NCLEX PN Reduction of Risk Potential Questions

Extract:

Question 1 of 5

The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are elevated. What dietary modifications are most appropriate?

Correct Answer: B

Rationale: Decreased sodium and potassium. Children with AGN who have edema, hypertension, oliguria, and azotemia have dietary restrictions limiting sodium, potassium, fluids, and protein.

Question 2 of 5

A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?

A. heart rate, respiratory effort, color, muscle tone, reflex irritability B. heart rate, bleeding, cyanosis, edema C. bleeding, reflex, edema D. respiratory effort, heart rate, seizures

Correct Answer: A

Rationale: The Apgar scoring system was put into place by Virginia Apgar, an anesthesiologist in New York, for the purpose of assessing newborns in the areas of heart rate, respiratory effort, color, muscle tone, and reflex irritability at 1, 5, and sometimes 10 minutes after birth.

Question 3 of 5

After securing the client's safety from a faulty electric bed, the nurse should take which action?

A. Discuss the matter with the client's significant others. B. Document the incident in the client's record in detail. C. Notify the physician. D. Prepare an incident report.

Correct Answer: D

Rationale: After the situation is safe for the client, the nurse should record the occurrence on an incident form according to the agency protocol.

Question 4 of 5

The experienced nurse is observing the new nurse providing care to the hospitalized cheat. Which action requires the experienced nurse to intervene to ensure client safety?

A. Turns on the client's bathroom light and turns out the room lights after settling the client for sleep B. Checks the client's room number and name on the name band to verify client identity prior to giving a medication C. Stirs thickening powder into the glass of juice and cup of milk before giving these to the client who has dysphagia D. Delays the HCP from performing a thoracentesis by calling "a timeout" to verify the client's identity, consent, procedure, and site

Correct Answer: B

Rationale: Room number is not a unique client identifier. The nurse should use two unique identifiers, such as the client's name and medical record number, to verify identity before medication administration.

Question 5 of 5

Acyclovir (Zovirax) is the agent of choice for which of the following infections?

A. HIV B. AIDS C. candida D. herpes

Correct Answer: D

Rationale: Acyclovir is an antiviral effective in shortening the duration of infection in herpes. It is used in HIV and AIDS to treat opportunistic viral infections but is not a primary AIDS drug. Candida is a fungus responsive to antifungal medication.

NCLEX PN Reduction of Risk Potential Questions | Nurselytic

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