NCLEX-PN
Reduction of Risk Potential NCLEX PN Questions Questions
Question 1 of 5
Which of the following statements describes the purpose of client restraint?
Correct Answer: B
Rationale: The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.
Question 2 of 5
Which of the following microorganisms are considered normal body flora?
Correct Answer: A
Rationale: Of the choices given, only staphylococcus is considered a normal resident of the body.
Question 3 of 5
The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:
Correct Answer: C
Rationale: Elder people are particularly prone to falling and incurring serious injury, especially in new situations and environments (such as the hospital).
Question 4 of 5
A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine's effects on the patient?
Correct Answer: C
Rationale: Venous capacity increases with morphine use, not decreases, as it causes vasodilation.
Question 5 of 5
A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
Correct Answer: C
Rationale: Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.