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Home » My Account » NCLEX-RN Reduction of Risk Potential Exam

NCLEX-RN Reduction of Risk Potential Exam

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Question 1 of 20

1. Question

A client with suspected Cushing syndrome is given an order for a 24-hour urine cortisol test. The nurse is providing instructions on proper collection procedures and precautions to be followed while the client is home.

> Which client statement indicates the need for further instruction?

1. "I will urinate first thing in the morning and discard that urine before collecting future specimens.”
Correct Incorrect Correct answer

2. "I will collect all the urine in the provided collection bottle and keep the bottle either on ice or refrigerated during the collection period.”
Correct Incorrect Correct answer

3. "I will start the collection in a few days. For now, I will follow my normal diet except will avoid any caffeine, alcohol, and citrus fruits. I will also avoid smoking and strenuous activity.”
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4. "I will follow my usual schedule for taking my prescribed medication during the day of collection.”
Correct Incorrect Correct answer

Correct

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Question 2 of 20

2. Question

A 70-year-old client presents to the clinic complaining about urinary changes. Based on the client’s history, the nurse suspects benign prostatic hyperplasia (BPH).

> Which assessment finding is most consistent with early symptoms of benign prostatic hyperplasia?

1. Inability to urinate, resulting in pain and requiring catheterization
Correct Incorrect Correct answer

2. Frequent voiding after falling asleep at night
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3. Failure to empty bladder fully, leading to bladder distention
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4. A weak or intermittent urinary stream
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Question 3 of 20

3. Question

The nurse reviews fasting serum glucose values for a client seen during a routine health screening.

> Which value is considered within normal limits?

1. 95 mg/dL (5.3 mmol/L)
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2. 115 mg/dL (6.4 mmol/L)
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3. 128 mg/dL (7.1 mmol/L)
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4. 142 mg/dL (7.9 mmol/L)
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Question 4 of 20

4. Question

A client admitted for major depressive disorder initially displayed withdrawal, flat affect, and verbalized feelings of worthlessness. On the fourth hospital day, the client appears suddenly upbeat, calm, and expresses relief.

> What is the nurse’s priority action?

1. Document the behavioral change and continue routine monitoring
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2. Assume the medication regimen is effective
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3. Notify the provider that the client’s mood has improved
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4. Speak privately with the client and directly assess for suicidal thoughts
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Question 5 of 20

5. Question

The nurse is monitoring a laboring client experiencing shoulder dystocia.

> Which finding most strongly suggests clinical compromise?

1. Maternal exhaustion
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2. Ongoing nonreassuring fetal heart rate pattern
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3. Irregular uterine contractions
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4. Cervical dilation progression
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Question 6 of 20

6. Question

A client is discharged after removal of a cervical radiation implant used to treat cancer.

> Which statement by the client indicates need for further instruction?

1. “I can apply soothing cream if I have vaginal irritation.”
Correct Incorrect Correct answer

2. “Light vaginal bleeding may last several weeks.”
Correct Incorrect Correct answer

3. “A foul-smelling discharge means I have an infection.”
Correct Incorrect Correct answer

4. “I can resume sexual activity after about one week.”
Correct Incorrect Correct answer

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Question 7 of 20

7. Question

A client has an abdominal incision with a Penrose drain in place. The nurse plans care for the drain.

> Which nursing intervention is appropriate?

1. Secure the drain with a sterile safety pin at the outer end
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2. Empty the drainage bulb every shift and record output
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3. Confirm suction is set to the prescribed negative pressure
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4. Compress the reservoir before closing the port after emptying the system
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Question 8 of 20

8. Question

A nursing student needs to obtain a urine specimen from a 7-month-old infant for routine urinalysis.

> Which method should the student use?

1. Straight catheterization using the smallest catheter available
Correct Incorrect Correct answer

2. Apply a pediatric urine collection bag to the perineal area
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3. Squeeze urine from a wet diaper into a specimen cup
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4. Time the infant’s next void and catch it midstream in a cup
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Question 9 of 20

9. Question

A home care nurse visits a client who was discharged with axillary crutches after a minor ankle injury. During assessment, the nurse learns the client has a severe latex allergy. The crutches have rubber pads under the arms and on the tips.

> What should the nurse do first before teaching crutch use?

1. Call the provider to request a new mobility prescription
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2. Contact a medical supply company to deliver a cane instead
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3. Remove the crutches from the home immediately
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4. Cover the crutch pads with a cloth barrier to prevent skin contact
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Correct

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Question 10 of 20

10. Question

A pregnant client with a known history of genital herpes asks what will be done to protect the newborn from infection during delivery.

> Which instruction should the nurse provide?

1. Sexual intercourse is acceptable until 30 weeks as long as symptoms are mild
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2. Cesarean delivery is indicated if active genital lesions are present at the onset of labor
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3. Antiviral medication must be taken throughout the entire pregnancy
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4. Vaginal delivery is recommended even if active genital lesions are present
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Question 11 of 20

11. Question

A client presents with acute pain and swelling in the right great toe consistent with gout. Laboratory work is reviewed.

