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NCLEX-RN clinical judgment practice questions, set 68

NCLEX-RN · clinical judgment

NCLEX-RN clinical judgment practice questions set 68

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

A patient has acute bronchitis with a nonproductive cough and wheezes. Which topic should the nurse plan to include in the teaching plan?

  1. A. Purpose of antibiotic therapy
  2. B. Ways to limit oral fluid intake
  3. C. Appropriate use of cough suppressants
  4. D. Safety concerns with home oxygen therapy
Show answer and rationale

Correct answer: C — Appropriate use of cough suppressants

In acute bronchitis, which is often viral, cough suppressants can help manage the symptoms of a nonproductive cough. Antibiotics are not typically used in acute bronchitis unless there are systemic symptoms indicating a bacterial infection. Limiting oral fluid intake is not recommended; in fact, maintaining adequate hydration is important. Safety concerns with home oxygen therapy may not be directly relevant to the management of acute bronchitis.

Question 2

A patient is being visited at home by a healthcare professional. The patient has been taking Naproxen for back pain. Which statement made by the patient most indicates that the healthcare professional needs to contact the physician?

  1. A. I get an upset stomach if I don't take Naproxen with my meals.
  2. B. My back pain right now is about a 3/10.
  3. C. I get occasional headaches since taking Naproxen
  4. D. I have ringing in my ears.
Show answer and rationale

Correct answer: D — I have ringing in my ears.

The correct answer is 'I have ringing in my ears.' Ringing in the ears is a severe adverse effect of Naproxen, indicating potential toxicity. This symptom warrants immediate medical attention. Choices A, B, and C are less concerning and do not directly indicate a severe adverse effect or toxicity related to Naproxen. Upset stomach, mild back pain, and occasional headaches are common side effects that may not require immediate physician contact.

Question 3

Which of the following white blood cells is the smallest and can be involved in humoral immunity?

  1. A. Lymphocyte
  2. B. Monocyte
  3. C. Basophil
  4. D. Erythrocyte
Show answer and rationale

Correct answer: A — Lymphocyte

The correct answer is 'Lymphocyte.' Lymphocytes are the smallest type of white blood cells and play a crucial role in humoral immunity by producing antibodies. Monocytes are actually the largest white blood cells and are involved in phagocytosis rather than humoral immunity. Basophils are a type of granulocyte involved in allergic reactions, and erythrocytes are red blood cells responsible for oxygen transport, not part of the immune system.

Question 4

Administration of hepatitis B vaccine to a healthy 18-year-old patient has been effective when a specimen of the patient's blood reveals

  1. A. HBsAg.
  2. B. anti-HBs
  3. C. anti-HBc IgG
  4. D. anti-HBc IgM.
Show answer and rationale

Correct answer: B — anti-HBs

The correct answer is 'anti-HBs'. The presence of surface antibody to HBV (anti-HBs) indicates a successful response to the hepatitis B vaccine. Anti-HBs is a marker of immunity and protection against hepatitis B infection. Choices A, C, and D are incorrect because: A) HBsAg indicates current infection with hepatitis B virus, C) anti-HBc IgG suggests past infection or immunity, and D) anti-HBc IgM is a marker of acute hepatitis B infection.

Question 5

When placing a patient in the AP position for an X-ray, what position would the patient be in?

  1. A. Facing the X-ray film.
  2. B. Right side against the X-ray film.
  3. C. Left side against the X-ray film.
  4. D. Facing away from the X-ray film
Show answer and rationale

Correct answer: D — Facing away from the X-ray film

The AP position stands for Anteroposterior Projection. When a patient is in the AP position for an X-ray, they are facing away from the X-ray film. This positioning allows for a clear view of the structures being imaged from front to back. Choices A, B, and C are incorrect because the patient is not facing or positioned against the X-ray film in the AP position, but rather facing away from it to capture the necessary diagnostic information.

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Question 6

Which of the following is a fat-soluble vitamin?

  1. A. Vitamin C
  2. B. Vitamin D
  3. C. Vitamin B-6
  4. D. Riboflavin
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Question 7

A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?

  1. A. Decreased HR
  2. B. Paresthesias
  3. C. Muscle weakness of the extremities
  4. D. Migraines
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Question 8

When preparing a patient on complete bed rest to eat, at what degree angle or more should you put the head of the bed up?

  1. A. 10
  2. B. 15
  3. C. 20
  4. D. 30
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Question 9

Which of the following is an example of emotional neglect?

  1. A. A slap to the person's hand
  2. B. Threatening the person
  3. C. Ignoring and isolating a person
  4. D. Leaving a patient soiled for hours
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Question 10

The abbreviation pc is defined as ________________.

  1. A. before the meal
  2. B. with the meal
  3. C. after the meal
  4. D. post corpi
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Question 11

During the implementation phase of the nursing process when working with a hospitalized adult, which of the following actions would the nurse take?

  1. A. Formulate a nursing diagnosis of impaired gas exchange
  2. B. Record in the medical record the distance a client ambulates in the hall
  3. C. Write individualized nursing orders in the care plan
  4. D. Compare client responses to the desired outcomes for pain relief
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Question 12

Where is the Loop of Henle located in the body?

  1. A. Liver
  2. B. Kidney
  3. C. Heart
  4. D. Ear
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Question 13

When caring for an asthmatic patient with an early-phase reaction, which of the following is indicative of an early-phase reaction?

  1. A. Rapid bronchospasms
  2. B. Inflammatory epithelial lesions
  3. C. Increased secretions
  4. D. Increased mucosal edema
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Question 14

For a healthcare worker under normal conditions with unsoiled hands, effective hand hygiene between patients requires which of the following?

  1. A. At least a 15-second scrub with plain soap and water
  2. B. At least a 23-minute scrub with an antimicrobial soap
  3. C. Use of an alcohol-based antiseptic hand-rub
  4. D. Wearing a mask when scrubbing
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Question 15

The nurse is reviewing the record of a child diagnosed with nephrotic syndrome. The nurse should expect to note which finding documented in the child's record?

  1. A. Polyuria
  2. B. Weight gain
  3. C. Hypotension
  4. D. Grossly bloody urine
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About these NCLEX-RN clinical judgment questions

NCLEX-RN clinical judgment practice questions, set 68 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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