Reduction of Risk Potential NCLEX RN | Nurselytic

Questions 6

NCLEX-RN

NCLEX-RN Test Bank

Reduction of Risk Potential NCLEX RN Questions

Question 1 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.

Question 2 of 5

The nurse is teaching a client and her family about home care following a laryngectomy. Which statement by the client indicates a need for further teaching from the nurse?

Correct Answer: C

Rationale: Water aerobics pose a drowning risk due to water entering the stoma, requiring further teaching. Other statements are appropriate for laryngectomy care.

Question 3 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 4 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 5 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.

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