RN Domain 4: Reduction of Risk Potential (Quiz 2) Welcome to your NCLEX-RN Practice Quizzes. Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions. Domain 4 (Quiz 2): Reduction of Risk Potential. (25 questions) Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away. Best of Luck! 1. RN Reduction of Risk Potential,NCLEX-RN Following the birth of a healthy baby, the nurse allows bonding time between the infant and its mother. Before mother and infant leave the delivery room, what must be done? A. The nurse must instill medication into the infant's eyes B. Mother and infant must have identical ID tags in place C. All instruments and supplies must be counted D. The time of birth and Apgar scores must be documented None 2. RN Reduction of Risk Potential,NCLEX-RN A 52-year-old client with a 30-year history of alcohol abuse has been diagnosed with cirrhosis of the liver and esophageal varices. To avoid rupturing the varices, which should the client avoid? A. Taking acetaminophen B. Becoming constipated C. Walking outdoors D. Losing weight None 3. RN Reduction of Risk Potential,NCLEX-RN A healthcare provider is caring for a patient with a history of fatigue, dyspnea, and dark stools. The patient states, "My stools are very smelly." The patient's complete blood count (CBC) reveals a hemoglobin of 7 g/dL (70 g/L). Based on this patient's history, the healthcare provider anticipates an order to prepare the patient for A. a computed tomography (CT) scan B. an upper gastrointestinal endoscopy C. a comprehensive dietary inventory D. a bone marrow aspiration None 4. RN Reduction of Risk Potential,NCLEX-RN Which is the MOST appropriate position for a client admitted with increased intracranial pressure (ICP)? A. Lateral recumbent position with no pillow B. Head of bed (HOB) at 30 degrees, head in neutral position C. Supine position with legs elevated on pillows D. Low Fowler's with head turned to the side None 5. RN Reduction of Risk Potential,NCLEX-RN After a client has had major surgery, the nurse provides information about the client's condition to a visitor whom the nurse believes is a family member. Later, the nurse finds out that the visitor is not a relative. Which legal violation has occurred? A. Negligence to provide appropriate care B. Disregard of the client's right to privacy C. Failure to follow the chain of command D. Responsibilities beyond the scope of duty None 6. RN Reduction of Risk Potential,NCLEX-RN A 72-year-old female is scheduled for a coronary angiogram in the morning. When the nurse does post-procedure teaching, which instruction should be included? A. The client will be on bedrest with bathroom privileges B. The client will remain NPO for 8 hours post-procedure C. The client's leg must be kept straight for 8-12 hours post-procedure D. The client can expect oozing of blood at the puncture site None 7. RN Reduction of Risk Potential,NCLEX-RN An experienced RN is observing a new graduate nurse perform dressing changes with transparent film. Which dressing change will cause the experienced RN to intervene? A. Using the film to secure an elbow dressing B. Covering a Stage I pressure ulcer C. Applying the film to a third-degree burn D. Protecting a client's heels from friction None 8. RN Reduction of Risk Potential,NCLEX-RN For a client with asthma, which of the following is MOST important to self-monitor every day? A. Respiratory rate B. Breathing effort C. Pulse oximetry D. Peak air flow None 9. RN Reduction of Risk Potential,NCLEX-RN A nasal cannula can be used to deliver oxygen from 1-6 L/min. What is the fraction of oxygen delivered (FiO2) at 2 L/min? A. 24% B. 36% C. 28% D. 32% None 10. RN Reduction of Risk Potential,NCLEX-RN A noninvasive method of measuring ventilation and perfusion that is considered more accurate than pulse oximetry is A. arterial blood gas B. blue spectroscopy C. anoximeter. D. capnography None 11. RN Reduction of Risk Potential,NCLEX-RN When assisting a conscious client who is choking, which of the following actions would be INCORRECT? A. Ask the client if they are choking and say that help is here. B. Swipe the client's mouth with one finger C. Thrust quick, hard, and upward on the client's stomach D. Assist the client to a standing position None 12. RN Reduction of Risk Potential,NCLEX-RN During a routine physical exam, the nurse auscultates the lungs of a client. What type of lung sounds will be auscultated in a healthy client when the nurse listens over the areas indicated by the red X's in this image? A. Alveolar B. Bronchovesicular C. Vesicular D. Bronchial None 13. RN Reduction of Risk Potential,NCLEX-RN A child with a peanut allergy has recently been diagnosed with asthma. The healthcare provider