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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A young child with a rash that's raised and has circumscribed areas filled with fluid comes to the school nurse. What type of rash should the nurse document?

A. maculopapular rash
B. heat rash
C. vesicular rash
D. pustular rash

Expert Explanatory Rationale

Correct Answer: vesicular rash

Question 2 of 5

The nurse is teaching a client and her family about home care following a laryngectomy. Which statement by the client indicates a need for further teaching from the nurse?

A. I will purchase a Medic-Alert bracelet.
B. I can wear loose-fitting turtlenecks to cover the stoma.
C. I can resume water aerobics once my doctor says it is okay.
D. I have a lot of green houseplants year-round throughout my home.

Expert Explanatory Rationale

Correct Answer: I can resume water aerobics once my doctor says it is okay.

Question 3 of 5

The nurse is caring for a client who just returned from a total hip arthroplasty. A student nurse is helping provide care for this client. Which action by the student nurse requires intervention by the nurse?

A. The student nurse floats the client's heels with a pillow.
B. The student nurse positions the client with the legs adducted.
C. The student nurse applies the sequential compression device (SCD) per orders.
D. The student nurse encourages deep breathing and incentive spirometer use every 2 hours.

Expert Explanatory Rationale

Correct Answer: The student nurse positions the client with the legs adducted.

Question 4 of 5

The nurse is reviewing arterial blood gases (ABGs) on a client. Which finding would prompt the nurse to notify the health care provider?

A. pH 7.42
B. pH 7.67
C. HCO3 24 mEq/L
D. paCO2 41 mmHg
E. paCO2 44 mmHg

Expert Explanatory Rationale

Correct Answer: pH 7.67

Question 5 of 5

The nurse is caring for a client receiving hemodialysis. During hemodialysis, the client becomes anxious, experiencing tachypnea and hypotension. The nurse suspects which complication of hemodialysis?

A. air embolism
B. clotting of the graft site
C. dialysis encephalopathy
D. disequilibrium syndrome

Expert Explanatory Rationale

Correct Answer: disequilibrium syndrome

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