NCLEX-PN
Reduction of Risk Potential NCLEX PN Questions Questions
Extract:
Question 1 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.
Question 2 of 5
A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
Correct Answer: C
Rationale: Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.
Question 3 of 5
The client makes the following statements to the home health nurse. Which statement requires the nurse to intervene immediately?
Correct Answer: D
Rationale: Using a gas oven for heating risks carbon monoxide poisoning, requiring immediate intervention to prevent a life-threatening situation.
Question 4 of 5
A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine's effects on the patient?
Correct Answer: C
Rationale: Venous capacity increases with morphine use, not decreases, as it causes vasodilation.
Question 5 of 5
The nurse is reinforcing teaching to a client about preventing transmission of the hepatitis A virus. Which of these instructions is most appropriate?
Correct Answer: A
Rationale: Hepatitis A is primarily transmitted through the fecal-oral route. Vaccination is the most effective way to prevent infection, especially before travel to endemic areas.