NCLEX Questions on Reduction of Risk Potential

Extract:

Question 1 of 5

A nurse from the maternity unit is floated to the critical care unit because of staff shortage on the evening shift. Which client would be appropriate to assign to this nurse? A client with

Correct Answer: B

Rationale: This client is the most stable with minimal risk of complications or instability. The nurse can utilize basic nursing skills to care for this client, making it suitable for a nurse from another unit.

Question 2 of 5

Which statement by the nurse is appropriate when directing an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?

A. Have the client sit on the side of the bed for at least 2 minutes before helping him stand. B. If the client is dizzy on standing, ask him to take some deep breaths. C. Assist the client to the bathroom at least twice on this shift. D. After you assist him to the chair, let me know how he feels.

Correct Answer: A

Rationale: Give clear information to the UAP about what is expected for client safety. This instruction ensures the client is assessed for orthostatic hypotension before ambulating, reducing the risk of falls.

Question 3 of 5

A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which situation?

A. An infant who has been identified as suffering from botulism B. A toddler who has eaten a number of ibuprofen tablets C. A preschooler who has swallowed powdered plant food D. A school aged child who has taken a handful of vitamins

Correct Answer: A

Rationale: Botulinum toxin is a neurotoxin that causes muscular paralysis. Gastric lavage is a priority to remove the toxin from the stomach before it is absorbed.

Question 4 of 5

Which of these clients would be the highest priority for the nurse to assign to a private room?

A. A client with a new diagnosis of tuberculosis B. A client with a urinary tract infection C. A client post-appendectomy with a surgical site infection D. A client with seasonal influenza

Correct Answer: A

Rationale: A client with tuberculosis requires a private room with negative pressure to prevent airborne transmission of the disease.

Question 5 of 5

A nurse from the maternity unit is floated to the critical care unit because of staff shortage on the evening shift. Which client would be appropriate to assign to this nurse? A client with

A. a Dopamine drip IV with vital signs monitored every 5 minutes B. a myocardial infarction that is free from pain and dysrhythmias C. a tracheotomy of 24 hours in some respiratory distress D. a pacemaker inserted this morning with intermittent capture

Correct Answer: B

Rationale: This client is the most stable with minimal risk of complications or instability. The nurse can utilize basic nursing skills to care for this client, making it suitable for a nurse from another unit.

NCLEX Questions on Reduction of Risk Potential | Nurselytic

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