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NCLEX-PN clinical judgment practice questions, set 66

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 66

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

In the treatment of symptomatic bradycardia, which medication is most commonly recognized?

  1. A. Questran
  2. B. Digitalis
  3. C. Nitroglycerin
  4. D. Atropine
Show answer and rationale

Correct answer: D — Atropine

Atropine is the medication most commonly recognized for the treatment of symptomatic bradycardia because it increases the rate of conduction in the AV node, helping to alleviate bradycardia. Questran is a medication used to lower cholesterol levels and is not indicated for bradycardia. Digitalis, such as Digoxin, is used for heart failure and atrial fibrillation but not typically for bradycardia. Nitroglycerin is primarily used for angina and not bradycardia.

Question 2

A client with an ileus is placed on intestinal tube suction. Which of the following electrolytes is lost with intestinal suction?

  1. A. calcium
  2. B. magnesium
  3. C. potassium
  4. D. sodium chloride
Show answer and rationale

Correct answer: D — sodium chloride

The correct answer is sodium chloride. Duodenal intestinal fluid is rich in potassium (K+), sodium (Na+), and bicarbonate. When suctioning is used to remove excess fluids due to ileus, it results in the loss of sodium chloride (NaCl) leading to decreased sodium (Na+) levels. Choices A, B, and C are incorrect because calcium, magnesium, and potassium are not typically lost in significant amounts through intestinal tube suction in the context of treating ileus.

Question 3

Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis?

  1. A. She was born at 42 weeks gestation.
  2. B. She had meningitis when she was 6 months old.
  3. C. She had physiologic jaundice after delivery.
  4. D. She has frequent sore throats.
Show answer and rationale

Correct answer: B — She had meningitis when she was 6 months old.

The diagnosis of meningitis at age 6 months correlates to a diagnosis of cerebral palsy. Cerebral palsy, a neurological disorder, is often associated with birth trauma or infections of the brain or spinal column. Answers A, C, and D are not related to the question. Gestational length (choice A) is not a direct risk factor for cerebral palsy. Physiologic jaundice (choice C) and frequent sore throats (choice D) are not typically associated with cerebral palsy.

Question 4

After experiencing a left frontal lobe CVA, a fifty-five-year-old man is being monitored by a nurse. The patient's family is not present in the room. What should the nurse observe most closely for?

  1. A. Changes in emotion and behavior
  2. B. Monitor loss of hearing
  3. C. Observe appetite and vision deficits
  4. D. Changes in facial muscle control
Show answer and rationale

Correct answer: A — Changes in emotion and behavior

The correct answer is to watch for changes in emotion and behavior. The frontal lobe, particularly the left side, is responsible for regulating behavior and emotions. Therefore, following a left frontal lobe CVA, monitoring for alterations in emotion and behavior is crucial. Choices B, C, and D are incorrect because loss of hearing, appetite and vision deficits, and changes in facial muscle control are not directly associated with a left frontal lobe CVA.

Question 5

A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?

  1. A. Advil
  2. B. Anasaid
  3. C. Clinocil
  4. D. Colace
Show answer and rationale

Correct answer: D — Colace

Colace is a stool softener that acts by pulling more water into the bowel lumen, making the stool soft and easier to evacuate. In the given scenario of constipation in an immobilized client, a stool softener like Colace is the appropriate choice to help facilitate bowel movements. Advil and Anasaid are nonsteroidal anti-inflammatory drugs (NSAIDs) used for pain relief, not for constipation. Clinocil is not a recognized medication for constipation relief.

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Question 6

When caring for a client with a possible diagnosis of placenta previa, which of the following admission procedures should the nurse omit?

  1. A. perineal shave
  2. B. enema
  3. C. urine specimen collection
  4. D. blood specimen collection
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Question 7

The primary organ for drug elimination is the:

  1. A. skin
  2. B. lung(s)
  3. C. kidney(s)
  4. D. liver
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Question 8

Which medication should the nurse withhold if the client's blood pressure is 88/50?

  1. A. Rosuvastatin (Crestor)
  2. B. Enalapril (Vasotec)
  3. C. Digoxin (Lanoxin)
  4. D. Clopidogrel (Plavix)
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Question 9

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

  1. A. within normal limits, so a weight-reduction diet is unnecessary
  2. B. lower than normal, so education about nutrient-dense foods is needed
  3. C. indicating obesity because the BMI is 35
  4. D. indicating overweight status because the BMI is 27
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Question 10

Which of the following is the drug of choice to decrease uric acid levels?

  1. A. prednisone (Colisone)
  2. B. allopurinol (Zyloprim)
  3. C. indomethacin (Indocin)
  4. D. hydrochlorothiazide (HydroDiuril)
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Question 11

Which of the following observations is most important when assessing a client's breathing?

  1. A. presence of breathing and pulse rate
  2. B. breathing pattern and adequacy of breathing
  3. C. presence of breathing and adequacy of breathing
  4. D. patient position and adequacy of breathing
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Question 12

In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?

  1. A. measles, polio, pertussis, hepatitis B
  2. B. diphtheria, pertussis, polio, tetanus
  3. C. rubella, polio, pertussis, hepatitis A
  4. D. measles, mumps, rubella, polio
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Question 13

The nurse should teach parents of small children that the most common type of first-degree burn is:

  1. A. scalding from hot bath water or spills
  2. B. contact with hot surfaces such as stoves and fireplaces
  3. C. contact with flammable liquids or gases resulting in flash burns
  4. D. sunburn from lack of protection and overexposure
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Question 14

What is the first exercise that should be performed by a client who had a mastectomy?

  1. A. Walking the hand up the wall
  2. B. Sweeping the floor
  3. C. Combing her hair
  4. D. Squeezing a ball
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Question 15

Social support systems include all of the following except:

  1. A. call-in help lines
  2. B. emotional assistance provided by others
  3. C. community support groups
  4. D. use of coping skills and verbalization for anger management
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 66 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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