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NCLEX-PN clinical judgment practice questions, set 65

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 65

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

Which of the following foods might a client with hypercholesterolemia need to decrease intake of?

  1. A. broiled catfish
  2. B. hamburgers
  3. C. wheat bread
  4. D. fresh apples
Show answer and rationale

Correct answer: B — hamburgers

A client with hypercholesterolemia needs to decrease intake of foods that are high in cholesterol. Red meats like hamburgers are high in cholesterol, so their consumption should be reduced. Broiled catfish, wheat bread, and fresh apples are not high in cholesterol and do not need to be decreased in the client's diet. Therefore, the correct answer is hamburgers, as they are more likely to contribute to elevated cholesterol levels compared to the other options provided.

Question 2

Ethics committees typically do not handle which of the following issues?

  1. A. Nonpayment of bills.
  2. B. Euthanasia.
  3. C. Starting or stopping treatment.
  4. D. Use of feeding tubes.
Show answer and rationale

Correct answer: A — Nonpayment of bills.

Ethics committees primarily focus on addressing ethical dilemmas in healthcare. Issues like euthanasia, decisions regarding starting or stopping treatment, and the use of feeding tubes for nutritional support involve complex ethical considerations related to patient care and end-of-life decisions, which are commonly deliberated by ethics committees. However, nonpayment of bills is a financial matter and falls outside the typical scope of ethics committees' functions.

Question 3

Which is the correct order regarding the hierarchy of members of the nursing team from least authority to highest authority?

  1. A. LPN, staff nurse, charge nurse, nurse manager
  2. B. Staff nurse, LPN, nurse manager, charge nurse
  3. C. LPN, staff nurse, charge nurse, nurse manager
  4. D. LPN, staff nurse, charge nurse, nurse manager
Show answer and rationale

Correct answer: C — LPN, staff nurse, charge nurse, nurse manager

The correct hierarchy order from least to highest authority in the nursing team is LPN (Licensed Practical Nurse), staff nurse, charge nurse, and nurse manager. LPNs have the least authority, followed by staff nurses who are supervised by charge nurses. Nurse managers oversee the charge nurses, making them the highest authority in this hierarchy. Therefore, choices A, B, and D are incorrect as they do not follow the correct order of authority within the nursing team.

Question 4

The client has been on vancomycin for three days. Which of the following symptoms is least concerning?

  1. A. nausea
  2. B. headache
  3. C. vertigo
  4. D. tinnitus
Show answer and rationale

Correct answer: B — headache

The correct answer is 'headache.' While vancomycin can cause ototoxicity leading to symptoms like tinnitus, vertigo, and nausea, headaches are not typically associated with vancomycin use. Therefore, headache is the least concerning symptom in this scenario. Nausea, vertigo, and tinnitus are more likely to be related to vancomycin ototoxicity and should be closely monitored and reported. Headache is a common symptom that may not be directly linked to vancomycin use.

Question 5

The nurse should plan to evaluate the earliest onset of effectiveness of nitroglycerin (Nitrostat) sublingual (SL) within what time frame?

  1. A. 15 seconds
  2. B. 3 minutes
  3. C. 5 minutes
  4. D. 15 minutes
Show answer and rationale

Correct answer: B — 3 minutes

The onset of action for Nitrostat SL is 1 to 3 minutes. Therefore, the nurse should plan to evaluate the earliest onset of effectiveness within 3 minutes after administering the medication. Option A, 15 seconds, is too short of a time frame for the onset of action of Nitrostat. Option C, 5 minutes, is slightly delayed compared to the typical onset time. Option D, 15 minutes, is too long to wait for evaluating the effectiveness of Nitrostat sublingual administration.

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Question 6

A patient has been diagnosed with diabetes mellitus. Which of the following is not a clinical sign of diabetes mellitus?

  1. A. Polyphagia
  2. B. Polyuria
  3. C. Metabolic acidosis
  4. D. Lower extremity edema
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Question 7

During a petit mal seizure in the clinic, what should be the highest priority?

  1. A. Provide a safe environment free of obstructions in the immediate area
  2. B. Call a code
  3. C. Contact the patient's physician
  4. D. Prevent excessive movement of the extremities
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Question 8

Which of the following conditions places a client at risk for developing cirrhosis?

  1. A. Type I diabetes
  2. B. Alcoholism
  3. C. Leukemia
  4. D. Glaucoma
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Question 9

The client is being taught about the use of Rifampin for prophylaxis following exposure to meningitis. What change in bodily functions should the client be informed about?

  1. A. The client's urine may turn blue.
  2. B. The client remains infectious to others for 48 hours.
  3. C. The client's contact lenses may be stained orange.
  4. D. The client's skin may take on a crimson glow.
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Question 10

The nurse is caring for a client with decreased cardiac output secondary to heart failure with fluid volume overload. The effects of diminished renal perfusion will have which physiologic response?

  1. A. Diuresis
  2. B. Increased fluid retention
  3. C. Elevated bicarbonate level
  4. D. Paroxysmal idiopathic narcosis
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Question 11

An infant weighs 7 pounds at birth. What is the expected weight by 1 year of age?

  1. A. 10 pounds
  2. B. 12 pounds
  3. C. 18 pounds
  4. D. 21 pounds
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Question 12

Which electrolyte imbalance would be the nurse's priority concern in the burn client?

  1. A. Hypernatremia
  2. B. Hyperkalemia
  3. C. Hypoalbuminemia
  4. D. Hypermagnesemia
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Question 13

How many temporary teeth should the nurse expect to find in a 5-year-old client's mouth?

  1. A. up to 10
  2. B. up to 15
  3. C. up to 20
  4. D. up to 32
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Question 14

A sexually active adolescent asks the school nurse about the use of latex condoms and the reduction of the risk of sexually transmitted infections (STIs). The nurse provides which information to the adolescent?

  1. A. Using a latex condom is a good method for reducing the risk of sexually transmitted infections (STIs).
  2. B. The only way to reduce the risk of transmission of STIs is abstinence.
  3. C. A spermicide needs to be used along with a condom to prevent transmission of STIs.
  4. D. Using a latex condom can reduce the risk of transmission of STIs.
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Question 15

In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?

  1. A. 15 drops per milliliter
  2. B. 60 drops per milliliter
  3. C. 20 drops per milliliter
  4. D. 10 drops per milliliter
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 65 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.

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