NCLEX-PN
NCLEX Reduction of Risk Potential Questions
Extract:
Question 1 of 5
When entering the client's room, the nurse sees that the client is standing on the far side of the room with clothing on fire. Which action should be taken by the nurse immediately?
Correct Answer: D
Rationale: Instructing the client to drop and roll immediately smothers the flames, addressing the fire on the client's clothing most effectively.
Question 2 of 5
The nurse is preparing a presentation on workplace incivility. Which incivility behaviors should the nurse plan to include in the presentation? Select all that apply.
Correct Answer: A,B,D
Rationale: A: Verbal intimidation and space invasion are uncivil. B: Insults and ignoring are uncivil behaviors. D: Teasing can be disrespectful and uncivil. C and E are not behaviors but actions.
Question 3 of 5
A client with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The appropriate response of the nurse should be which of these statements?
Correct Answer: D
Rationale: In order to release information about a client there must be a signed consent form with designation of to whom information can be given, and what information can be shared.
Question 4 of 5
A client with a history of a splenectomy has a left upper quadrant mass and is scheduled for a splenectomy. The nurse knows that this client is most at risk for what complication?
Correct Answer: B
Rationale: The spleen plays a role in filtering blood and producing immune cells. A history of splenectomy increases the risk of bleeding due to decreased platelet function and impaired immune response.
Question 5 of 5
The non-English-speaking hospitalized client begins to enter a room with the sign illustrated. Which intervention should the observing nurse implement?
Correct Answer: B
Rationale: Intercepting and checking the name band ensures the client does not enter a radiation therapy room, accounting for the language barrier.