NCLEX-PN
Reduction of Risk Potential NCLEX Questions
Extract:
Question 1 of 5
A power outage occurs at a hospital, and a backup generator supplying power to a telemetry unit fails. After obtaining a flashlight, what is the nurse's next best action?
Correct Answer: C
Rationale: Obtaining oxygen tanks is the priority, as room oxygen sources fail during a power outage, and clients on oxygen are at immediate risk.
Question 2 of 5
The nurse is teaching parents measures to prevent scald and burn injuries to toddlers in the home. Due to toddlers' inquisitiveness, which recommendation by the nurse is most important?
Correct Answer: A
Rationale: Turning pot handles back prevents toddlers from grabbing them, addressing their curiosity and reducing scald risks.
Question 3 of 5
The nurse is caring for a client with a newly applied long leg cast. Which of these actions should the nurse take first to prevent complications from the cast?
Correct Answer: A
Rationale: Checking pedal pulses bilaterally is the first action to ensure adequate circulation and detect potential complications like compartment syndrome early.
Question 4 of 5
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
Correct Answer: B
Rationale: The Mantoux is the most accurate test to determine the presence of TB.
Question 5 of 5
The nurse suspects that a child may have ingested a caustic substance. Which comment by the child would be of greatest concern to the nurse?
Correct Answer: A
Rationale: Local irritation of tissues indicates a corrosive poisoning. Burning in the mouth or throat pain suggests ingestion of a caustic substance, requiring immediate attention.