NCLEX-PN
Reduction of Risk Potential NCLEX Questions Questions
Extract:
Question 1 of 5
Which of these actions should the nurse perform first when a client is admitted with a diagnosis of C-difficile?
Correct Answer: A
Rationale: Initiating contact precautions is the first step to prevent the spread of C-difficile, which is highly contagious through contact with contaminated surfaces or feces.
Question 2 of 5
The home health nurse is using the home Safety Assessment Scale to evaluate the dangers that may exist in the home of the client who is mildly cognitively impaired. Which finding on the scale should be most concerning to the nurse?
Correct Answer: B
Rationale: Placing cloth items on a hot stove poses an immediate fire risk, which is the most concerning safety hazard for a cognitively impaired client.
Question 3 of 5
What does client and family communication and education concerning restraints do?
Correct Answer: C
Rationale: Cooperation is more likely if the client and family understand the purpose of and expected gains from restraints. Well-meaning family members might release restraints if their purpose is not clear.
Question 4 of 5
Serum Vancomycin levels are taken to measure which of the following?
Correct Answer: B
Rationale: Vancomycin levels are monitored to ensure therapeutic effects by peak level.
Question 5 of 5
After an explosion at a factory one of the employees approaches the nurse and says 'I am an unlicensed assistive personnel (UAP) at the local hospital.' Which of these tasks should the nurse assign first to this worker who wants to help care for the wounded workers?
Correct Answer: C
Rationale: Palpate pulses. The heart rates would indicate if the client is in shock or has potential for shock. If the pulses could not be palpated, those clients would need to be seen first.