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NCLEX-PN clinical judgment practice questions, set 19

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 19

You notice cues, form a hypothesis, act, and evaluate — the same loop Next Generation items reward. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the NCLEX-PN exam guide or more NCLEX-PN practice questions.

Five clinical judgment questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of psychosocial development, the nurse tells the group that infants have which developmental need?

  1. A. Must have needs ignored for short periods to develop a healthy personality
  2. B. Need to rely on the fact that their needs will be met
  3. C. Need to experience frustration, so it is best to allow an infant to cry for a while before meeting his or her needs
  4. D. Need to tolerate a great deal of frustration and discomfort to develop a healthy personality
Show answer and rationale

Correct answer: B — Need to rely on the fact that their needs will be met

According to Erikson's theory of psychosocial development, infants struggle to establish a sense of basic trust rather than a sense of basic mistrust in their world, their caregivers, and themselves. If provided with consistent satisfying experiences that are delivered in a timely manner, infants come to rely on the fact that their needs are met and that, in turn, they will be able to tolerate some degree of frustration and discomfort until those needs are met. This sense of confidence is an early form of trust and provides the foundation for a healthy personality. Therefore, options A, C, and D are incorrect as they do not align with Erikson's theory that emphasizes the importance of infants trusting that their needs will be met.

Question 2

A school nurse provides information to the parents of school-age children regarding appropriate dental care. The nurse tells the parents that their children should perform which action?

  1. A. Brush and floss their teeth after meals and at bedtime
  2. B. Brush their teeth every morning and at bedtime and floss the teeth once a day, preferably at bedtime
  3. C. Brush their teeth every morning and at bedtime
  4. D. Brush and floss their teeth every morning and at bedtime
Show answer and rationale

Correct answer: A — Brush and floss their teeth after meals and at bedtime

School-age children are capable of taking responsibility for their own dental hygiene. Establishing good oral health habits during childhood can lead to a lifetime of cavity prevention. The nurse advises the parents that their children should brush with fluoride toothpaste and floss between their teeth after meals and before bedtime. This routine helps maintain good oral health and teaches children the importance of dental care. Choice A is the correct answer as it emphasizes both brushing and flossing after meals and at bedtime, which are crucial for effective dental care. Choices B, C, and D are incorrect as they do not stress the significance of both brushing and flossing after meals, which is essential for proper oral hygiene.

Question 3

A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her. Which approach can the nurse take to meet the client's needs at this time?

  1. A. asking whether another individual wants to be her support person
  2. B. assuring her that a nursing staff member will be with her at all times
  3. C. telling her you will try to locate her family
  4. D. reinforcing the woman's confidence in her own abilities to cope and maintain a sense of control
Show answer and rationale

Correct answer: A — asking whether another individual wants to be her support person

In this situation, the best approach for the nurse is to ask whether another individual wants to be the client's support person. This empowers the client to choose someone to be with her until her family can join her, providing the needed support and comfort. Assuring her that a nursing staff member will be with her at all times (Choice B) may not fully address her emotional needs for familiar support. Telling her you will try to locate her family (Choice C) may not be feasible in the immediate situation and may not provide immediate emotional support. While reinforcing the woman's confidence in her own abilities (Choice D) is important, it may not fully address her current need for emotional support and presence of a companion.

Question 4

Which type of exercises might be prescribed to strengthen the pelvic floor muscles of a client with urinary incontinence?

  1. A. Kegel
  2. B. resistance
  3. C. passive
  4. D. stretching
Show answer and rationale

Correct answer: A — Kegel

The correct answer is Kegel. Kegel exercises are specifically designed to strengthen the pelvic floor muscles, making them an effective treatment for urinary incontinence. These exercises involve contracting and relaxing the pelvic floor muscles, which helps to improve muscle tone and control. Choice B, resistance exercises, may not directly target the pelvic floor muscles as effectively as Kegel exercises. Passive exercises (Choice C) do not actively engage the muscles and are unlikely to strengthen the pelvic floor. Stretching exercises (Choice D) focus on increasing flexibility rather than muscle strength, so they are not the most appropriate for strengthening the pelvic floor muscles in the context of urinary incontinence.

Question 5

When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?

