NCLEX-RN
RN Safety and Infection Control Questions
Extract:
Question 1 of 5
The nurse is caring for a client who just returned from a supratentorial craniotomy, during which a large tumor was removed. Which of the following interventions by the nurse are appropriate for this client? Select all that apply.
Correct Answer: A,C,D
Rationale: Elevating the head 30 degrees, monitoring neurological status, and watching for increased ICP are appropriate to reduce pressure and assess status. A 90-degree elevation is excessive, stockings can be applied regardless of alertness, and turning side-to-side risks pressure.
Question 2 of 5
The nurse is setting up a room for an admission. Which equipment would the nurse remove from service and notify maintenance? Select all that apply.
Correct Answer: A,C,E
Rationale: A missing bed rail, locked recliner wheels, and a frayed cord pose safety risks and require maintenance. Extension cords are not standard hospital equipment.
Question 3 of 5
The nurse is caring for a client who just returned from a supratentorial craniotomy, during which a large tumor was removed. Which of the following interventions by the nurse are appropriate for this client? Select all that apply.
Correct Answer: A,C,D
Rationale: Elevating the head 30 degrees, monitoring neurological status, and watching for increased ICP are appropriate to reduce pressure and assess status. A 90-degree elevation is excessive, stockings can be applied regardless of alertness, and turning side-to-side risks pressure.
Question 4 of 5
While driving, the client forgets how to get home. Which lobe could be dysfunctional?
Correct Answer: A
Rationale: The temporal lobe is associated with memory and spatial navigation. Dysfunction in this lobe could lead to forgetting how to get home. Options B, C, and D are less directly related to this symptom.
Question 5 of 5
The nurse is caring for an elderly client with a history of Alzheimer's and falls. The nurse understands which to be the priority nursing diagnosis for this client?
Correct Answer: A
Rationale: Risk for injury is the priority due to Alzheimer's and fall history, addressing immediate safety concerns.