Nursier
Register
Log in Register Register

NCLEX-PN clinical judgment practice questions, set 56

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 56

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 55-year-old female asks a nurse the following, “Which mineral/vitamin is the most important to prevent the progression of osteoporosis?” The nurse should state:

  1. A. Potassium
  2. B. Magnesium
  3. C. Calcium
  4. D. Vitamin B12
Show answer and rationale

Correct answer: C — Calcium

The correct answer is C: Calcium. Calcium is essential for maintaining bone health and is crucial in preventing osteoporosis. Adequate calcium intake, along with vitamin D, is vital for bone strength. While other minerals and vitamins are also important for overall health, in the context of preventing osteoporosis, calcium plays a primary role. Potassium (Choice A), Magnesium (Choice B), and Vitamin B12 (Choice D) are important for various bodily functions but are not as directly linked to preventing osteoporosis as calcium.

Question 2

How does cancer affect pain tolerance in elderly clients?

  1. A. Remain constant.
  2. B. Decrease.
  3. C. Increase.
  4. D. Cancer has no impact on pain tolerance in elderly clients.
Show answer and rationale

Correct answer: B — Decrease.

Pain tolerance in elderly clients with cancer is likely to decrease due to factors such as diminished adaptative capacity, increased physical discomfort, and the psychological impact of the disease. Cancer is known to cause various physical and emotional stressors that can lower the pain threshold, leading to a decrease in pain tolerance. Choices A, C, and D are incorrect because cancer and its associated effects typically result in a decrease in pain tolerance rather than remaining constant, increasing, or having no impact.

Question 3

Chemotherapeutic agents often produce a degree of myelosuppression including leukopenia. Leukopenia does not present immediately but is delayed several days or weeks because:

  1. A. the client's hemoglobin and hematocrit are normal.
  2. B. red blood cells are affected first.
  3. C. folic acid levels are normal.
  4. D. the current white cell count is not affected by chemotherapy.
Show answer and rationale

Correct answer: D — the current white cell count is not affected by chemotherapy.

Leukopenia does not present immediately after chemotherapy because time is required to clear circulating cells before the effect on precursor cell maturation in the bone marrow becomes evident. Leukopenia is characterized by an abnormally low white blood cell count. The correct answer is D because the white cell count is not immediately affected by chemotherapy. Choices A, B, and C are incorrect as they pertain to red blood cells (hemoglobin and hematocrit), which are not directly related to the delayed onset of leukopenia.

Question 4

After discontinuing a peripherally inserted central line (PICC), what information is most important for the nurse to record?

  1. A. How the client tolerated the procedure.
  2. B. The length and intactness of the central line catheter.
  3. C. The amount of fluid left in the IV solution container.
  4. D. That a dressing was applied to the insertion site.
Show answer and rationale

Correct answer: B — The length and intactness of the central line catheter.

The most important information for the nurse to record after discontinuing a peripherally inserted central line (PICC) is the length and intactness of the central line catheter. This is crucial for assessing any potential complications or safety issues post-removal. Choices A, C, and D are not as critical as ensuring the condition of the central line catheter. While noting the client's tolerance of the procedure is relevant for their care assessment, evaluating the central line's integrity takes precedence in this scenario.

Question 5

A client with cancer develops xerostomia. The nurse can help alleviate the discomfort associated with xerostomia by:

  1. A. Offering hard candy
  2. B. Administering analgesic medications
  3. C. Splinting swollen joints
  4. D. Providing saliva substitute
Show answer and rationale

Correct answer: D — Providing saliva substitute

Xerostomia is dry mouth, a common side effect in cancer patients. Providing a saliva substitute helps alleviate the discomfort associated with dry mouth by moistening the oral mucosa. Offering hard candy, as mentioned in choice A, can worsen xerostomia by increasing sugar content and potentially causing irritation. Administering analgesic medications, as in choice B, is not directly related to treating dry mouth. Splinting swollen joints, as in choice C, is irrelevant to xerostomia, which primarily affects the oral cavity.

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 healthcare professional is screening patients for immunizations. Which of the following is not a contraindication for immunization?

  1. A. Seizures
  2. B. Fever lasting more than 3 days
  3. C. Malignancy within the past 3 months
  4. D. Illness lasting more than 6 months
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which instruction should be given in a health education class regarding testicular cancer?

  1. A. All males should perform a testicular exam after a warm bath or shower.
  2. B. Testicular exams should be performed on a daily basis.
  3. C. Reddening or darkening of the scrotum is a normal finding.
  4. D. Testicular exams should be performed after a warm bath or shower.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

What is the most common cause of acute renal failure?

  1. A. Shock
  2. B. Nephrotoxic drugs
  3. C. Enlarged prostate
  4. D. Diabetes
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

The nurse is participating in discharge teaching for the postpartal client. The nurse is aware that an effective means of managing discomfort associated with an episiotomy after discharge is:

  1. A. Promethazine
  2. B. Aspirin
  3. C. Sitz baths
  4. D. Ice packs
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

A nurse is assisting with data collection on the language development of a 9-month-old infant. Which developmental milestone does the nurse expect to note in an infant of this age?

  1. A. The infant babbles single consonants
  2. B. The infant babbles
  3. C. The infant says 'Mama.'
  4. D. The infant says 'Mama.'
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

The nurse and a colleague are on the elevator after their shift, and they hear a group of healthcare providers discussing a recent client scenario. Which client right might be breached?

  1. A. right to refuse treatment
  2. B. right to continuity of care
  3. C. right to confidentiality
  4. D. right to reasonable responses to requests
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Signs of internal bleeding include all of the following except:

  1. A. painful or swollen extremities
  2. B. a tender, rigid abdomen
  3. C. vomiting bile
  4. D. bruising
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

The emergency department charge nurse is reviewing the clients triaged in the last 30 minutes. The nurse is required to obtain a social service consult from which of the following clients?

  1. A. A 6-year-old who drank some diluted bleach.
  2. B. A 10-year-old who suffered burns in a house fire.
  3. C. A 12-year-old who fractured his arm in a fight at school.
  4. D. A 12-month-old without any oral intake for the last 12 hours.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

When assisting the physician in performing transillumination of a client's scrotum, how should the nurse prepare for this procedure?

  1. A. Obtaining a flashlight and darkening the room
  2. B. Instructing the client to drink three glasses of water
  3. C. Instructing the client to take several deep breaths and bear down
  4. D. Telling the client that the procedure is very uncomfortable but that the discomfort will only last for a few moments
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

Which of the following organs of the digestive system has a primary function of absorption?

  1. A. stomach
  2. B. pancreas
  3. C. small intestine
  4. D. gallbladder
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 56 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