  1. A. Hysterosalpingography
  2. B. Semen analysis
  3. C. Endometrial biopsy
  4. D. Transvaginal ultrasound
Show answer and rationale

Correct answer: B — Semen analysis

Semen analysis is the most appropriate initial diagnostic test for a couple experiencing infertility. It is the least invasive of the listed tests, and since male factor infertility contributes to around 35% of cases, assessing semen parameters early is crucial. Hysterosalpingography is a radiographic test to evaluate tubal patency and uterine cavity abnormalities. Endometrial biopsy assesses endometrial receptivity post-ovulation. Transvaginal ultrasound is mainly used in infertility treatment to monitor follicle development, oocyte maturity, and luteal phase defects. Choices A, C, and D are more invasive, require specialized expertise, and are costlier. If semen analysis yields normal results, further tests may be warranted.

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Ten more NCLEX-PN clinical judgment questions

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Question 6

In an emergency situation where a client is unconscious and requires immediate surgery, what action is necessary with regard to informed consent?

  1. A. The healthcare team will proceed with the surgery as consent is not needed in emergencies.
  2. B. The healthcare team will wait until the client's family can be contacted for consent.
  3. C. The healthcare team will contact the hospital clergy to provide informed consent.
  4. D. The healthcare team will obtain consent from the client's legal guardian before proceeding.
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Question 7

All of the following are causes of vaginal bleeding in late pregnancy except:

  1. A. Placenta previa.
  2. B. Eclampsia.
  3. C. Abruptio placentae.
  4. D. Uterine rupture.
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Question 8

The client is preparing to undergo a total hysterectomy for advanced cervical cancer. The client is crying and says that she wants to have more children and is unsure if she should have the procedure. What should the nurse do?

  1. A. Allow the client to honestly discuss her fears and encourage her to talk more with her physician.
  2. B. Tell her the good things that she will be able to do without more children and encourage her to make a list of positive things.
  3. C. Explain to the client that her ovaries can be frozen for egg harvesting at a later time and she can find a surrogate.
  4. D. Advise the client to put off having the surgery until she is sure that she wants to undergo the procedure and notify the surgeon of the decision.
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Question 9

A client is scheduled to undergo a Papanicolaou (Pap) test in 1 week. Which statement does the nurse make to the client?

  1. A. 'If you are menstruating, use pads instead of a tampon.'
  2. B. 'Avoid intercourse for 24 hours before the scheduled examination.'
  3. C. 'Get a douching kit from the pharmacy and douche 2 hours before the examination.'
  4. D. 'If you are having a vaginal discharge, obtain a sample of the discharge for inspection.'
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Question 10

All of the following interventions should be performed when fetal heart monitoring indicates fetal distress except:

  1. A. Increase maternal fluids.
  2. B. Administer oxygen.
  3. C. Decrease maternal fluids.
  4. D. Turn the mother.
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Question 11

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, "I do not know how to make my diet work with the kind of foods that my family eats."? What should the nurse do first to help the client determine a suitable diet for disease prevention?

  1. A. Provide her with copies of the approved dietary guidelines from the American Diabetic Association and the American Heart Association.
  2. B. Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs.
  3. C. Provide a high-protein diet plan for the client.
  4. D. Provide the client with information related to risk factors for heart disease and diabetes.
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Question 12

Support systems during the grieving process include all of the following except:

  1. A. a despondent friend.
  2. B. a nurse.
  3. C. a social worker.
  4. D. a family member.
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Question 13

The greatest time savers when planning client care include all of the following except:

  1. A. reacting to the crisis of the moment
  2. B. setting goals
  3. C. planning
  4. D. specifying priorities
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Question 14

When evaluating a kinetic family drawing, which of the following actions is most effective?

  1. A. asking the child to draw their family doing something
  2. B. offering specific suggestions of what to include in the drawing
  3. C. discouraging the child from talking about the drawing
  4. D. noting the omission of any family members
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Question 15

When preparing a client for a neck x-ray, what is the most appropriate action for the nurse to take if the client expresses concern about removing a religious medal worn around the neck?

  1. A. Telling the client that the medal and chain will be kept at the nurse's station for safekeeping while the client is undergoing the x-ray
  2. B. Asking the client to remove the medal until the x-ray has been completed
  3. C. Assisting the client in pinning the medal and chain to the waistband of the client's pajama bottoms
  4. D. Asking the client to place the medal in the top drawer of the bedside stand just before leaving for the radiology department
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 19 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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