instructs the parents on ways to prevent the child from coming in contact with peanuts. This instruction is necessary because the child is at increased risk for which of these problems? A. Headache and seizures B. Painful rash and urticaria C. Projectile vomiting and diarrhea D. Anaphylaxis and respiratory failure None 14. RN Reduction of Risk Potential,NCLEX-RN A patient with chronic hepatitis C is scheduled for a liver biopsy. Before the procedure, the nurse checks the patient's most recent lab results. Which of the following laboratory tests does NOT assess coagulation? A. Partial thromboplastin time B. Hematocrit C. Platelet count D. Prothrombin time None 15. RN Reduction of Risk Potential,NCLEX-RN When evaluating the arterial blood gases (ABGs) of a patient with a 20-year history of chronic bronchitis, which of the following would the healthcare provider expect? A. Respiratory alkalosis, uncompensated B. Metabolic alkalosis, compensated C. Metabolic acidosis, uncompensated D. Respiratory acidosis, compensated None 16. RN Reduction of Risk Potential,NCLEX-RN A patient has just been admitted to the hospital for observation. The laboratory results are hematocrit 45%, hemoglobin 15 g/dl (150 g/L), platelets 50 × 10^9/L. Based on these results, which of the following is the patient's primary problem? A. Productive cough B. Deep vein thrombosis C. Right upper quadrant pain D. Recurrent nosebleeds None 17. RN Reduction of Risk Potential,NCLEX-RN The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes. Which of these is most helpful in evaluating this patient's long-term glucose management? A. The patient's food diary B. Fasting blood glucose level C. Hemoglobin A1c D. Urine specific gravity None 18. RN Reduction of Risk Potential,NCLEX-RN The nurse is providing pre-procedural education for a client before a percutaneous transluminal coronary angioplasty (PTCA). Which of the following statements is CORRECT regarding the procedure? A. A pacemaker device will be inserted by your doctor. B. The PTCA is a non-invasive procedure to check your heart. C. The health care provider will replace your coronary arteries. D. This procedure compresses plaque in the coronary arteries. None 19. RN Reduction of Risk Potential,NCLEX-RN After a new diagnosis of polycystic kidney disease (PKD), the client seems confused about possible complications and asks the nurse to describe the most serious consequence. Which response by the nurse is correct? A. Growth of cysts in the liver B. End-stage renal disease C. Nocturnal polyuria D. Chronic urinary tract infections None 20. RN Reduction of Risk Potential,NCLEX-RN When a healthcare provider is caring for a patient with a cardiac dysrhythmia, it is most important for the healthcare provider to monitor the patient's A. sodium, potassium, and calcium B. PT and INR C. hemoglobin and hematocrit D. BUN and creatinine None 21. RN Reduction of Risk Potential,NCLEX-RN A construction worker is brought to the Emergency Department after falling headfirst through a plate glass window. The client's eyes are bleeding and swollen completely shut. How should the nurse record the eye component of the Glasgow Coma Scale (GCS)? A. Unresponsive to stimulus B. Eyes closed by other factor C. Does not respond to sounds D. No opening of the eyes None 22. RN Reduction of Risk Potential,NCLEX-RN Which of the following statements about the hemoglobin A1c test is true? A. It can help diagnose diabetic ketoacidosis B. It shows glucose levels from the last 60 days C. It is a way to measure diabetic compliance D. It is only positive if the client has diabetes None 23. RN Reduction of Risk Potential,NCLEX-RN To help parents increase the protein intake of their child, which of the following should the nurse encourage? A. Cereal bar B. Popcorn C. Banana D. String cheese None 24. RN Reduction of Risk Potential,NCLEX-RN A new patient is unable to perform oral hygiene. Which of the following instructions should the nurse give to the nurse aide? A. Rinse the patient's mouth with mouthwash a few times during your shift. B. Use a soft foam applicator to swab the tongue, gums, and lips every 2 hours. C. Use a soft toothbrush to brush the patient's teeth after every meal. D. Check the entire mouth each time oral hygiene is done and document your observations. None 25. RN Reduction of Risk Potential,NCLEX-RN The nurse meets with a female client after her diagnosis of primary hypertension. Which statement by the client can the nurse anticipate? A. I notice that I get frequent nosebleeds. B. I wake up many nights in a sweat. C. I get leg cramps when I take my daily walk. D. I think there's been a mistake. I feel fine. None 1 out of 25 Time is Up! Time's up
