NCLEX-PN
Reduction of Risk Potential NCLEX PN Questions
Extract:
Question 1 of 5
The hospitalized client tells the nurse about feeling a strong shock when turning on an electric hair dryer. What should the nurse do first?
Correct Answer: A
Rationale: Assessing the client's heart rhythm is the priority, as an electrical shock can cause dysrhythmias due to the body's conductivity.
Question 2 of 5
After working with a client, an unlicensed assistive personnel (UAP) tells the nurse, "I have had it with that demanding client. I just can't do anything that pleases him. I'm not going in there again." The nurse should respond by saying
Correct Answer: C
Rationale: This response explains the client's behavior without belittling the UAP's feelings. The UAP is encouraged to contribute to the plan of care to help solve the problem.
Question 3 of 5
The nurse is performing a physical examination of a 3 month-old with a suspected heart murmur. Which assessment should be performed first?
Correct Answer: B
Rationale: Auscultate the mass. Auscultation of the chest to listen for a heart murmur is the first step in confirming the presence of a murmur and guides further assessment.
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
A 6-year-old is admitted to the ED after ingesting oxycodone tablets that had been prescribed for the parent. The parent provides the prescription bottle that originally contained 15 tablets of oxycodone 5 mg. The parent stated taking 3 tablets. There are 9 tablets remaining in the bottle. If the child ingested the missing tablets, how many mg of oxycodone did the child ingest?
Correct Answer: 15
Rationale: 15 - 3 = 12; 12 - 9 = 3; 3 tablets x 5 mg = 15 mg. The child ingested 15 mg of oxycodone.