NCLEX-RN
Reduction of Risk Potential NCLEX RN Questions
Question 1 of 5
The nurse is reviewing arterial blood gases (ABGs) on a client. Which finding would prompt the nurse to notify the health care provider?
Correct Answer: B
Rationale: pH 7.67 indicates alkalosis (normal 7.35-7.45), requiring provider notification. Other values are within normal ranges (HCO3 22-26, paCO2 35-45).
Question 2 of 5
While preparing a client for a colonoscopy, the nurse would be correct to implement which interventions? Select all that apply.
Correct Answer: B,C
Rationale: A sedative (
B) is used for comfort, and fasting 6-12 hours (
C) ensures a clear colon for colonoscopy. High fiber (
A) is contraindicated, and 18 hours (
D) is excessive.
Question 3 of 5
A young child with a rash that's raised and has circumscribed areas filled with fluid comes to the school nurse. What type of rash should the nurse document?
Correct Answer: C
Rationale: A rash with raised, fluid-filled, circumscribed areas is a vesicular rash (
C), as seen in conditions like chickenpox. Maculopapular (
A) is flat/spotted, heat rash (
B) is prickly, and pustular (
D) contains pus.
Question 4 of 5
The nurse is caring for a client receiving hemodialysis. During hemodialysis, the client becomes anxious, experiencing tachypnea and hypotension. The nurse suspects which complication of hemodialysis?
Correct Answer: D
Rationale: Disequilibrium syndrome causes tachypnea, hypotension, and anxiety due to rapid shifts in fluid and electrolytes during dialysis.
Question 5 of 5
The nurse is caring for a client who just returned from a total hip arthroplasty. A student nurse is helping provide care for this client. Which action by the student nurse requires intervention by the nurse?
Correct Answer: B
Rationale: Adducting the legs post-hip arthroplasty risks dislocation; legs should be kept abducted. Other actions (A, C,
D) are appropriate for preventing complications.