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NCLEX-PN clinical judgment practice questions, set 62

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 62

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

The nurse is teaching a client about communicable diseases and explains that a portal of entry is:

  1. A. a vector.
  2. B. a source, like contaminated water.
  3. C. food.
  4. D. the respiratory system.
Show answer and rationale

Correct answer: D — the respiratory system.

The correct answer is 'the respiratory system.' A portal of entry is the path through which a microorganism enters the body. In the case of communicable diseases, the respiratory system can serve as a portal of entry for pathogens such as viruses or bacteria. Choices A, B, and C are incorrect. A 'vector' is an organism that transmits disease, not the entry point for pathogens. Contaminated water or food can act as sources or reservoirs of disease-causing microorganisms, not portals of entry.

Question 2

A healthcare provider is caring for a patient who has experienced burns to the right lower extremity. According to the Rule of Nines, which of the following percentages most accurately describes the severity of the injury?

  1. A. 36%
  2. B. 27%
  3. C. 18%
  4. D. 9%
Show answer and rationale

Correct answer: C — 18%

According to the Rule of Nines, the right lower extremity accounts for 18% of the total body surface area. The Rule of Nines divides the body into regions, each representing 9% or a multiple of 9%, allowing for a quick estimation of the extent of burns. In this case, the correct answer is 18% as it corresponds to the percentage allocated for each lower extremity. Choices A, B, and D are incorrect as they do not match the standard allocation for the right lower extremity in the Rule of Nines.

Question 3

A complication of total parenteral nutrition (TPN) is the development of cholestasis. What is this condition?

  1. A. an inflammatory process of the extrahepatic bile ducts
  2. B. an arrest of the normal flow of bile
  3. C. an inflammation of the gallbladder
  4. D. the formation of gallstones
Show answer and rationale

Correct answer: B — an arrest of the normal flow of bile

Cholestasis due to TPN administration is an intrahepatic process that interrupts the normal flow of bile. It is characterized by a reduction or stoppage of bile flow. Choice A, an inflammatory process of the extrahepatic bile ducts, refers to cholangitis, not cholestasis. Choice C, an inflammation of the gallbladder, describes cholecystitis, a different condition. Choice D, the formation of gallstones, is not correct as cholestasis is about the flow of bile, not the formation of gallstones.

Question 4

Which of the following foods is a complete protein?

  1. A. corn
  2. B. eggs
  3. C. peanuts
  4. D. sunflower seeds
Show answer and rationale

Correct answer: B — eggs

Eggs are considered a complete protein because they contain all nine essential amino acids required by the human body. In contrast, corn, peanuts, and sunflower seeds are incomplete proteins as they lack one or more essential amino acids. Corn, although a staple food for many cultures, is deficient in the amino acids lysine and tryptophan. Peanuts are low in the amino acid methionine, and sunflower seeds are low in lysine. Therefore, eggs are the correct answer as a complete protein source.

Question 5

Which of the following foods is a complete protein?

  1. A. corn
  2. B. eggs
  3. C. peanuts
  4. D. sunflower seeds
Show answer and rationale

Correct answer: B — eggs

The correct answer is 'eggs.' Eggs are considered a complete protein as they contain all nine essential amino acids required by the body. On the other hand, corn, peanuts, and sunflower seeds are incomplete proteins, meaning they lack one or more of the essential amino acids needed by the body for optimal health. Corn, peanuts, and sunflower seeds are plant-based proteins that are deficient in one or more essential amino acids, unlike eggs, which are a high-quality complete protein source.

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Question 6

Which symptom is the client who self-administered an overdose of acetaminophen most likely to exhibit?

  1. A. Pink frothy sputum
  2. B. Seizure activity
  3. C. Jaundiced conjunctiva
  4. D. Diaphoresis and fever
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Question 7

A client sitting alone and talking to voices is observed by a nurse. When asked, the client reports he is 'talking to the voices.' The nurse's next action should be:

  1. A. touching the client to help him return to reality
  2. B. leaving the client alone until reality returns
  3. C. asking the client to describe what is happening
  4. D. telling the client there are no voices
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Question 8

A female client asks a nurse about the advantages of using a female condom. The nurse discusses which advantage with the client?

  1. A. That it offers protection against sexually transmitted infections (STIs)
  2. B. That it cannot be used along with a male condom
  3. C. That it does not have to be discarded after use and can be used several times before a new one must be obtained
  4. D. That it is 100% effective in preventing pregnancy
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Question 9

Teaching about the importance of avoiding foods high in potassium is most crucial for which client?

  1. A. a client receiving diuretic therapy
  2. B. a client with an ileostomy
  3. C. a client with metabolic alkalosis
  4. D. a client with renal disease
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Question 10

Which of the following services is not typically part of family consultation?

  1. A. assisting with vocational rehabilitation
  2. B. providing information about the client's illness
  3. C. teaching effective communication
  4. D. helping families solve problems
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Question 11

A case manager is reviewing notations made in clients' records. Which note indicates an unexpected outcome and the need for immediate follow-up?

  1. A. A client who exhibits signs of increased intracranial pressure after a craniotomy.
  2. B. A client who has sustained a stroke and dresses herself.
  3. C. A client with a spinal cord injury transfers himself from a bed to a wheelchair.
  4. D. Normal neurological findings are noted in a client with a cerebral aneurysm.
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Question 12

The factor that most determines drug distribution is:

  1. A. vascular perfusion of the tissue or organ.
  2. B. salt form.
  3. C. drug interactions.
  4. D. steady state.
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Question 13

Which of the following is not a primary function of the kidneys?

  1. A. blood pressure control
  2. B. vitamin D activation
  3. C. erythropoietin production
  4. D. reabsorption of waste products
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Question 14

A client reports that someone is in the room and trying to kill him. The nurse's best response is:

  1. A. "No one is in your room. Let's get you more medicine."?
  2. B. "I do not see anyone, but you seem to be very frightened."?
  3. C. "No one can hurt you here."?
  4. D. "Just tell the person to go away."?
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Question 15

A nurse is caring for her clients when her new admit arrives on the unit. What action by the nurse is most appropriate?

  1. A. Ask the nursing assistant to complete emptying the catheter bag and assess the new admission.
  2. B. Ask the nursing assistant to take vital signs on the new admit and begin the history until she can get there.
  3. C. Ask the graduate nurse on the floor to initiate the assessment process until she can get there.
  4. D. Ask the unit secretary to make the client and family comfortable until she can complete her present task.
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 62 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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