Nursier
Register
Log in Register Register

NCLEX-PN clinical judgment practice questions, set 70

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 70

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

What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?

  1. A. metabolic alkalosis
  2. B. homeostasis
  3. C. respiratory acidosis
  4. D. respiratory alkalosis
Show answer and rationale

Correct answer: B — homeostasis

The correct answer is 'homeostasis.' These ABG values fall within normal ranges, indicating a state of balance in the body's acid-base levels. Choices A, C, and D are incorrect as the ABG values provided do not point towards metabolic alkalosis, respiratory acidosis, or respiratory alkalosis. Instead, the values reflect a state of equilibrium where pH, PO2, PCO2, and HCO3 levels are within the normal range.

Question 2

Which of the following food selections would need to be removed from a tray for a client recovering from thyroidectomy?

  1. A. Fresh apple
  2. B. V8 juice
  3. C. Mustard greens
  4. D. Ice cream
Show answer and rationale

Correct answer: A — Fresh apple

The correct answer is a fresh apple. After a thyroidectomy, it is important to avoid hard and crunchy foods like apples due to the proximity of the esophagus to the surgical site. Apples can be difficult to chew and swallow, posing a risk of injury or discomfort to the patient. V8 juice, mustard greens, and ice cream are softer options that would be more suitable for a client recovering from thyroidectomy.

Question 3

The death of a beloved spouse places the surviving partner in which type of crisis?

  1. A. maturational
  2. B. reactive
  3. C. nonreactive
  4. D. situational
Show answer and rationale

Correct answer: D — situational

The correct answer is 'situational.' A situational crisis is an unexpected, unplanned event, such as the death of a spouse, which can lead to significant distress. Option A is incorrect because a maturational crisis is related to normal life transitions like getting married or retiring. Choices B and C are incorrect as they do not represent recognized crisis states in the context of the scenario provided.

Question 4

A patient has just been prescribed Minipress to control hypertension. The nurse should instruct the patient to be observant of the following:

  1. A. Dizziness and light-headed sensations
  2. B. Weight gain
  3. C. Sensory changes in the lower extremities
  4. D. Fatigue
Show answer and rationale

Correct answer: A — Dizziness and light-headed sensations

The correct answer is 'Dizziness and light-headed sensations.' Minipress, a medication used to control hypertension, can cause hypotension as a side effect. Dizziness and light-headed sensations are common symptoms of hypotension. Weight gain, sensory changes in the lower extremities, and fatigue are not typically associated with Minipress or hypertension management. Therefore, they are incorrect choices.

Question 5

A client is experiencing chest pain. Which statement made by the client indicates angina rather than a myocardial infarction?

  1. A. "I became dizzy when I stood up."?
  2. B. "I was nauseated and began vomiting."?
  3. C. "The pain started in my chest and stopped after I sat down."?
  4. D. "The pain began with a migraine and progressed to numbness in my left arm."?
Show answer and rationale

Correct answer: B — "I was nauseated and began vomiting."?

The correct answer is: '"The pain started in my chest and stopped after I sat down."? This statement suggests angina rather than a myocardial infarction because angina is typically triggered by exertion or stress and relieved by rest. Nausea and vomiting (Choice B) are more commonly associated with a myocardial infarction. Choices A and D are not typical symptoms of either angina or myocardial infarction.

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

Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?

  1. A. "I cannot eat or drink after midnight."?
  2. B. "I cannot eat for 12 hours before the test."?
  3. C. "I need to limit my fluid intake."?
  4. D. "I need to ingest a lipid solution."?
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which task should not be performed by the licensed practical nurse?

  1. A. Inserting a Foley catheter
  2. B. Discontinuing a nasogastric tube
  3. C. Obtaining a sputum specimen
  4. D. Initiating a blood transfusion
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Which of the following medications is a serotonin antagonist that might be used to relieve nausea and vomiting?

  1. A. metoclopramide (Reglan)
  2. B. ondansetron (Zofran)
  3. C. hydroxyzine (Vistaril)
  4. D. prochlorperazine (Compazine)
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin?

  1. A. Increasing the infant's fluid intake
  2. B. Maintaining the infant's body temperature at 98.6°F
  3. C. Minimizing tactile stimulation
  4. D. Decreasing caloric intake
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?

  1. A. A client with AIDS being treated with Foscarnet
  2. B. A client with a fractured femur in a long leg cast
  3. C. A client with laryngeal cancer with a laryngectomy
  4. D. A client with diabetic ulcers on the left foot
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

When suctioning a client, what is the usual amount of time the nurse should spend for each suction pass?

  1. A. 2 seconds
  2. B. 10 seconds
  3. C. 20 seconds
  4. D. 30 seconds
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

The nurse is caring for a client with cirrhosis of the liver and suspects that the client may be developing hepatic encephalopathy. Which assessment by the nurse suggests that the client is developing this complication?

  1. A. Asterixis
  2. B. Hypertension
  3. C. Kussmaul respirations
  4. D. Lethargy
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

When questioning an elder about suspected abuse, how should the nurse keep the questions?

  1. A. Nonjudgmental.
  2. B. Probing.
  3. C. Confrontational.
  4. D. Indirect.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

The mother of a toddler asks the nurse when she will know that her child is ready to start toilet training. The nurse tells the mother that which observation is a sign of physical readiness?

  1. A. The child no longer has temper tantrums.
  2. B. The child can remove his or her own clothing.
  3. C. The child has been walking for 2 years.
  4. D. The child can eat using a fork and knife.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

A healthcare provider is screening patients for various vaccines. Which of the following vaccines is contraindicated during pregnancy?

  1. A. Diphtheria
  2. B. Hepatitis B
  3. C. Mumps
  4. D. Tetanus
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 70 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