NCLEX-PN
Reduction of Risk Potential NCLEX PN Questions Questions
Extract:
Question 1 of 5
The experienced nurse is instructing the new nurse on client safety. Which statement made by the new nurse should the experienced nurse correct?
Correct Answer: B
Rationale: The leading cause of death in young adults is motor vehicle accidents, not substance abuse and suicide, which requires correction.
Question 2 of 5
The hospitalized client states, "I can't wait for anyone to take me to the bathroom, or I will wet my pants." What should the nurse do? Select all that apply.
Correct Answer: A,C,D
Rationale: A: Assessing fall risk is essential due to urgency. C: Prompt response to call light prevents rushing. D: Education on fall prevention is proactive. B is incorrect as incontinence cannot be assumed. E violates privacy. F is unnecessary and risky.
Question 3 of 5
Which of the following statements describes the purpose of client restraint?
Correct Answer: B
Rationale: The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm. Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.
Question 4 of 5
The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:
Correct Answer: C
Rationale: Elder people are particularly prone to falling and incurring serious injury, especially in new situations and environments (such as the hospital).
Question 5 of 5
The nurse is caring for clients in a hospital setting. Which observations made by the nurse require intervention? Select all that apply.
Correct Answer: A,B,D
Rationale: A: A cut cord poses an electrical shock risk. B: A high bed increases fall risk. D: A beeping bed exit alarm indicates a potential fall risk requiring immediate response.