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NCLEX-PN · Physiological Integrity

Reduction of Risk Potential Review

Review status: Draft. This NCLEX-PN content has not been reviewed by a licensed nursing professional. LPN/VN scope of practice varies by state, setting and facility policy; always follow your program, your state's nurse practice act and your facility's policies.

Vital signs, lab values, diagnostic tests, tubes and lines, and recognizing and reporting changes early.

2026 NCLEX-PN test plan:
9–15% of the exam
Practice questions:
26 original

What this category covers

Reduction of Risk Potential is about lowering the chance that a client develops complications from a condition, test or treatment. The nurse monitors vital signs and laboratory results, prepares clients for tests and cares for them afterward, collects specimens, monitors tubes, drains, catheters and peripheral IV sites, and recognizes and reports early signs of deterioration.

Key concepts

Trends matter

Compare current findings with the client's baseline. A change — even within a normal range — can be the first sign of a problem.

Lab values

Know which results are outside the reference range and report significant abnormal values promptly, following facility policy for critical results.

Tubes, drains and IV sites

Check patency, drainage and the insertion site. Redness, swelling, pain or leaking at an IV site needs action per policy and reporting.

Communicating changes

Use a structured format such as SBAR to report a change to the RN or provider, and document what you reported and the response.

Topics to review

  • Vital sign changes and trends
  • Laboratory values
  • Diagnostic test preparation and aftercare
  • Specimen collection
  • Blood glucose monitoring
  • Postoperative and procedure complications
  • NG tubes, urinary catheters and drains
  • Peripheral IV monitoring
  • Recognizing and reporting deterioration

Related case studies

Sources

Educational Use & Safety

Educational exam preparation only. Questions and case studies use fictional clients and teach general nursing concepts. They are not medical advice and do not determine care for an actual patient. Always follow current clinical guidance, provider orders, and your program's and facility's policies.

Educational Use & Safety

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