NCLEX-RN
Reduction of Risk Potential NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client's history should the nurse report immediately to the health care provider?
Correct Answer: A
Rationale: Shellfish allergy indicates a potential iodine allergy, which is critical for IV contrast safety, requiring immediate provider notification.
Question 2 of 5
A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client's history should the nurse report immediately to the health care provider?
Correct Answer: A
Rationale: Shellfish allergy indicates a potential iodine allergy, which is critical for IV contrast safety, requiring immediate provider notification.
Question 3 of 5
The nurse is preparing to remove a peripheral IV from a client. Which nursing action is the priority with this procedure?
Correct Answer: E
Rationale: Holding pressure until hemostasis (E) is the priority to prevent bleeding, especially in clients with anticoagulation or clotting issues.
Question 4 of 5
A nurse is monitoring a client's intracranial pressure (ICP) after a motor vehicle accident. Upon checking the ICP, the nurse knows to contact the physician. What reading would warrant this action?
Correct Answer: D
Rationale: Normal ICP is 5-15 mm Hg. A reading of 22 mm Hg (
D) indicates elevated ICP, requiring immediate physician notification. Lower readings (A, B,
C) are within or near normal.
Question 5 of 5
The nurse is assessing a client with a diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation. Which finding would be expected for this client?
Correct Answer: C
Rationale: COPD exacerbation causes airway obstruction, leading to hypoxemia (low oxygen) and hypercarbia (high CO2) due to impaired gas exchange.