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NCLEX RN· Reduction of Risk Potential · Reduction of Risk Potential NCLEX RN Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is preparing to remove a peripheral IV from a client. Which nursing action is the priority with this procedure?

A. checking for an intact catheter tip
B. washing the hands and donning gloves
C. charting the client's tolerance to the procedure
D. removing catheter slowly using the dominant hand
E. holding pressure on the site until hemostasis is achieved

Expert Explanatory Rationale

Correct Answer: holding pressure on the site until hemostasis is achieved

Question 2 of 5

A client is scheduled for a CT of the brain with and without IV contrast dye to evaluate a possible hemorrhage. Which finding in the client's history should the nurse report immediately to the health care provider?

A. allergy to shellfish
B. history of schizophrenia
C. allergy to cephalosporins
D. presence of a pacemaker

Expert Explanatory Rationale

Correct Answer: allergy to shellfish

Question 3 of 5

The nurse is caring for a client who just arrived in the PACU following a colonoscopy with polyp removal. The client's level of sedation is assessed using the Ramsay Sedation Scale (RSS). The client responds quickly, but only to commands. What Ramsay score would the nurse chart for this client?

A. RSS 1
B. RSS 2
C. RSS 3
D. RSS 4
E. RSS 5
F. RSS 6

Expert Explanatory Rationale

Correct Answer: RSS 3

Question 4 of 5

The nurse is assessing a client with a diagnosis of chronic obstructive pulmonary disease (COPD) exacerbation. Which finding would be expected for this client?

A. hypoxemia and hypocarbia
B. hyperoxemia and hypocarbia
C. hypoxemia and hypercarbia
D. hyperoxemia and hypercarbia

Expert Explanatory Rationale

Correct Answer: hypoxemia and hypercarbia

Question 5 of 5

A nurse is monitoring a client's intracranial pressure (ICP) after a motor vehicle accident. Upon checking the ICP, the nurse knows to contact the physician. What reading would warrant this action?

A. 8 mm Hg
B. 14 mm Hg
C. 18 mm Hg
D. 22 mm Hg

Expert Explanatory Rationale

Correct Answer: 22 mm Hg

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