraging the client to scratch under the cast with a sharp object
View Answer
Answer: (B)
Rationale: Elevating the casted limb above heart level helps reduce swelling and prevent complications such as compartment syndrome.

Q22. A nurse is caring for a client with a nasogastric tube. Which intervention is most important to ensure patency of the tube?

  • (A) Irrigating the tube with water every 4 hours
  • (B) Clamping the tube between feedings
  • (C) Positioning the client flat in bed
  • (D) Removing the tube daily for cleaning
View Answer
Answer: (A)
Rationale: Irrigating the nasogastric tube with water every 4 hours helps maintain patency and prevent blockages.

Q23. A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. Which intervention is most important to prevent skin breakdown?

  • (A) Using adhesive tape to secure the cannula
  • (B) Applying a water-based lubricant to the nares
  • (C) Tightening the cannula to prevent movement
  • (D) Keeping the flow rate above 4 liters per minute
View Answer
Answer: (B)
Rationale: Applying a water-based lubricant to the nares helps prevent dryness and skin breakdown caused by the nasal cannula.

Q24. A nurse is caring for a client with constipation. Which dietary recommendation is most appropriate?

  • (A) Increasing intake of high-fiber foods
  • (B) Reducing fluid intake
  • (C) Avoiding fruits and vegetables
  • (D) Increasing intake of processed foods
View Answer
Answer: (A)
Rationale: Increasing intake of high-fiber foods helps promote regular bowel movements and prevent constipation.

Q25. A nurse is assisting a client with bathing. Which action is most appropriate to promote client comfort and independence?

  • (A) Completing the entire bath for the client
  • (B) Encouraging the client to wash their face and hands
  • (C) Using cold water for the bath
  • (D) Bathing the client only once a week
View Answer
Answer: (B)
Rationale: Encouraging the client to wash their face and hands promotes independence and comfort during bathing.

See also:

Safe and Effective Care Environment

Health Promotion and Maintenance

Psychosocial Integrity