> Which value would the nurse expect?

1. Serum calcium 9.4 mg/dL (2.35 mmol/L)
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2. Serum potassium 4.0 mEq/L (4.0 mmol/L)
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3. Serum phosphorus 3.3 mg/dL (1.1 mmol/L)
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4. Serum uric acid 9.0 mg/dL (540 µmol/L)
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Correct

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Question 12 of 20

12. Question

A client comes to an urgent care clinic 2 days after a needlestick exposure at work and requests HIV testing “so I can stop worrying.” The initial screening test is negative, and the client says, “Great, that means I’m in the clear.”

> What should the nurse emphasize about these results?

1. “A negative result this soon means you did not acquire HIV from this exposure.”
Correct Incorrect Correct answer

2. “Since the test is negative today, you will not need any follow-up testing.”
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3. “A negative HIV result right after an exposure may be unreliable because infection can’t always be detected yet.”
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4. “You should only repeat the test if you develop fever, rash, or swollen lymph nodes.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 13 of 20

13. Question

A client is 48 hours post–spinal cord injury and has a nasogastric tube to low intermittent suction due to decreased bowel motility. The nurse monitors for gastrointestinal complications common after acute spinal cord injury.

> Which finding would be most concerning?

1. Positive occult blood testing of nasogastric aspirate
Correct Incorrect Correct answer

2. A report of loose stools before the injury
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3. A flat, soft abdomen with active bowel sounds
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4. Loud, hyperactive bowel sounds throughout all quadrants
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Correct

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Question 14 of 20

14. Question

A nurse is caring for a client with a chest tube connected to a closed chest drainage system.

> Which nursing action is appropriate?

1. Empty the drainage collection chamber into a graduate every 8 hours.
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2. Keep the drainage device at the same height as the client’s bed during transfers.
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3. Verify that the water seal chamber is at the ordered level (commonly ~2 cm).
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4. Clamp the chest tube whenever the client is repositioned.
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Correct

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Question 15 of 20

15. Question

A client is hospitalized with dehydration from a UTI and is receiving IV fluids. The nurse is monitoring BUN to evaluate volume repletion.

> Which BUN value best suggests the client has received adequate volume replacement?

1. 5 mg/dL (1.8 mmol/L)
Correct Incorrect Correct answer

2. 16 mg/dL (5.7 mmol/L)
Correct Incorrect Correct answer

3. 31 mg/dL (11.1 mmol/L)
Correct Incorrect Correct answer

4. 42 mg/dL (15.0 mmol/L)
Correct Incorrect Correct answer

Correct

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Question 16 of 20

16. Question

A client is transferred to the postop unit following rhinoplasty, with a nasal splint and a “moustache” dressing.

> Which position should the nurse anticipate as ordered?

1. Semi-Fowler’s
Correct Incorrect Correct answer

2. Flat supine
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3. Prone
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4. Side-lying with head flat
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Correct

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Question 17 of 20

17. Question

The nurse is assessing four clients who are 24 hours postpartum.

> Which client finding requires follow-up?

1. Uterine cramping that increases with breastfeeding.
Correct Incorrect Correct answer

2. Lochia rubra with a strong foul odor.
Correct Incorrect Correct answer

3. Heart rate of 58 beats/minute with no dizziness.
Correct Incorrect Correct answer

4. Small amounts of colostrum expressed from both breasts.
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 20

18. Question

> Which clients should be monitored most closely for development of urosepsis? Select all that apply.

1. A client with neurogenic bladder requiring intermittent catheterization.
Correct Incorrect Correct answer

2. A client being discharged after an uncomplicated outpatient procedure.
Correct Incorrect Correct answer

3. A client who had one uncomplicated UTI three years ago.
Correct Incorrect Correct answer

4. A client on immunosuppressive therapy following cancer treatment.
Correct Incorrect Correct answer

5. A client with chronic urinary dribbling and incomplete emptying.
Correct Incorrect Correct answer

Correct / 2 Points

Incorrect / 2 Points
Question 19 of 20

19. Question

A client calls after brushing against poison ivy about 20 minutes ago. The skin looks normal and the client asks what to do now.

> What should the nurse recommend?

1. Go to urgent care immediately.
Correct Incorrect Correct answer

2. Apply topical calamine lotion right away.
Correct Incorrect Correct answer

3. Shower promptly with soap and running water, lathering and rinsing several times.
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4. Do nothing unless a rash appears.
Correct Incorrect Correct answer

Correct

Incorrect
Question 20 of 20

20. Question

A client arrives after a penetrating eye injury. A metal fragment is visibly protruding from the right eye.

> What should the nurse do first?

1. Secure a rigid eye shield without pressure and keep the object in place.
Correct Incorrect Correct answer

2. Irrigate the eye with sterile saline until debris is cleared.
Correct Incorrect Correct answer

3. Remove the foreign body with sterile forceps.
Correct Incorrect Correct answer

4. Apply antibiotic ointment and cover with gauze.
Correct Incorrect Correct answer

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