Reduction of Risk Potential NCLEX PN Questions

Extract:

Question 1 of 5

The unlicensed assistive personnel (UAP) reports a sudden increase in temperature to 101 degrees Fahrenheit for a post surgical client. The nurse checks on the client's condition and observes a cup of steaming coffee at the bedside. What instructions are appropriate to give to the UAP?

Correct Answer: B

Rationale: Recheck temperature to eliminate possible artificial elevation of temperature. Hot liquids, smoking, eating, chewing gum, and talking can all elevate temperature. Waiting to take the temperature for 15 minutes will help the temperature return to its normal, in order to get an accurate reading.

Question 2 of 5

The nurse is caring for clients in a hospital setting. Which observations made by the nurse require intervention? Select all that apply.

A. The client's infusion pump is noted to have a cut in the center of the cord. B. The client's bed is in the high position after a nursing assistant left the room. C. The client's battery-operated CD player does not have an agency inspection tag. D. The client's bed exit alarm is beeping, and another nurse just left the room. E. The client's bedside table is placed in front of the chair where the client is sitting.

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 3 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 4 of 5

The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic. Which evaluation data would best measure learning?

A. Performance on written tests B. Responses to verbal questions C. Completion of a mailed survey D. Reported behavioral changes

Correct Answer: D

Rationale: Reported behavioral changes. If the client alters behaviors such as smoking, drinking alcohol, and stress management, these suggest that learning has occurred. Additionally, physical assessments and lab data may confirm risk reduction.

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?

A. Get the hepatitis A vaccine before traveling to endemic areas.' B. Avoid sexual contact until the infection is resolved.' C. Take antiviral medications as prescribed.' D. Use condoms to prevent transmission.'

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.

Reduction of Risk Potential NCLEX PN Questions | Nurselytic

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