NACE Reduction of Risk Potential 2

Question 1

A nurse is preparing a patient for a lumbar puncture. Which position should the patient be placed in?

Accepted Answer

Lateral recumbent with knees drawn to chest and chin tucked

Answer

Prone with a pillow under the abdomen

Answer

Supine with legs elevated

Answer

Sitting upright leaning forward over a bedside table

Question 2

Which assessment finding in a patient with a new hip fracture fixation requires immediate nursing intervention?

Accepted Answer

Foot on the affected side is cool, pale, and pulses are absent

Answer

Pain rated 4/10 with movement

Answer

Ability to wiggle toes on the affected side

Answer

Mild swelling at the surgical site

Question 3

A patient is scheduled for an MRI. Which item must the nurse ensure is removed before the procedure?

Accepted Answer

Hearing aids

Answer

Cotton hospital gown

Answer

Plastic identification bracelet

Answer

Non-metallic hair tie

Question 4

A nurse is monitoring a patient who had a cardiac catheterization via the femoral artery 2 hours ago. Which finding requires immediate action?

Accepted Answer

Expanding hematoma at the femoral access site

Answer

Small bruise at the insertion site

Answer

Patient reports mild soreness at the groin

Answer

Blood pressure of 128/78 mmHg

Question 5

A patient with diabetes mellitus has a fasting blood glucose of 52 mg/dL and is conscious. What is the nurse's priority intervention?

Accepted Answer

Give 15 grams of a fast-acting carbohydrate orally

Answer

Administer IV dextrose 50%

Answer

Administer glucagon intramuscularly

Answer

Recheck the glucose level in 30 minutes

Question 6

A nurse is caring for a patient with a central venous catheter. Which complication should the nurse monitor for during and immediately after insertion?

Accepted Answer

Pneumothorax

Answer

Phlebitis

Answer

Peripheral neuropathy

Answer

Cellulitis