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NCLEX-PN clinical judgment practice questions, set 73

NCLEX-PN · clinical judgment

NCLEX-PN clinical judgment practice questions set 73

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 client statements indicates adequate understanding of preparation for electroencephalography?

  1. A. "I don't need to eat or drink after midnight."?
  2. B. "I need to wash my hair before the test."?
  3. C. "I need to remove metal jewelry."?
  4. D. "I can't take aspirin before the test."?
Show answer and rationale

Correct answer: B — "I need to wash my hair before the test."?

The correct statement is, 'I need to wash my hair before the test.' Washing the hair is necessary to remove hair products that could interfere with electrode attachment to the scalp. Restricting food or drink is not required, except for avoiding caffeinated beverages. Removing metal jewelry is unnecessary for an electroencephalography procedure. Aspirin does not need to be avoided before the test; medications like anticonvulsants, tranquilizers, barbiturates, and sedatives are the ones that might need to be held.

Question 2

An 80-year-old aphasic CVA client had abdominal surgery 2 days ago. Which of the following puts this client at the highest risk for inadequate pain management?

  1. A. Inability to turn, cough, and breathe deeply
  2. B. Inability to communicate pain
  3. C. Inability to ambulate freely
  4. D. Inability to use a bedside commode
Show answer and rationale

Correct answer: B — Inability to communicate pain

The correct answer is B: Inability to communicate pain. In this scenario, the client's aphasia prevents them from verbally expressing their pain, which can lead to inadequate pain management if the healthcare team is not vigilant. The nurse must use alternative methods to assess and address the client's pain. Choices A, C, and D, although important considerations in postoperative care, do not directly relate to the client's ability to communicate pain, which is crucial for effective pain management in this case.

Question 3

Which hormone in the urine is specifically indicative of pregnancy?

  1. A. estrogen
  2. B. progesterone
  3. C. testosterone
  4. D. human chorionic gonadotropin
Show answer and rationale

Correct answer: D — human chorionic gonadotropin

Human chorionic gonadotropin is the hormone specifically indicative of pregnancy as it is produced by the placenta after implantation. It can be detected in urine and blood samples to confirm pregnancy. Estrogen and progesterone play crucial roles in the menstrual cycle and pregnancy but are not specific indicators of pregnancy on their own. Testosterone is a hormone primarily associated with male reproductive functions and is not directly related to pregnancy, making it an incorrect choice in this context.

Question 4

Which of these types of fluid output is not typically measured?

  1. A. chest tube drainage
  2. B. emesis
  3. C. evaporative water from the respiratory tract
  4. D. urine
Show answer and rationale

Correct answer: D — urine

The correct answer is 'urine.' Urine output is routinely measured to assess renal function and fluid balance. Choices A, B, and C are types of fluid output that are typically measured in a clinical setting. Chest tube drainage is monitored to evaluate drainage from the chest cavity, emesis refers to vomitus which can indicate gastrointestinal issues, and evaporative water from the respiratory tract is considered insensible loss and is not directly measured but estimated in overall fluid balance assessments.

Question 5

A client with cirrhosis of the liver presents with ascites. The physician is to perform a paracentesis. For safety, the nurse should ask the client to:

  1. A. drink 1000 cc of fluid prior to the procedure to aid in fluid loss.
  2. B. eat foods low in fat.
  3. C. empty his bladder prior to the procedure.
  4. D. assume the prone position.
Show answer and rationale

Correct answer: C — empty his bladder prior to the procedure.

When performing a paracentesis, the client must be sitting up to allow the fluid to settle in the lower abdomen. To prevent trauma to the bladder while inserting a needle to aspirate the fluid, the bladder must be empty. Choice A is incorrect as excessive fluid intake can make the procedure more difficult due to increased abdominal distension. Choice B is unrelated to the procedure of paracentesis. Choice D is incorrect as the client should be sitting up, not in the prone position, during the procedure.

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Question 6

Which sign might a healthcare professional observe in a client with a high ammonia level?

  1. A. coma
  2. B. edema
  3. C. hypoxia
  4. D. polyuria
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Question 7

What is the correct instruction to give a client undergoing mammography?

  1. A. Do not use underarm deodorant.
  2. B. Wear comfortable clothing.
  3. C. Avoid caffeine prior to the procedure.
  4. D. Bring a list of current medications.
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Question 8

Which NSAID is comparable to morphine in efficacy?

  1. A. Feldene
  2. B. Stodal
  3. C. Toradol
  4. D. Elavil
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Question 9

Which of the following might be an appropriate nursing diagnosis for an epileptic client?

  1. A. Dysreflexia
  2. B. Risk for Injury
  3. C. Urinary Retention
  4. D. Unbalanced Nutrition
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Question 10

What is the appropriate ratio of cardiac compressions to ventilations in an adult client for one-person CPR?

  1. A. 5:01
  2. B. 1:05
  3. C. 15:02
  4. D. 2:15
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Question 11

The client is taking Antabuse and should avoid eating foods that may trigger a disulfiram reaction. The nurse should instruct the client to avoid:

  1. A. Peanuts, dates, raisins
  2. B. Figs, chocolate, eggplant
  3. C. Pickles, salad with vinaigrette dressing, beef
  4. D. Milk, cottage cheese, ice cream
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Question 12

The ethical principle of keeping professional promises or obligations is:

  1. A. veracity
  2. B. autonomy
  3. C. fidelity
  4. D. beneficence
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Question 13

A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?

  1. A. Decreased appetite
  2. B. A low-grade fever
  3. C. Chest congestion
  4. D. Constant swallowing
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Question 14

A client goes to the Emergency Department with acute respiratory distress and the following arterial blood gases (ABGs): pH 7.35, PCO2 40 mmHg, PO2 63mmHg, HCO3 23, and oxygenation saturation (SAO2) 93%. Which of the following represents the best analysis of the etiology of these ABGs?

  1. A. tuberculosis (TB)
  2. B. pneumonia
  3. C. pleural effusion
  4. D. hypoxia
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Question 15

A patient has been prescribed Tegretol for the first time. Which of the following side effects is not associated with Tegretol?

  1. A. Sore throat
  2. B. Vertigo
  3. C. Fever
  4. D. Shortness of breath
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About these NCLEX-PN clinical judgment questions

NCLEX-PN clinical judgment practice questions, set 73 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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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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