Reduction of Risk Potential questions make up approximately 13% of the questions on the NCLEX-PN and 12% of the questions on the NCLEX-RN. These questions focus on reducing the potential for clients to develop health problems relating to procedures, treatments, and existing conditions. Some of the specific topics included are changes in vital signs, laboratory values, diagnostic tests, therapeutic procedures, and potential for complications. Try our free NCLEX Reduction of Risk Potential practice questions to help with your test prep and review.
NCLEX Risk Reduction Questions
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Question 1 of 42
1. Question
A patient learns he is scheduled for an IV pyelogram. He asks the nurse what can be expected for this test. The nurse correctly states that:
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Question 2 of 42
2. Question
A patient comes to the ER complaining of joint pain that began in his great toe. Which of the following risk factors, if seen in the patient’s history, does the nurse suspect triggered the patient’s condition?
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Question 3 of 42
3. Question
The nurse enters a patient’s room and observes via the monitor that their vital signs are as follows: blood pressure 80/42, heart rate 118, respirations 32. The nurse will place the patient in which of the following positions?
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Question 4 of 42
4. Question
A patient with a suspected broken femur begins to experience tachycardia, shortness of breath, and chest pain. Which of the following actions should the nurse take NEXT?
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Question 5 of 42
5. Question
In which patient would the nurse expect to see a greenstick fracture?
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Question 6 of 42
6. Question
A patient with a crush injury to her right arm calls the nurse and requests pain medicine, which the nurse administers as ordered. An hour later, the patient is still complaining of intense pain. Which of the following actions does the nurse take next?
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Question 7 of 42
7. Question
A six-year-old boy with a casted left leg rings his call bell. Which of the following statements, if made by the nurse, requires an immediate intervention?
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Question 8 of 42
8. Question
Which of the following skin manifestations in an infant MOST concerns the nurse?
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Question 9 of 42
9. Question
The home care nurse visits a patient two days after cataract extraction and implant. Which of the following statements, if made by the patient, requires further teaching?
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Question 10 of 42
10. Question
A patient is being discharged from the hospital after being diagnosed with lupus erthematosus. The patient is advised to follow up with what to monitor their condition?
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Question 11 of 42
11. Question
Which of the following nursing considerations is most important to prevent a rise in ICP for a patient with meningitis?
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Question 12 of 42
12. Question
A patient with SCI (spinal cord injury) rings the call bell for the nurse and complains of a headache and nasal stuffiness. The patient asks for Advil and nasal spray. The nurse knows that the next correct action is to:
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Question 13 of 42
13. Question
A nurse performs a home care visit to a patient performing peritoneal dialysis at home and observes the procedure. Which of the following actions by the patient would be considered incorrect?
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Question 14 of 42
14. Question
The nurse performs discharge teaching for a patient with cystitis. Which of the following patient statements, if made by the patient to the nurse, reflects an INCORRECT understanding of instructions.
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Question 15 of 42
15. Question
A patient with hyperparathyroidism is included in the graduate nurse’s assignment today. Which of the following symptoms, if reported by the patient to the nurse, would alert the nurse to a complication from the disease?
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Question 16 of 42
16. Question
A graduate nurse is following around her preceptor on a PACU floor. The preceptor asks the graduate nurse to check Trousseau’s sign on a patient. The graduate nurse knows that she should:
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Question 17 of 42
17. Question
The nurse knows that the care plan for a patient with a pheochromocytoma will involve which of the following?
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Question 18 of 42
18. Question
A nurse cares for a patient after a hypophysectomy. The nurse knows that she should alert for which of the following potential signs of a serious complication?
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Question 19 of 42
19. Question
A patient has just returned from a hypophysectomy and complains of “mucus” dripping from her nose. What action does the nurse take next?
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Question 20 of 42
20. Question
The nurse assesses a patient on a medical/surgical unit. What assessment finding would prompt immediate investigation?
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Question 21 of 42
21. Question
A nurse cares for patients in the emergency department of a large hospital. One of the nurse’s patients has acute right-sided abdominal pain and is suspected of having appendicitis. Which of the following, if overheard by the nurse, would prompt immediate intervention?
