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NCLEX-RN clinical judgment practice questions, set 59

NCLEX-RN · clinical judgment

NCLEX-RN clinical judgment practice questions set 59

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-RN exam guide or more NCLEX-RN 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

The healthcare professional has collected the following information on a patient: palpated blood pressure"?180 mm Hg; auscultated blood pressure"?170/100 mm Hg; apical pulse"?60 beats per minute; radial pulse"?70 beats per minute. What is the patient's pulse pressure?

  1. A. 10
  2. B. 70
  3. C. 80
  4. D. 100
Show answer and rationale

Correct answer: B — 70

Pulse pressure is the numerical difference between the systolic and diastolic blood pressure readings. In this case, the systolic blood pressure is 170 mm Hg, and the diastolic blood pressure is 100 mm Hg. Therefore, the pulse pressure is calculated as 170 - 100 = 70 mm Hg. Pulse pressure reflects the stroke volume, the amount of blood ejected from the heart with each beat. Choices A, C, and D are incorrect because they do not accurately represent the difference between the systolic and diastolic blood pressure readings provided.

Question 2

When analyzing the results of the urinalysis collected preoperatively from a child with epispadias scheduled for surgical repair, which finding should the nurse most likely expect to note?

  1. A. Hematuria
  2. B. Proteinuria
  3. C. Bacteriuria
  4. D. Glucosuria
Show answer and rationale

Correct answer: C — Bacteriuria

Epispadias is a congenital defect characterized by the abnormal placement of the urethral orifice of the penis, often on the dorsum. This anatomical anomaly predisposes individuals to bacterial entry into the urinary tract, leading to bacteriuria. Hematuria, proteinuria, and glucosuria are not typically associated with epispadias. Hematuria refers to the presence of blood in the urine, proteinuria indicates protein in the urine, and glucosuria is the presence of glucose in the urine, none of which are commonly seen in epispadias.

Question 3

A 65-year-old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The patient lives in an upstairs apartment. The nurse is most concerned about which side effect of Flomax?

  1. A. Hypotension
  2. B. Tachycardia
  3. C. Back Pain
  4. D. Difficulty Urinating
Show answer and rationale

Correct answer: A — Hypotension

The correct answer is 'Hypotension.' Flomax (Tamsulosin) is known to cause orthostatic hypotension, especially in the elderly, leading to a sudden drop in blood pressure when standing up. This side effect can result in dizziness, falls, and injury, especially concerning for a patient living in an upstairs apartment. Tachycardia (increased heart rate) and back pain are less commonly associated with Flomax use, while difficulty urinating is a symptom that Flomax is intended to improve in patients with Benign Prostatic Hyperplasia.

Question 4

Digestion, elimination, and ___________ are the three functions of the digestive system.

  1. A. constriction
  2. B. relaxation
  3. C. absorption
  4. D. peristalsis
Show answer and rationale

Correct answer: C — absorption

The correct answer is 'absorption.' The three main functions of the digestive system are digestion, absorption, and elimination. Absorption refers to the process of absorbing nutrients and other substances from the digested food into the bloodstream. Choices A, B, and D are incorrect: Constriction is not a primary function of the digestive system, relaxation is not a distinct function in this context, and peristalsis is a muscular movement that aids in digestion but is not one of the three main functions of the digestive system.

Question 5

The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?

  1. A. UAP splint the patient's chest during coughing.
  2. B. UAP assist the patient to ambulate to the bathroom.
  3. C. UAP help the patient to a bedside chair for meals.
  4. D. UAP lower the head of the patient's bed to 15 degrees.
Show answer and rationale

Correct answer: D — UAP lower the head of the patient's bed to 15 degrees.

The correct action for the nurse to intervene in is when the UAP lowers the head of the patient's bed to 15 degrees. This position can decrease ventilation in a patient with pneumonia, potentially worsening their condition. Choices B and C involve assisting the patient with activities of daily living and promoting mobility, which are appropriate for the patient's care. Choice A, splinting the patient's chest during coughing, can help the patient manage coughing effectively, which is also appropriate for a patient with pneumonia.

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Ten more NCLEX-RN clinical judgment questions

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Question 6

The client is being educated about depression by the nurse. Which statement by the client indicates that the teaching has been effective?

  1. A. ''All elderly individuals experience depression occasionally.''
  2. B. ''I'm relieved that I will improve within 2 or 3 days.''
  3. C. ''I never realized depression could occur without a specific cause.''
  4. D. ''Reducing stress in my life will alleviate the depression.''
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Question 7

When a patient is standing in anatomical position, where are their feet?

  1. A. Facing forward with the toes spread open
  2. B. Facing out to the sides to open the hips
  3. C. Side by side and facing forward; toes resting comfortably
  4. D. The feet are pointed inward.
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Question 8

The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?

  1. A. pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97%
  2. B. pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95%
  3. C. pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98%
  4. D. pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96%
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Question 9

A physician's order instructs a nurse to take a temperature at the axilla. Where would the nurse place the thermometer?

  1. A. In the rectum
  2. B. In the mouth
  3. C. On the temples
  4. D. In the armpit
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Question 10

Which statement best describes evidence-based practice?

  1. A. Reading and analyzing research reports to determine their implementation in nursing practice
  2. B. Collecting data to evaluate the efficiency of nursing practice in delivering quality care
  3. C. Monitoring unit practices to ensure adherence to Joint Commission standards
  4. D. Using the most effective, current, and applicable information to guide nursing care for the best outcomes
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Question 11

What technique would the nurse use to accurately assess a rectal temperature in an adult?

  1. A. Use a lubricated blunt tip thermometer.
  2. B. Insert the thermometer 2 to 3 inches into the rectum.
  3. C. Leave the thermometer in place for up to 8 minutes if the patient is febrile.
  4. D. Wait 2 to 3 minutes if the patient has recently smoked a cigarette.
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Question 12

After receiving change-of-shift report, which patient should the nurse assess first?

  1. A. A patient with pneumonia who has crackles in the right lung base
  2. B. A patient with possible lung cancer who has just returned after bronchoscopy
  3. C. A patient with hemoptysis and a 16-mm induration with tuberculin skin testing
  4. D. A patient with chronic obstructive pulmonary disease (COPD) and pulmonary function testing (PFT) that indicates low forced vital capacity
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Question 13

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse should teach the parents to include which food item in the child's diet?

  1. A. Rice
  2. B. Oatmeal
  3. C. Rye toast
  4. D. White bread
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Question 14

A 32-year-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data about her obstetric history, which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information?

  1. A. G4 T1 P0 A1 L2
  2. B. G3 T1 P0 A1 L2
  3. C. G3 T0 P1 A1 L2
  4. D. G4 T0 P1 A1 L2
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Question 15

Select the age group that is coupled with an infectious disease that is most common in this age group.

  1. A. Infants: High bilirubin
  2. B. Pre-School and School Age Children: Shingles
  3. C. Young Adults and Teenagers: Sexually transmitted diseases
  4. D. The Elderly: Malaria
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About these NCLEX-RN clinical judgment questions

NCLEX-RN clinical judgment practice questions, set 59 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-RN 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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