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RN exams clinical judgment practice questions, set 128

RN exams · clinical judgment

RN exams clinical judgment practice questions set 128

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 RN exams exam guide or more RN exams 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

When discussing the nursing process, the student nurse correctly states, \'The nursing process is designed to provide a means for measuring __________.\'

  1. A. patient outcomes
  2. B. acuity of the patients on a nursing unit
  3. C. expenses associated with care
  4. D. appropriate tasks for delegation
Show answer and rationale

Correct answer: A — patient outcomes

The nursing process is a systematic framework that guides nurses in delivering individualized patient care. It consists of five steps: assessment, diagnosis, planning, implementation, and evaluation. The purpose of the nursing process is to improve the quality of patient care by providing a structured approach to identifying patient needs, planning and implementing interventions, and evaluating the outcomes of care. By correctly stating that the nursing process is designed to measure 'patient outcomes,' the student nurse acknowledges the essential focus on assessing the effectiveness of nursing interventions in relation to the desired patient outcomes. This ensures that care is evidence-based, patient-centered, and continuously evaluated for effectiveness and quality.

Question 2

Clients will go through operations and who have undergone surgery need the proper observation, treatment, and care. Implementing the nursing process to these patients will help reduce complications. Nurse Maria is preparing Mr. Sy for surgery. Which of the following statements by the client would indicate he is well-informed about his imminent surgery?

  1. A. “ Right after the operation, I will wear the pneumatic compression device while sitting on the chair.”
  2. B. “I will not eat anything after 12 pm the night befire my operation, but I sure can drink.”
  3. C. “The skin preparation site is longer and wider than the actual incision site.”
  4. D. “I will need to sign the consent from after I get to the operating table.”
Show answer and rationale

Correct answer: B — “I will not eat anything after 12 pm the night befire my operation, but I sure can drink.”

The correct answer is B. Mr. Sy's statement indicates he understands the pre-operative fasting instructions, which is crucial to prevent aspiration during surgery. Not eating after midnight reduces the risk of complications. A: Incorrect. Wearing a pneumatic compression device post-surgery is important, but this statement does not demonstrate understanding of pre-surgery preparations. C: Incorrect. Knowing the skin preparation site size does not indicate understanding of the surgery process. D: Incorrect. Signing the consent form at the operating table may indicate lack of understanding of the consent process and timing. In summary, choice B is correct as it shows Mr. Sy's awareness of the fasting requirement before surgery, which is crucial for a safe operation.

Question 3

A client has burns covering 40% of their total body surface area (TBSA). What is the nurse's priority action?

  1. A. Monitor the client's urinary output hourly.
  2. B. Apply cool, moist dressings to the burned areas.
  3. C. Administer pain medication to reduce discomfort.
  4. D. Administer IV fluids to prevent hypovolemia.
Show answer and rationale

Correct answer: A — Monitor the client's urinary output hourly.

The correct answer is A: Monitor the client's urinary output hourly. Clients with burns covering a large percentage of their total body surface area are at high risk for hypovolemia due to fluid loss. Monitoring urinary output is crucial because it helps assess kidney function and fluid balance, providing essential information about the client's hemodynamic status. Applying cool, moist dressings (choice B) is important but not the priority over assessing fluid balance. Administering pain medication (choice C) is essential for comfort but not the priority over monitoring for potential complications like hypovolemia. Administering IV fluids (choice D) is important to prevent hypovolemia, but monitoring urinary output should be the priority to guide fluid resuscitation.

Question 4

Dwellers of a village noticed mass mortality of rats in some farms. It was suspected that the animals might have died from plague. What postmortal analyses should be conduced in order to establish the causative agent of the infection as soon as possible?