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Question 22 of 42
22. Question
The nurse cares for patients on a medical/surgical unit. One of the nurse’s patients has just returned from a surgery to place a colostomy. The patient looks panicked and says to the nurse, “Should it look like that?!” The nurse responds:
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Question 23 of 42
23. Question
A nurse prepares a patient who will receive a paracentesis. The patient asks if there is anything she can do to prepare for the procedure. The nurse states which of the following?
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Question 24 of 42
24. Question
The nurse manager observes a graduate nurse care for patients on the unit. Which of the following observations, if made by the nurse manager, would require an intervention?
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Question 25 of 42
25. Question
A nurse receives an order from the doctor to hang a new bag of TPN at 0900. When the nurse enters with the new bag at 0900, she notices the old bag is still running and has 150mL left of TPN solution. What action does the nurse take next?
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Question 26 of 42
26. Question
The registered nurse who works on a medical/surgical unit cares for a patient with a feeding tube. What would cause the nurse to suspect that the feeding tube’s placement is incorrect?
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Question 27 of 42
27. Question
A nurse cares for a patient who has just returned from an endoscopy. The patient complains of a sore throat. The nurse knows that:
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Question 28 of 42
28. Question
A patient with AIDS comes to the clinic and tells the nurse he thinks he was exposed to tuberculosis a month ago. The nurse knows that the results of a PPD will be considered positive if induration measures at least:
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Question 29 of 42
29. Question
A nurse works on the medical/surgical unit. A patient is admitted with a broken hip. Upon assessment, the nurse notes the patient is coughing and is running a lowgrade fever. Per the patient’s history, he complains of night sweats. What action does the nurse take first?
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Question 30 of 42
30. Question
A patient has recovered and it is time for the physician to pull the chest tube out. During the procedure, the nurse instructs the patient to:
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Question 31 of 42
31. Question
A patient gets up in the middle of the night and forgets she has a chest tube in. The chest tube pulls out of her body and falls onto the floor. You, the nurse, walk by and perform what intervention?
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Question 32 of 42
32. Question
A patient comes to the ER complaining of chest pain and difficulty breathing. The nurse listens to the patient’s breath sounds. The left sounds clear, while the right displays no sounds. What other symptoms might the nurse expect to see upon further assessment?
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Question 33 of 42
33. Question
A patient is recovering from pacemaker insertion surgery. Which of the following, if stated by the patient, reflects a correct understanding of discharge instructions?
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Question 34 of 42
34. Question
An 8-year-old patient is admitted with a suspected fractured of the ulna. An x-ray is taken, and the nurse correctly identifies this type of fracture as:
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Question 35 of 42
35. Question
A diabetic patient suddenly becomes confused and diaphoretic. Which of the following actions should the nurse take FIRST?
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Question 36 of 42
36. Question
Which of the following is a finding that the nurse will be able to assess in a client with a pleural effusion?
SELECT ALL THAT APPLY:
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Question 37 of 42
37. Question
During your clinical rounds, you assessed a client with a respiratory rate of 6 breaths/minute. Which of the following additional assessment data should immediately be gathered to determine the present status of this client?
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Question 38 of 42
38. Question
The physician ordered a sputum culture and sensitivity test for a client with an admitting diagnosis of pulmonary tuberculosis. The nurse will instruct the client to do which of the following in order to obtain the specimen for this test?
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Question 39 of 42
39. Question
A 36-year old female client is scheduled for a mastectomy in the morning. Which of the following is the primary responsibility of the nurse?
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Question 40 of 42
40. Question
The incoming nurse received the day’s endorsement for her assigned clients. One particular client needs to be monitored for signs of thyroid storm. Which of the following are considered signs of thyroid storm?
SELECT ALL THAT APPLY:
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Question 41 of 42
41. Question
The nurse is taking care of a client who underwent a thyroidectomy. Upon assessment, the nurse noticed muscle spasm and twitching of the client’s face similar to the image below. This is called ____________ and is an indication of ___________.
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Question 42 of 42
42. Question
A primigravida at term is admitted to the birthing room in active labor. Later, when the client is 8 cm dilated, she tells the nurse that she has the urge to push. The nurse instructs her to pant-blow at this time because pushing could:
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