NCLEX-PN
Reduction of Risk Potential NCLEX Questions Questions
Extract:
Question 1 of 5
The client with dementia and confusion is transferred from the hospital to the nursing home. The client's family has not yet arrived at the nursing home. Which direction is appropriate for the RN to provide to the LPN?
Correct Answer: B
Rationale: Placing the client near the nurse's station ensures supervision and safety for a client with dementia, who is at risk for falling or wandering.
Question 2 of 5
The nurse seeks to assess the renal function of an elderly client who is about to receive a nephrotoxic medication. Which of the following labs provides the best indicator for renal function?
Correct Answer: D
Rationale: Due to decreases in lean body mass, blood creatinine is not as good an indicator of the elderly client's renal function as creatinine clearance. Creatinine clearance is a widely used test for glomerular filtration rate.
Question 3 of 5
The nurse is planning care for a client with a cerebral vascular accident (CVA). Which of the following measures planned by the nurse would be most effective in preventing skin breakdown?
Correct Answer: C
Rationale: Reposition every two hours. Clients who are at risk for skin breakdown develop fewer pressure ulcers when turned every two hours. By relieving the pressure over bony prominences at frequent scheduled intervals, blood flow to areas of potential injury is maintained.
Question 4 of 5
The nurse is evaluating the performance of the UAP. The nurse should provide feedback to the UAP about which unsafe action?
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 5 of 5
Hearing screening of prematurely born infants is an effective means of identifying disease and is an example of:
Correct Answer: B
Rationale: The three levels of prevention address disease and disability across all phases, from absence of disease and at risk for disease, to preventing further impairment. Hearing impairment associated with prematurity cannot be prevented by screening, but identifying the infants with hearing loss might prevent sequelae and further impairment by allowing early intervention.