Reduction of Risk Potential NCLEX PN | Nurselytic

Questions 18

NCLEX-PN

NCLEX-PN Test Bank

Reduction of Risk Potential NCLEX PN Questions

Extract:


Question 1 of 5

Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?

Correct Answer: A

Rationale: Gram-negative bacilli cause Salmonella infection, and lack of sanitation is the primary means of contamination. Thorough handwashing can prevent the spread of salmonella.

Question 2 of 5

Which task could be safely delegated by the nurse to an unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: The RN may delegate the application and care of rectal pouches to a UAP. This is an uncomplicated, routine task that does not require clinical judgment or advanced skills.

Question 3 of 5

When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:

Correct Answer: B

Rationale: Category X drugs have many practice limitations when prescribed and dispensed to women. For example, the prescription is valid for only seven days, and if not filled, it expires. The FDA provides a pregnancy-prevention program for clients taking Isotretinoin (Accutane). Prior to prescribing a Category X drug, a pregnancy test should be performed.

Question 4 of 5

The nurse is caring for a client who has just returned from the operating room after a cholecystectomy. Which of these findings requires immediate follow-up by the nurse?

Correct Answer: D

Rationale: An oxygen saturation of 88% indicates hypoxia, requiring immediate intervention to prevent respiratory compromise.

Question 5 of 5

The client that the nurse is ambulating becomes dizzy and feels faint. Place the nurse's actions in the correct order to prevent the client from falling.

Order the Items

Source Container

Support and ease the client to the floor by sliding the client down the forward leg
Call for help
Bend at the knees and pull the client toward the forward leg
Assess the client for injuries
Protect the client's head from hitting objects on the floor
Assume a broad stance with the stronger leg somewhat behind the other leg

Correct Answer: B,F,C,A,E,D

Rationale: The sequence ensures safety: call for help (
B), establish a stable stance (F), lower the client safely (C,
A), protect the head (E), and assess injuries (
D).

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