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NCLEX-PN clinical judgment practice questions, set 72

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 72

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

A client receives a cervical intracavity radium implant as part of her therapy. A common side effect of a cervical implant is:

  1. A. creamy, pink-tinged vaginal drainage.
  2. B. stomatitis.
  3. C. constipation.
  4. D. xerostomia.
Show answer and rationale

Correct answer: A — creamy, pink-tinged vaginal drainage.

The correct answer is 'creamy, pink-tinged vaginal drainage.' This side effect persists for 1 to 2 months after the removal of a cervical implant. Diarrhea, not constipation, is usually a side effect of cervical implants. Stomatitis and xerostomia are local side effects of radiation to the mouth, not associated with cervical implants. Therefore, choices B, C, and D are incorrect.

Question 2

As a type of quality indicator, an example of a structure standard is:

  1. A. a written philosophy.
  2. B. a procedure for a straight catheterization.
  3. C. a protocol for treatment of a client with chest pain.
  4. D. the diagnostic work-up for a client with abdominal pain.
Show answer and rationale

Correct answer: A — a written philosophy.

The correct answer is 'a written philosophy.' Structure standards define the conditions needed to operate a system and do not directly involve client care. Examples include philosophy, objectives, goals, hours of operation, and management responsibility. Choices B, C, and D involve specific procedures and protocols related to client care, which are not structure standards.

Question 3

For a client with suspected appendicitis, where should the nurse expect to find abdominal tenderness?

  1. A. upper right
  2. B. upper left
  3. C. lower right
  4. D. lower left
Show answer and rationale

Correct answer: C — lower right

The correct answer is C: lower right. Abdominal tenderness in the lower-right quadrant is a classic symptom of appendicitis. This tenderness is known as McBurney's point, which is located in the lower-right quadrant of the abdomen. Choices A, B, and D are incorrect because the tenderness associated with appendicitis is typically localized to the lower-right quadrant.

Question 4

A client in the cardiac step-down unit requires suctioning for excess mucous secretions. The nurse should be most careful to monitor the client for which dysrhythmia during this procedure?

  1. A. Bradycardia
  2. B. Tachycardia
  3. C. Premature ventricular beats
  4. D. Heart block
Show answer and rationale

Correct answer: A — Bradycardia

During suctioning, a vagal response can be triggered leading to bradycardia. It is crucial for the nurse to monitor for this potential dysrhythmia. Tachycardia (Choice B) is less likely during suctioning and is not the priority. Premature ventricular beats (Choice C) and heart block (Choice D) can occur but are less common compared to bradycardia in this situation.

Question 5

A nurse is instructing a patient about the warning signs of Digitalis side effects. Which of the following side effects should the nurse tell the patient are sometimes associated with excessive levels of Digitalis?

  1. A. Seizures
  2. B. Muscle weakness
  3. C. Depression
  4. D. Anxiety
Show answer and rationale

Correct answer: B — Muscle weakness

The correct answer is 'Muscle weakness.' Palpitations and muscle weakness are commonly associated with excessive levels of Digitalis. Seizures, depression, and anxiety are not typically linked to Digitalis toxicity. Seizures could be more related to other medications or conditions, while depression and anxiety are not commonly reported side effects of Digitalis.

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Ten more NCLEX-PN clinical judgment questions

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Question 6

Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

  1. A. Greater than 1000 cells per deciliter
  2. B. Less than 500 cells per deciliter
  3. C. Greater than 2000 cells per deciliter
  4. D. Less than 200 cells per deciliter
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Question 7

A healthcare professional is reviewing a patient's arterial blood gas values. Which of the following conditions apply under the following values? pH- 7.49 Bicarbonate ion 24 mEq/dl PaCO2 - 31 mmHg PaO2 - 52 mmHg FiO2 - 0.22

  1. A. respiratory acidosis
  2. B. respiratory alkalosis
  3. C. metabolic acidosis
  4. D. metabolic alkalosis
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Question 8

The client with schizophrenia has become disruptive and requires seclusion. Which staff member can institute seclusion?

  1. A. The security guard
  2. B. The registered nurse
  3. C. The licensed practical nurse
  4. D. The nursing assistant
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Question 9

The licensed practical nurse assigned to the postpartum unit is preparing to administer Rhogam to a postpartum client. Which woman is not a candidate for RhoGam?

  1. A. A gravida IV para 3 that is Rh negative with an Rh-positive baby
  2. B. A gravida I para 1 that is Rh negative with an Rh-positive baby
  3. C. A gravida II para 0 that is Rh negative admitted after a stillbirth delivery
  4. D. A gravida IV para 2 that is Rh negative with an Rh-negative baby
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Question 10

The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the rationale for the order for Lactulose is:

  1. A. To lower the blood glucose level
  2. B. To lower the uric acid level
  3. C. To lower the ammonia level
  4. D. To lower the creatinine level
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Question 11

A 62-year-old female is being seen on a home visit by a nurse. The patient reports she has been taking Premarin for years. Which of the following would indicate an overdose?

  1. A. Lower extremity edema
  2. B. Sensory changes in the upper extremities
  3. C. Increased occurrence of fractures
  4. D. Decreased peripheral blood flow
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Question 12

What condition is mammography used to detect?

  1. A. pain
  2. B. tumor
  3. C. edema
  4. D. epilepsy
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Question 13

When a client needs oxygen therapy, what is the highest flow rate that oxygen can be delivered via nasal cannula?

  1. A. 2 liters/minute
  2. B. 4 liters/minute
  3. C. 6 liters/minute
  4. D. 8 liters/minute
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Question 14

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.
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Question 15

The nurse is caring for a client with epilepsy who is being treated with carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this drug?

  1. A. Uric acid of 5 mg/dL
  2. B. Hematocrit of 33%
  3. C. WBC 2,000 per cubic millimeter
  4. D. Platelets 150,000 per cubic millimeter
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 72 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

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