Nursier
Register
Log in Register Register

NCLEX-PN clinical judgment practice questions, set 53

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 53

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

While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?

  1. A. Use a black marker to fully cover up the mistake.
  2. B. Do not make any changes to the progress note but explain later in the note that a mistake was made and note what should have been written.
  3. C. Use whiteout to cover over the mistake and write over it.
  4. D. Inform the client about the mistake and offer to provide a corrected copy.
Show answer and rationale

Correct answer: B — Do not make any changes to the progress note but explain later in the note that a mistake was made and note what should have been written.

In the scenario described, it is essential for the nurse not to alter the original progress note. Option B is the correct course of action as it maintains the integrity of the documentation while acknowledging the error for transparency and accuracy. Using a black marker (Option A) or whiteout (Option C) can be seen as an attempt to conceal the mistake, which is not in line with professional standards. Option D is incorrect because the mistake should be addressed within the documentation itself, not by informing the client directly about it.

Question 2

In Parkinson's disease, a client's difficulty in performing voluntary movements is known as:

  1. A. Akinesia.
  2. B. Dyskinesia.
  3. C. Chorea.
  4. D. Dystonia.
Show answer and rationale

Correct answer: C — Chorea.

In Parkinson's disease, the client's difficulty in performing voluntary movements is termed dyskinesia. Dyskinesia refers to the impairment of the ability to execute voluntary muscle movements. Akinesia, on the other hand, refers to the absence or lack of voluntary movement. Chorea is characterized by involuntary, rapid, irregular movements. Dystonia involves sustained muscle contractions resulting in abnormal postures or twisting movements. Therefore, dyskinesia is the specific term used for the described difficulty in Parkinson's disease.

Question 3

The client is cared for by a nurse and calls for the nurse to come to the room, expressing feeling unwell. The client's vital signs are BP: 130/88, HR: 102, RR: 28. What should the nurse do next?

  1. A. Administer PRN anxiolytic
  2. B. Administer Antibiotics
  3. C. Reassure the client that everything is okay and offer food and beverage
  4. D. Determine the Glasgow Coma Scale
Show answer and rationale

Correct answer: A — Administer PRN anxiolytic

Correct! The client's vital signs indicate tachycardia and tachypnea, which could be indicative of hypoxia. Administering a PRN anxiolytic would not address the underlying issue and could mask deterioration. Reassuring the client without further assessment or intervention could lead to a delay in appropriate care if there is a serious underlying cause for the symptoms. Determining the Glasgow Coma Scale is not relevant to the client's presenting symptoms of feeling unwell and suspecting something is wrong, coupled with abnormal vital signs.

Question 4

All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:

  1. A. monitoring intravenous infusion
  2. B. assisting a client to the bathroom
  3. C. offering fluid intake every 1-2 hours
  4. D. monitoring/recording the amount of fluid taken
Show answer and rationale

Correct answer: A — monitoring intravenous infusion

Monitoring an intravenous infusion involves assessing for complications, adjusting the flow rate, and monitoring the client's response, which requires the knowledge and skills of a licensed nurse (RN or LPN). Tasks that can be delegated to nursing assistants or unlicensed assistive personnel include assisting a client to the bathroom, offering fluids, and recording fluid intake. These activities are within the scope of practice for UAPs as they do not involve the specialized knowledge and training needed for intravenous infusion monitoring.

Question 5

As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?

  1. A. builds towers with several blocks
  2. B. tries to color within the lines
  3. C. says "Mine!"? when playing with toys
  4. D. tries to jump rope
Show answer and rationale

Correct answer: C — says "Mine!"? when playing with toys

For a 2-year-old child, saying 'Mine!' when playing with toys is an example of age-appropriate play. Toddlers at this age are possessive and asserting their sense of ownership. Building towers with blocks and trying to color within the lines involve more advanced motor skills and cognitive abilities that are typically not fully developed in a 2-year-old. Jumping rope requires coordination and balance beyond what a 2-year-old can usually achieve. Therefore, choices A, B, and D are not considered age-appropriate plays for a 2-year-old child.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing

Ten more NCLEX-PN clinical judgment questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

A nurse has been ordered to administer Morphine to a patient. Which of the following effects is unrelated to Morphine's effects on the patient?

  1. A. Depressed function of the CNS
  2. B. Increased blood flow
  3. C. Decreased venous capacity
  4. D. Pain relief
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

For which of the following conditions might blood be drawn to assess uric acid levels?

  1. A. asthma
  2. B. gout
  3. C. diverticulitis
  4. D. meningitis
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Which sexually transmitted disease, sometimes referred to as the silent STD, is more common than gonorrhea and a leading cause of PID?

  1. A. Genital herpes.
  2. B. Trichomoniasis.
  3. C. Syphilis.
  4. D. Chlamydia.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

In the emergency room, a nurse is responsible for triaging four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?

  1. A. A 10-year-old with lacerations on the face
  2. B. A 15-year-old with sternal bruises
  3. C. A 34-year-old with a fractured femur
  4. D. A 50-year-old with a dislocated elbow
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

  1. A. epilepsy
  2. B. Parkinson's
  3. C. multiple sclerosis
  4. D. Huntington's chorea
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

The nurse observes a nursing assistant performing AM care for a client with a new leg cast. Which action by the assistant will the nurse intervene?

  1. A. Lifting the affected leg with the palms of the hands
  2. B. Covering the affected leg with a blanket to avoid chills
  3. C. Placing plastic over the groin prior to bathing
  4. D. Elevating the casted leg on two pillows
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Using clichés in therapeutic communication leads the client to:

  1. A. viewing the nurse as less understanding.
  2. B. accepting themselves as human.
  3. C. self-disclosing.
  4. D. feeling discounted.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

Where do the vast majority of deaths resulting from unintentional poisoning occur?

  1. A. Infants
  2. B. Toddlers
  3. C. Teens
  4. D. Adults
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

The goals of palliative care include all of the following except:

  1. A. giving clients with life-threatening illnesses the best quality of life possible.
  2. B. taking care of the whole person"?body, mind, spirit, heart, and soul.
  3. C. no interventions are needed because the client is near death.
  4. D. supporting the needs of the family and client.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

During the admission assessment for a client undergoing breast augmentation, which information should the nurse prioritize reporting to the surgeon before surgery?

  1. A. The client is concerned about who will care for her two children while she recovers.
  2. B. The client has a history of postoperative dehiscence after a previous C-section.
  3. C. The client's statement that her last menstrual period was 8 weeks prior.
  4. D. The client's concerns over pain control postoperatively.
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 53 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the NCLEX-PN exam guide.

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.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing