Reduction of Risk Potential NCLEX PN Questions

Extract:

Question 1 of 5

The nurse working with elderly clients should keep in mind that falls are most likely to happen to elderly who are:

Correct Answer: C

Rationale: Elder people are particularly prone to falling and incurring serious injury, especially in new situations and environments (such as the hospital).

Question 2 of 5

The client makes the following statements to the home health nurse. Which statement requires the nurse to intervene immediately?

A. "I can't lift pans from the back burners, but I can manage just fine by using the front burners of my stove." B. "I almost fell down the stairs, so I bought myself a pair of slippers with nonskid soles." C. "The grass near the sidewalk will be dead because my son insists on putting salt on the icy sidewalk." D. "My home is less costly to heat when I use my gas oven with the oven door open to heat just my living areas."

Correct Answer: D

Rationale: Using a gas oven for heating risks carbon monoxide poisoning, requiring immediate intervention to prevent a life-threatening situation.

Question 3 of 5

The experienced nurse is instructing the new nurse on client safety. Which statement made by the new nurse should the experienced nurse correct?

A. "It is very important for school-aged children to be taught_statistics related to sports." B. "The leading causes of death in young adults are due to substance abuse and suicide." C. "Older adults especially should be asked whether they have ever accidentally fallen at home." D. "Preschooler activity should be monitored because falls are a major cause of nonfatal injuries."

Correct Answer: B

Rationale: The leading cause of death in young adults is motor vehicle accidents, not substance abuse and suicide, which requires correction.

Question 4 of 5

A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states "I don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects." The nurse should understand that

A. a referral is needed to the psychiatrist who is to provide the client with answers B. the client has a right to know about the prescribed medications C. such education is an independent decision of the individual nurse whether or not to teach clients about their medications D. clients with schizophrenia are at a higher risk of psychosocial complications when they know about their medication side effects

Correct Answer: B

Rationale: The client has a right to know about the prescribed medications. Clients have a right to informed consent which includes information about medications, treatments, and diagnostic studies.

Question 5 of 5

The hospitalized client states, "I can't wait for anyone to take me to the bathroom, or I will wet my pants." What should the nurse do? Select all that apply.

A. Assess the client's risk for a fall using a rating scale. B. Document that the client is frequently incontinent. C. Ensure an immediate response to the client's call light. D. Educate the client regarding fall prevention strategies. E. Place a note on the door stating, "bathroom every two hours." F. Request that the HCP prescribe placement of a urinary catheter.

Correct Answer: A,C,D

Rationale: A: Assessing fall risk is essential due to urgency. C: Prompt response to call light prevents rushing. D: Education on fall prevention is proactive. B is incorrect as incontinence cannot be assumed. E violates privacy. F is unnecessary and risky.

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