  1. A. Ring precipitation reaction
  2. B. Agglutination reaction
  3. C. Passive agglutination reaction
  4. D. Neutralization reaction
Show answer and rationale

Correct answer: B — Agglutination reaction

The correct answer is B: Agglutination reaction. This test is commonly used to detect specific antibodies or antigens. In this case, it can be used to detect plague antigens in the rat tissues or antibodies in the villagers. This test is rapid, sensitive, and can help establish the presence of the causative agent quickly. A: Ring precipitation reaction is not typically used for diagnosing plague and is more commonly used in other types of infections. C: Passive agglutination reaction is not specific for plague and is more commonly used for detecting specific antibodies in diseases like syphilis. D: Neutralization reaction is not typically used for diagnosing plague and is more commonly used to determine the presence of neutralizing antibodies in viral infections.

Question 5

What is the role of the cervix during pregnancy?

  1. A. Prevent infection and maintain pregnancy
  2. B. Facilitate sperm entry
  3. C. Support implantation of the fertilized egg
  4. D. Produce estrogen
Show answer and rationale

Correct answer: A — Prevent infection and maintain pregnancy

The correct answer is A: Prevent infection and maintain pregnancy. The cervix acts as a physical barrier to prevent infections from reaching the uterus, protecting the developing fetus. It also produces mucus that blocks the entry of harmful microorganisms. Additionally, the cervix helps maintain the pregnancy by staying closed and firm until it's time for labor. Choice B (Facilitate sperm entry) is incorrect because the cervix actually filters and allows only healthy sperm to pass through. Choice C (Support implantation of the fertilized egg) is incorrect because the cervix is not directly involved in the implantation process, which occurs in the uterus. Choice D (Produce estrogen) is incorrect because estrogen is primarily produced by the ovaries, not the cervix.

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Question 6

What is the significance of a semen analysis in evaluating infertility?

  1. A. It determines the number, shape, and movement of sperm.
  2. B. It checks for genetic conditions affecting sperm.
  3. C. It monitors hormone levels in males.
  4. D. It identifies infections in the reproductive tract.
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Question 7

Which one of the following is recommended method for treating frostbite?

  1. A. "Moist heat"
  2. B. Early amputation
  3. C. Padding and elevation
  4. D. Vasodilators and heparin
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Question 8

What is a potential sign of intrauterine fetal demise?

  1. A. increased fetal heart rate
  2. B. vaginal bleeding
  3. C. decreased or absent fetal movement
  4. D. macrosomia
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Question 9

A female client reports she has not had a bowel movement for 3 days, but now is defecating frequent small amounts of liquid stool. Which action should the nurse implement?

  1. A. Digitally check the client for a fecal impaction
  2. B. Administer a laxative to stimulate bowel movement
  3. C. Increase fluid intake to soften stool
  4. D. Perform a digital rectal examination
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Question 10

Medicinal calcium salts are indicated for:

  1. A. Prevention of osteoporosis
  2. B. Hastening fracture union
  3. C. Peripheral neuritis
  4. D. All of the above
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Question 11

Select the indication for which a progestin is used alone without combining with an estrogen:

  1. A. Threatened abortion
  2. B. Dysfunctional uterine bleeding
  3. C. Hormone replacement therapy
  4. D. Premenstrual tension
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Question 12

When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?

  1. A. Wash hands and observe appropriate infection control
  2. B. Keep the client dry by placing a towel under the chin
  3. C. Clean the mouth with oral swabs in a careful and orderly progression
  4. D. Put the client in a side-lying position with the head of the bed lowered.
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Question 13

A nurse is providing care to a client who has thrombocytopenia. Which of the following actions should the nurse take?

  1. A. Encourage the client to floss daily.
  2. B. Remove fresh flowers from the client's room.
  3. C. Provide the client with a stool softener.
  4. D. Avoid serving raw vegetables.
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Question 14

A pregnant patient at 32 weeks gestation reports severe heartburn. What should the nurse recommend to relieve symptoms?

  1. A. Take over-the-counter antacids after every meal.
  2. B. Eat smaller, more frequent meals and avoid lying down after eating.
  3. C. Drink a large glass of water immediately after meals to dilute stomach acid.
  4. D. Increase caffeine intake to speed up digestion.
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Question 15

Chlorine belongs to which of the following chemical groups?

  1. A. Halogens
  2. B. Heavy metals
  3. C. Phenols
  4. D. Alcohols
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 128 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 RN exams 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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