Reduction of Risk Potential NCLEX PN

Question 1 of 18

In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

A. ability to breathe

B. pallor or cyanosis of the skin

C. number of accompanying family members

D. motor function

Correct Answer:

Rationale:

Question 2 of 18

The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the following medication regimens should be used?

A. an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)

B. two non-nucleoside reverse transcriptase inhibitors

C. one protease inhibitor such as Nelfinavir

D. two protease inhibitors

Correct Answer:

Rationale:

Question 3 of 18

A client has been placed in isolation because he is diagnosed with a contagious illness. The nurse should be aware that:

A. Linens from the client's bed should be double-bagged.

B. Meals should be served on washable dishes.

C. Extensive isolation rarely causes psychological problems.

D. Paper trays and plastic utensils prevent disease transmission.

Correct Answer:

Rationale:

Question 4 of 18

When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:

A. Pregnancy tests might be unreliable while taking the drug.

B. She must use a reliable form of birth control.

C. She should not take the Category X drug on days she has intercourse.

D. She must follow up with an endocrinologist.

Correct Answer:

Rationale:

Question 5 of 18

The nurse should perform which intervention when a client is restrained?

A. Remove the restraints and provide skin care hourly.

B. Document the condition of the client's skin every 3 hours.

C. Assess the restraint every 30 minutes.

D. Tie the restraint to the side rails.

Correct Answer:

Rationale:

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