Reduction of Risk Potential NCLEX Questions

Extract:

Question 1 of 5

The charge nurse is observing nursing staff. In which activity illustrated should the charge nurse intervene because it places the nurse most at risk for back injury?

Correct Answer: D

Rationale: Bending and twisting the torso, as described in option D, poses the highest risk for back injury due to improper body mechanics, even with a transfer belt. The client's potential to grab the nurse's shoulder or arm increases the risk by destabilizing the nurse's stance.

Question 2 of 5

The nurse is evaluating the performance of the UAP. The nurse should provide feedback to the UAP about which unsafe action?

A. Cleanses and returns a wheelchair to a storage area after being used by the client. B. Ties the bedridden client's wrist restraint ties to the bed frame using a quick-release knot. C. Grasps the cord to unplug an intravenous infusion pump for the client's transport to x-ray. D. Turns on a bed exit alarm for the confused client who was talking incoherently to the UAP.

Correct Answer: C

Rationale: Grasping the cord to unplug the pump can damage the cord, increasing the risk of electrical shock, requiring feedback to the UAP.

Question 3 of 5

After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?

A. Get temperatures B. Take blood pressure C. Palpate pulses D. Check alertness

Correct Answer: C

Rationale: Palpate pulses. The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be palpated, those clients would need to be seen first.

Question 4 of 5

The nurse is planning an educational session for a group of parents with toddlers. Based on the two leading causes of death in toddlers, the nurse should make which topics priority? Select all that apply.

A. Water safety and methods to prevent drowning. B. Use of age- and weight-appropriate car seats. C. Nutrition guidelines and age-appropriate foods. D. Use of labels to identify poisonous substances. E. Safety when outdoors and crossing the street.

Correct Answer: A,B

Rationale: Drowning and motor vehicle accidents are the top two causes of death in toddlers, making water safety and car seat use priority topics.

Question 5 of 5

What does client and family communication and education concerning restraints do?

A. confuses both groups more B. helps with coping and stress levels C. encourages cooperation with the client and family D. puts the responsibility on the client and family, not the nurse

Correct Answer: C

Rationale: Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints. Well-meaning family members might release restraints if their purpose is not clear.

Reduction of Risk Potential NCLEX Questions | Nurselytic

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