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NCLEX-RN clinical judgment practice questions, set 70

NCLEX-RN · clinical judgment

NCLEX-RN 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-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

Which of the following is an anthropometric measurement?

  1. A. Blood pressure
  2. B. Temperature
  3. C. Pulse Rate
  4. D. Weight
Show answer and rationale

Correct answer: D — Weight

Anthropometric measurements relate to the size, weight, and proportions of the human body. Weight is a key anthropometric measurement as it directly reflects body mass, making it the correct choice. Blood pressure, temperature, and pulse rate are physiological measurements that do not specifically pertain to body size or proportion, hence making them incorrect choices in the context of anthropometric measurements.

Question 2

Which of the following sets of word parts means 'Pain'?

  1. A. dynia and -algia
  2. B. a- and an
  3. C. ia and -ac
  4. D. pathy and -osis
Show answer and rationale

Correct answer: A — dynia and -algia

The correct answer is 'dynia and -algia.' The word parts 'dynia' and '-algia' specifically relate to pain. 'Dynia' refers to pain, and '-algia' also denotes pain. Therefore, when combined, they form the meaning 'pain.' Choices B, C, and D are incorrect because 'a-' and 'an' do not relate to pain, 'ia' and '-ac' do not specifically convey pain, and 'pathy' and '-osis' are not word parts that directly signify pain.

Question 3

What preparation is necessary for a colposcopy procedure?

  1. A. NPO for 8-12 hours before the procedure.
  2. B. D/C all hypertension medications for two days prior to the procedure.
  3. C. Take three Dulcolax tablets and two containers of Miralax the day before to clear out the lower GI system.
  4. D. None of the above prep is necessary for this type of procedure.
Show answer and rationale

Correct answer: D — None of the above prep is necessary for this type of procedure.

A colposcopy procedure is performed to examine the vagina and cervix. The only preparation required is washing the external genitals with soap and water on the morning of the procedure. Choices A, B, and C suggest unnecessary preparations that are not relevant to a colposcopy. NPO for 8-12 hours, discontinuing hypertension medications, and using laxatives are not part of the standard preparation for a colposcopy.

Question 4

A mother has recently been informed that her child has Down syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down syndrome?

  1. A. Simian crease
  2. B. Brachycephaly
  3. C. Oily skin
  4. D. Hypotonicity
Show answer and rationale

Correct answer: C — Oily skin

Individuals with Down syndrome commonly have certain physical characteristics, such as a simian crease (single transverse palmar crease), brachycephaly (shortened front-to-back skull dimension), and hypotonicity (low muscle tone). Oily skin is not a characteristic associated with Down syndrome; instead, individuals with Down syndrome often have dry skin. Therefore, oily skin is the correct answer in this context.

Question 5

A systemic sign of infection is ______________.

  1. A. swelling
  2. B. redness
  3. C. heat
  4. D. a lack of appetite
Show answer and rationale

Correct answer: D — a lack of appetite

The correct answer is 'a lack of appetite.' When a person experiences a systemic infection, they may exhibit signs that affect the entire body. A lack of appetite is a common systemic sign of infection, along with other symptoms like rapid pulse, fever, and an elevated white blood cell count. Swelling, redness, and heat are more indicative of localized inflammation or infection, rather than systemic involvement.

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Ten more NCLEX-RN clinical judgment questions

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Question 6

A healthcare professional is reviewing a patient's chart and notices that the patient suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

  1. A. Yersinia pestis
  2. B. Helicobacter pylori
  3. C. Vibrio cholerae
  4. D. Haemophilus aegyptius
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Question 7

The client is receiving an MAOI. Which foods should the nurse caution the client to avoid?

  1. A. Pork, spinach, and fresh oysters
  2. B. Milk, grapes, and meat tenderizers
  3. C. Cheese, beer, and products with chocolate
  4. D. Leafy green vegetables, fresh apples, and ice cream
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Question 8

Which body plane divides the body into right and left sides?

  1. A. Frontal Plane
  2. B. Medial Plane
  3. C. Median Plane
  4. D. Transverse Plane
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Question 9

The Sinoatrial Node (SA) is located within which of the following heart structures?

  1. A. Mitral Valve
  2. B. Right Ventricle
  3. C. Right Atrium
  4. D. Left Atrium
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Question 10

When a mother is inquiring about her child's ability to potty train, what is the most critical aspect of toilet training?

  1. A. The age of the child
  2. B. The child's ability to understand instructions
  3. C. The overall mental and physical abilities of the child
  4. D. Consistent attempts with positive reinforcement
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Question 11

Employee health test results reveal a tuberculosis (TB) skin test of 16-mm induration and a negative chest x-ray for a staff nurse working on the pulmonary unit. The nurse has no symptoms of TB. Which information should the occupational health nurse plan to teach the staff nurse?

  1. A. Standard four-drug therapy for TB
  2. B. Need for annual repeat TB skin testing
  3. C. Use and side effects of isoniazid (INH)
  4. D. Bacille Calmette-Gurin (BCG) vaccine
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Question 12

When teaching the client with tuberculosis about follow-up home care, the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical?

  1. A. Liver function
  2. B. Kidney function
  3. C. Blood sugar
  4. D. Cardiac enzymes
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Question 13

Which of the following medications taken by the patient is least likely to cause urine discoloration?

  1. A. Sulfasalazine
  2. B. Levodopa
  3. C. Phenolphthalein
  4. D. Aspirin
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Question 14

During an assessment of a child admitted to the hospital with a probable diagnosis of nephrotic syndrome, what assessment findings should the nurse expect to observe? Select one that applies.

  1. A. Proteinuria
  2. B. Weight gain
  3. C. Decreased serum lipids
  4. D. Hematuria
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Question 15

The nurse reviews the record of a child who is suspected to have glomerulonephritis and expects to note which finding that is associated with this diagnosis?

  1. A. Hypotension
  2. B. Brown-colored urine
  3. C. Low urinary specific gravity
  4. D. Low blood urea nitrogen level
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About these NCLEX-RN clinical judgment questions

NCLEX-RN 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-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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