NCLEX-PN
Reduction of Risk Potential NCLEX PN Questions
Extract:
Question 1 of 5
In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?
Correct Answer: C
Rationale: The least important factor (of those listed) during an emergency situation is the number of accompanying family members.
Question 2 of 5
The client that the nurse is ambulating becomes dizzy and feels faint. Place the nurse's actions in the correct order to prevent the client from falling.
Order the Items
Source Container
Correct Answer: B,F,C,A,E,D
Rationale: The sequence ensures safety: call for help (
B), establish a stable stance (F), lower the client safely (C,
A), protect the head (E), and assess injuries (
D).
Question 3 of 5
Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?
Correct Answer: A
Rationale: Gram-negative bacilli cause Salmonella infection, and lack of sanitation is the primary means of contamination. Thorough handwashing can prevent the spread of salmonella.
Question 4 of 5
A client continuously calls out to the nursing staff when anyone passes the client’s door and asks them to do something in the room. The best response by the charge nurse would be to
Correct Answer: B
Rationale: Assign 1 of the nursing staff to visit the client regularly. Regular, frequent, planned contact by 1 staff member provides continuity of care and communicates to the client that care will be available when needed.
Question 5 of 5
Which of these comments by a client would indicate the need for further teaching regarding safety with warfarin (Coumadin)?
Correct Answer: C
Rationale: Green leafy vegetables are high in vitamin K, which can counteract the anticoagulant effects of warfarin, requiring further teaching to ensure safe dietary practices.