NCLEX Questions on Reduction of Risk Potential

Extract:

Question 1 of 5

A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse's immediate attention and phone call?

Correct Answer: B

Rationale: An untoward, adverse drug reaction associated with the quinolones is tendon rupture. Electrolyte imbalance has not been associated with the group, and antibiotic-associated colitis is most common in augmentin and penicillin groups.

Question 2 of 5

A mother that has never breast-fed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its birth weight within the first 2 days of life. The best statement is:

A. The baby will eventually take to the breast. B. I can fix up a bottle if you want to try that. C. A small amount of weight loss in the first few days is normal. D. I can get the charge nurse to come and talk to you about breast-feeding.

Correct Answer: C

Rationale: 5-10% of birth weight loss following birth is normal for the first few days of life, and this response reassures the mother while allowing further discussion about breastfeeding challenges.

Question 3 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 4 of 5

All of the following clients are in need of an emergency assessment except:

A. a bleeding client who has an injury from falling debris. B. an unresponsive client. C. a client with an old injury. D. a pregnant woman with imminent delivery.

Correct Answer: C

Rationale: The client with an old injury does not need an emergency assessment because this is not a life-threatening or new situation or condition.

Question 5 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.

NCLEX Questions on Reduction of Risk Potential | Nurselytic

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