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NCLEX-RN clinical judgment practice questions, set 73

NCLEX-RN · clinical judgment

NCLEX-RN 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-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 type of shock is related to low blood volume?

  1. A. Psychogenic
  2. B. Cardiogenic
  3. C. Anaphylactic
  4. D. Hemorrhagic
Show answer and rationale

Correct answer: D — Hemorrhagic

Hemorrhagic shock, also known as hypovolemic shock, is directly related to low blood volume due to significant blood loss. In hemorrhagic shock, the body's circulating blood volume is reduced, leading to inadequate perfusion of tissues and organs. Psychogenic shock is caused by emotional distress, not blood volume changes. Cardiogenic shock results from heart failure, not low blood volume. Anaphylactic shock is due to a severe allergic reaction, not a reduction in blood volume.

Question 2

What does the medical term 'diaphoresis' mean?

  1. A. Profuse vomiting
  2. B. Profuse sweating
  3. C. Gasping for air
  4. D. None of the above
Show answer and rationale

Correct answer: B — Profuse sweating

The correct answer is B: Profuse sweating. Diaphoresis is a medical term that refers to excessive sweating. It is commonly seen in emergency situations such as heart attacks or diabetic episodes. Choice A, 'Profuse vomiting,' is incorrect as diaphoresis is not related to vomiting. Choice C, 'Gasping for air,' is also incorrect as it refers to difficulty breathing, not sweating. Choice D, 'None of the above,' is incorrect as diaphoresis specifically relates to sweating.

Question 3

The acronym FAST is used to help responders remember the steps to recognizing which of the following conditions?

  1. A. Onset of labor in a pregnant woman
  2. B. Stroke
  3. C. Heart attack
  4. D. Migraine
Show answer and rationale

Correct answer: B — Stroke

The correct answer is B: Stroke. The acronym FAST is used to help recognize the signs of a stroke. The letters stand for Face, Arms, Speech, and Time. This mnemonic helps in identifying facial drooping, arm weakness, speech difficulties, and the importance of time in seeking emergency care. Choices A, C, and D are incorrect because the FAST acronym specifically pertains to stroke recognition, not the onset of labor, heart attacks, or migraines.

Question 4

Improper placement of the hands under the rib cage when performing the Heimlich maneuver could result in:

  1. A. damage to the manubrium of the sternum.
  2. B. damage to the xiphoid process.
  3. C. damage to the coccyx.
  4. D. None of the above is possible, even with improper hand placement.
Show answer and rationale

Correct answer: B — damage to the xiphoid process.

The xiphoid process is a small, cartilaginous extension at the inferior end of the sternum. Placing the hands improperly during the Heimlich maneuver too close to this process can result in it breaking off and potentially causing damage to internal organs. Choices A and C are incorrect because the manubrium of the sternum and the coccyx are not in the area where the hands would typically be placed during the Heimlich maneuver.

Question 5

Which behavior is most typical for clients with borderline personality disorder?

  1. A. Arrogant
  2. B. Eccentric
  3. C. Impulsive
  4. D. Dependent
Show answer and rationale

Correct answer: C — Impulsive

The correct answer is 'Impulsive.' Clients with borderline personality disorder often exhibit impulsive, potentially self-damaging behaviors. Arrogance is more characteristic of narcissistic personality disorder, eccentric behavior aligns with schizotypal personality disorder, and dependent behavior is typical of dependent personality disorder. Therefore, the key feature of borderline personality disorder is impulsivity.

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Ten more NCLEX-RN clinical judgment questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

According to the CDC, which of the following age groups is most likely to meet the criteria for major depression?

  1. A. 18-24 years
  2. B. 25-34 years
  3. C. 35-44 years
  4. D. 45-64 years
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Question 7

Before discharging an anxious client, which information about anxiety would the nurse teach the family?

  1. A. Anxiety is a totally unique feeling and experience.
  2. B. Apprehension is generalized to the total environment.
  3. C. Fears result from conscious actions, thoughts, and wishes.
  4. D. Anxiety is a pattern of emotional and behavioral responses to stress.
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Question 8

What is the initial step to take when a patient passes out at the front desk?

  1. A. Call 911.
  2. B. Initiate CPR.
  3. C. Shake the patient and ask if they are okay.
  4. D. Check for a pulse.
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Question 9

You are taking care of a patient who has active TB. The patient has been put on airborne precautions and is in a special room. You must wear a HEPA mask when you enter the room. Now, the patient has to leave the room and go to the radiology department. How can you transport this patient to the radiology department without spreading TB throughout the hospital?

  1. A. Have everyone along the route to the radiology department wear a HEPA mask.
  2. B. Have patients along the route to the radiology department wear a HEPA mask.
  3. C. Have staff along the route to the radiology department wear a HEPA mask.
  4. D. Place a HEPA mask on the patient.
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Question 10

What feeling is likely to result from withdrawn behavior?

  1. A. Anger
  2. B. Paranoia
  3. C. Loneliness
  4. D. Boredom
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Question 11

While reviewing the side effects of a newly prescribed medication, a 72-year-old client notes that one of the side effects is a reduction in sexual drive. Which is the best response by the nurse?

  1. A. How will this affect your present sexual activity?
  2. B. How active is your current sex life?
  3. C. How has your sex life changed as you have become older?
  4. D. Tell me about your sexual needs as an older adult.
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Question 12

Nursing care plans contain which of the following?

  1. A. nursing diagnoses
  2. B. medical diagnoses.
  3. C. MD orders.
  4. D. intake and output forms
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Question 13

What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016

  1. A. 7/7/2017
  2. B. 8/7/2017
  3. C. 6/7/2017
  4. D. 8/1/2017
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Question 14

A patient with right lower-lobe pneumonia has been treated with IV antibiotics for 3 days. Which assessment data obtained by the nurse indicates that the treatment has been effective?

  1. A. Bronchial breath sounds are heard at the right base.
  2. B. The patient coughs up small amounts of green mucus.
  3. C. The patients white blood cell (WBC) count is 9000/L
  4. D. Increased tactile fremitus is palpable over the right chest
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Question 15

A nurse is educating a patient about bimatoprost (Lumigan) eyedrops for the treatment of Glaucoma. Which of the following indicates that the patient has a correct understanding of the expected outcomes following treatment?

  1. A. "I should be experiencing less blurriness in my central field of vision"
  2. B. "This medication won't help my vision at all, but will keep it from getting worse."
  3. C. "My peripheral vision should be increasing back to its normal state, but will take a few weeks to do so."
  4. D. "This medication will help my eye restor intraocular fluid and increase intraocular pressure"
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About these NCLEX-RN clinical judgment questions

NCLEX-RN clinical judgment practice questions, set 73 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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