Nursier
Register
Log in Register Register

NCLEX-PN clinical judgment practice questions, set 67

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 67

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

After delivery, a newborn undergoes an Apgar assessment. What does this scoring system evaluate?

  1. A. heart rate, respiratory effort, color, muscle tone, reflex irritability
  2. B. heart rate, bleeding, cyanosis, edema
  3. C. bleeding, reflex, edema
  4. D. respiratory effort, heart rate, seizures
Show answer and rationale

Correct answer: B — heart rate, bleeding, cyanosis, edema

The Apgar scoring system, developed by Virginia Apgar, an anesthesiologist, evaluates newborns based on five criteria: heart rate, respiratory effort, color, muscle tone, and reflex irritability. These parameters provide a quick and simple assessment of a newborn's overall condition and the need for immediate medical attention. Choices B, C, and D are incorrect as they do not encompass the essential elements evaluated by the Apgar scoring system.

Question 2

While assisting with data collection regarding the neurological system, the nurse asks the client to puff out both cheeks. Which cranial nerve is the nurse assessing?

  1. A. Vagus
  2. B. Facial
  3. C. Abducens
  4. D. Oculomotor
Show answer and rationale

Correct answer: B — Facial

The correct answer is B: Facial. Assessment of cranial nerve VII (facial nerve) involves noting mobility and symmetry as the client performs various facial movements, including puffing out the cheeks. Cranial nerve IX (glossopharyngeal nerve) and cranial nerve X (vagus nerve) are tested together for different functions. The abducens, oculomotor, and trochlear nerves are assessed together for eye movements and pupil reactions, not cheek puffing.

Question 3

A nurse working in a pediatric clinic observes the following situations. Which of the following may indicate a delayed child to the nurse?

  1. A. A 12-month-old that does not 'cruise'.
  2. B. An 8-month-old that can sit upright unsupported.
  3. C. A 6-month-old that is rolling prone to supine.
  4. D. A 3-month-old that does not roll supine to prone.
Show answer and rationale

Correct answer: A — A 12-month-old that does not 'cruise'.

The correct answer is 'A 12-month-old that does not 'cruise''. At 12 months, a child should at least be 'cruising' (holding on to objects to walk), which is considered pre-walking. The other choices describe age-appropriate developmental milestones: sitting upright unsupported by 8 months, rolling prone to supine by 6 months, and rolling supine to prone by 3 months. Not 'cruising' at 12 months may indicate a delay in motor skills development.

Question 4

A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle. Which of the following is the correct order of sensations experienced with an ice water bath?

  1. A. cold, burning, aching, and numbness
  2. B. burning, aching, cold, and numbness
  3. C. aching, cold, burning, and numbness
  4. D. cold, aching, burning, and numbness
Show answer and rationale

Correct answer: A — cold, burning, aching, and numbness

The correct order of sensations experienced with an ice water bath is cold, burning, aching, and numbness, as stated by the acronym CBAN (cold, burn, ache, numbness). Option A is the correct sequence. Choice B is incorrect as it starts with burning, which typically follows the cold sensation. Choice C is incorrect as aching is usually felt after the burning sensation. Choice D is incorrect as aching usually occurs after the burning sensation.

Question 5

Which of the following symptoms is most characteristic of a client with lung cancer?

  1. A. exertional dyspnea
  2. B. persistent changing cough
  3. C. air hunger; dyspnea
  4. D. cough with night sweats
Show answer and rationale

Correct answer: B — persistent changing cough

The most characteristic symptom of lung cancer is a persistent changing cough. This cough may worsen over time and may produce blood-tinged sputum. Exertional dyspnea (Choice A) is more common in chronic obstructive pulmonary disease (COPD) due to airway obstruction. Air hunger and dyspnea (Choice C) are more typical of conditions like asthma. Cough with night sweats (Choice D) is commonly associated with tuberculosis rather than lung cancer.

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

The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would not be common for this diagnosis?

  1. A. Foul breath
  2. B. Dysphagia
  3. C. Diarrhea
  4. D. Chronic hiccups
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which of the following values should be monitored closely while a client is on total parenteral nutrition?

  1. A. calcium
  2. B. magnesium
  3. C. glucose
  4. D. cholesterol
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit?

  1. A. A 66-year-old female with gastroenteritis
  2. B. A 40-year-old female with a hysterectomy
  3. C. A 27-year-old male with severe depression
  4. D. A 28-year-old male with ulcerative colitis
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

A client states, "I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?"? The nurse should respond with which of the following statements?

  1. A. Sleep at least 6-8 hours per night.
  2. B. Practice monthly self-breast examinations.
  3. C. Reduce stress.
  4. D. All of the above.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

The nurse is assessing the dental status of an 18-month-old child. How many teeth should the nurse expect to examine?

  1. A. 6
  2. B. 8
  3. C. 12
  4. D. 16
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:

  1. A. sprain.
  2. B. strain.
  3. C. subluxation.
  4. D. dislocation.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

A 28-year-old male has a diagnosis of AIDS. The patient has had a two-year history of AIDS. The most likely cognitive deficits include which of the following?

  1. A. Disorientation
  2. B. Sensory changes
  3. C. Inability to produce sound
  4. D. Hearing deficits
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

Which of the following foods can cause diarrhea when consumed by a client with an ileostomy?

  1. A. eggs
  2. B. coffee
  3. C. fish
  4. D. garlic
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?

  1. A. She dresses herself
  2. B. She pulls a toy behind her
  3. C. She can build a tower of eight blocks
  4. D. She can copy a horizontal or vertical line
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:

  1. A. is normal if the level is 4.0 to 5.5 mg/dl.
  2. B. can be elevated with increased protein intake.
  3. C. is a better indicator of renal function than the BUN.
  4. D. reflects the fluid volume status of a person
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 67 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