Questions 19

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Questions on Reduction of Risk Potential Questions

Extract:


Question 1 of 4

The new NA is caring for the client who is at risk for a fall. Which statement by the nurse to the new NA is most important?

Correct Answer: C

Rationale: Ensuring the bed is in the lowest position is critical to minimize injury from a fall, which poses a greater risk than other options. Four side rails (
D) are considered a restraint and should be avoided.

Question 2 of 4

The client had a THR. The nurse is discussing home modifications with the client's son. Which modifications should the nurse recommend? Select all that apply.

Correct Answer: B,C,D,F

Rationale: B: Safety bars aid mobility. C: Elevated toilet seat prevents excessive hip flexion. D: Main floor bedroom avoids stairs. F: Removing rugs and cords prevents tripping. A is unnecessary, and E is incorrect as tub baths are avoided post-THR.

Question 3 of 4

The nurse is demonstrating the use of a fire extinguisher during a fire drill. Place the steps for using a fire extinguisher in the correct order.

Order the Items

Source Container

Squeeze the handle
Sweep from side to side
Pull the pin
Aim at the base of the fire

Correct Answer: C,D,A,B

Rationale: The PASS technique is: Pull the pin (
C), Aim at the base (
D), Squeeze the handle (
A), Sweep side to side (
B).

Question 4 of 4

The nurse is discussing with the parents of the full-term newborn the infant's transportation in a vehicle. Which information should the nurse provide? Select all that apply.

Correct Answer: A,C,E

Rationale: A: Rear-facing car seats in the backseat are safest. C: Infant-only car seats have weight limits requiring replacement. E: Certification ensures safety compliance. B is incorrect as forward-facing is unsafe for infants.

Question 5 of 4

A health care agency has different receptacles for the various categories of institutional waste. Into which container should the nurse dispose of a suction canister used to collect bloody drainage from the client's NG tube?

Correct Answer: C

Rationale: Blood and body fluids are classified as infectious waste, requiring disposal in the infectious waste receptacle.

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