NCLEX-RN
RN Reduction of Risk Potential NCLEX Questions
Extract:
Question 1 of 5
An elderly man is admitted to the ED during the night shift. He reports slipping and hitting his forehead on the bathtub several hours earlier. The nurse is assessing the client's frontal lobe function. Which of the following questions/statements should the nurse ask the client?
Correct Answer: D
Rationale: The frontal lobe handles executive functions like calculation. Asking a math question (
D) assesses this.
Touch (
A) tests parietal, hearing (
B) tests temporal, and balance (
C) tests cerebellar function.
Question 2 of 5
The nurse is performing an admission assessment on a client with thrombocytopenia. Which signs and symptoms and lab findings would the nurse expect to see in this client? Select all that apply.
Correct Answer: A,B
Rationale: Thrombocytopenia causes bleeding tendencies like epistaxis (
A) and petechiae (
B). Vomiting blood (
C) is less common, and hematocrit (
D) and platelets (E) are decreased, not elevated.
Question 3 of 5
An elderly man is admitted to the ED during the night shift. He reports slipping and hitting his forehead on the bathtub several hours earlier. The nurse is assessing the client's frontal lobe function. Which of the following questions/statements should the nurse ask the client?
Correct Answer: D
Rationale: The frontal lobe handles executive functions like calculation. Asking a math question (
D) assesses this.
Touch (
A) tests parietal, hearing (
B) tests temporal, and balance (
C) tests cerebellar function.
Question 4 of 5
A 2-month-old infant has been brought to the ED. Which finding by the nurse would raise suspicion for shaken baby syndrome?
Correct Answer: D
Rationale: Bulging fontanels and increased head circumference (
D) suggest intracranial hemorrhage, a hallmark of shaken baby syndrome in infants.
Question 5 of 5
The nurse is caring for a client who just had an arteriovenous (AV) fistula placed for dialysis. The nurse is providing home care instructions to the client. Which statement by the client indicates a need for further teaching by the nurse?
Correct Answer: D
Rationale: Tight sleeves can compress the AV fistula, impairing blood flow, indicating a need for further teaching. Other statements are correct.