NCLEX PN Reduction of Risk Potential Questions

Extract:

Question 1 of 5

Which of these clients is at highest risk for contracting a tuberculosis infection?

Correct Answer: A

Rationale: The immune-suppressed nurse undergoing chemotherapy is at the highest risk for contracting tuberculosis due to a weakened immune system, which reduces the ability to fight infections like TB.

Question 2 of 5

Which of these clients is at highest risk for contracting a tuberculosis infection?

A. A nurse who is immune-suppressed from chemotherapy B. A nursing student with a negative purified protein derivative (PPD) test C. An elderly client in a nursing home who has never been tested for TB D. A health care worker who has a positive PPD test but negative chest x-ray

Correct Answer: A

Rationale: The immune-suppressed nurse undergoing chemotherapy is at the highest risk for contracting tuberculosis due to a weakened immune system, which reduces the ability to fight infections like TB.

Question 3 of 5

The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:

A. there is presence of blood and body fluids. B. there is the need for droplet precaution. C. there is contact isolation. D. there is the potential for airborne transmission.

Correct Answer: A

Rationale: When body substances are handled, the potential for transmission is increased; therefore, federal regulations require warning labels to communicate with other employees and/or waste collectors. The biohazard alert is a three-ring symbol overlaying a central concentric ring. Blood, drainage from wounds, feces, and urine are all body fluids that can transfer infection and disease to others.

Question 4 of 5

A client frequently admitted to the locked psychiatric unit repeatedly compliments and invites one of the nurses to go out on a date. The nurse's response should be to

A. ask to not be assigned to this client or to work on another unit B. tell the client that such behavior is inappropriate C. inform the client that hospital policy prohibits staff to date clients D. discuss the boundaries of the therapeutic relationship with the client

Correct Answer: D

Rationale: Discuss the boundaries of the therapeutic relationship with the client. The nurse-client relationship is one with professional not social boundaries. Consistent adherence to the limits of the professional relationship builds trust.

Question 5 of 5

A client taking isotretinoin (Accutane) tells the nurse that she is pregnant. What should the nurse teach this client?

A. Her pregnancy is threatened, and the fetus is at risk for teratogenesis. B. She has a reportable condition, and the pregnancy must be terminated. C. Accutane is a Category D drug, which means it is unsafe in pregnancy. D. Her pregnancy must be followed carefully by a genetic specialist.

Correct Answer: A

Rationale: Accutane is a Category X drug, which means pregnancy is contraindicated due to teratogenesis associated with the medication.

NCLEX PN Reduction of Risk Potential Questions | Nurselytic

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