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RN exams clinical judgment practice questions, set 136

RN exams · clinical judgment

RN exams clinical judgment practice questions set 136

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

A woman has been severely beaten by her husband, has no relatives or friends in the community, is afraid to return home, has no financial resources of her own, and has no job skills. Which would be the most important referral for the nurse to make?

  1. A. Community food cupboard
  2. B. Vocational counseling
  3. C. Law enforcement
  4. D. Safe house or shelter
Show answer and rationale

Correct answer: D — Safe house or shelter

The correct answer is D: Safe house or shelter. This option is the most important referral because the woman is in immediate danger and needs a safe place to stay away from her abusive husband. It prioritizes her safety and well-being. Referring her to a safe house can provide her with protection, resources, and support to help her escape the abusive situation. Choice A (Community food cupboard) is incorrect as it does not address the woman's immediate safety needs. Choice B (Vocational counseling) is also not the most urgent referral in this situation as the woman's safety should be the priority. Choice C (Law enforcement) might be necessary in the long run, but the immediate concern is ensuring the woman's safety by referring her to a safe house or shelter.

Question 2

A client who has just returned from surgery is shivering uncontrollably. What is the best action for the nurse to take?

  1. A. Offer the client a warm blanket
  2. B. Apply warm blankets and monitor the client's temperature
  3. C. Place a warm blanket in the client's bed before transferring the client from the stretcher
  4. D. Administer a prescribed muscle relaxant
Show answer and rationale

Correct answer: B — Apply warm blankets and monitor the client's temperature

Applying warm blankets and monitoring the client's temperature is the best action to manage postoperative shivering. Shivering after surgery can be a common response due to factors like exposure to cold, pain, or anesthesia effects. Providing warmth through blankets can help regulate the client's body temperature and alleviate shivering. Monitoring the client's temperature is essential to ensure it returns to a normal range. Option A is not as comprehensive as option B, which includes both providing warmth and monitoring the client. Option C is incorrect as it focuses on preparing the bed rather than addressing the client's immediate need for warmth. Option D is not appropriate without further assessment or prescription for a muscle relaxant to address shivering.

Question 3

Nine-month-old Avery can retrieve his ball when his mother hides it under a blanket. Avery has begun to master __________.

  1. A. the tertiary circular reaction
  2. B. reflexive schemes
  3. C. object permanence
  4. D. deferred imitation
Show answer and rationale

Correct answer: C — object permanence

Avery demonstrating the ability to retrieve his ball hidden under a blanket indicates that he has started to understand object permanence. Object permanence is the concept that objects continue to exist even when they are out of sight. This milestone typically occurs around 8-12 months of age. The other choices are incorrect. Option A, the tertiary circular reaction, is related to Piaget's theory of sensorimotor development but does not specifically address object permanence. Reflexive schemes (Option B) refer to simple, reflex-like behaviors and are not directly linked to object permanence. Deferred imitation (Option D) involves the ability to imitate actions observed at an earlier time, which is a different developmental milestone compared to object permanence.

Question 4

When preparing to cool a patient who is to begin therapeutic hypothermia, which intervention will the nurse plan to do (select all that apply)?

  1. A. Assist with endotracheal intubation.
  2. B. Insert an indwelling urinary catheter.
  3. C. Begin continuous cardiac monitoring.
  4. D. Obtain an order to restrain the patient.
Show answer and rationale

Correct answer: C — Begin continuous cardiac monitoring.

Rationale: Continuous cardiac monitoring is crucial during therapeutic hypothermia to monitor the patient's cardiac rhythm and detect any arrhythmias promptly. This intervention allows for immediate intervention if any cardiac issues arise. Explanation of other choices: A: Assisting with endotracheal intubation may be necessary for airway management but is not directly related to cooling the patient for therapeutic hypothermia. B: Inserting an indwelling urinary catheter may be needed for urine output monitoring but is not a priority intervention for cooling the patient. D: Restraining the patient is unnecessary and not indicated for therapeutic hypothermia; it may cause unnecessary distress and should be avoided unless absolutely necessary for patient safety.

Question 5

Which policy has been most effective in increasing access to healthcare in rural areas?

  1. A. Medicaid expansion
  2. B. Government tax incentives for rural healthcare providers
  3. C. Increasing urban migration
  4. D. Corporate-sponsored health programs
Show answer and rationale

Correct answer: A — Medicaid expansion

The correct answer is A: Medicaid expansion. This policy has been effective in increasing access to healthcare in rural areas by providing coverage to low-income individuals who may not have been able to afford healthcare otherwise. Medicaid expansion helps rural healthcare providers by increasing patient volume and revenue. B: Government tax incentives may help incentivize healthcare providers to practice in rural areas but may not directly address access issues for rural residents. C: Increasing urban migration would have the opposite effect by further depleting healthcare resources in rural areas. D: Corporate-sponsored health programs may benefit employees of specific companies but do not address the broader access issues faced by rural populations.

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Question 6

The nurse is concerned about the skin integrity of the patient in the intraoperative phase of surgery. Which action will the nurse take to minimize skin breakdown?

  1. A. Encouraging the patient to bathe before surgery
  2. B. Securing attachments to the operating table with foam padding
  3. C. Periodically adjusting the patient during the surgical procedure
  4. D. Measuring the time a patient is in one position during surgery
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Question 7

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 8

A nurse is caring for a client who has a chest tube. Which of the following findings should the nurse report to the provider?

  1. A. Intermittent bubbling in the water seal chamber
  2. B. Drainage of 80 mL of fluid in the past hour
  3. C. Tidaling in the water seal chamber with respiration
  4. D. Fluctuation in the drainage tubing with breathing
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Question 9

The correct hierarchical order for virus classification is

  1. A. order, genus, family, subfamily, species.
  2. B. species, genus, family, subfamily, order.
  3. C. order, family, subfamily, genus, species.
  4. D. genus, order, family, subfamily, species.
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Question 10

What is the most important assessment for a patient post-op to monitor for complications?

  1. A. Monitor vital signs
  2. B. Monitor the surgical site
  3. C. Check blood glucose levels
  4. D. Check for abnormal breath sounds
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Question 11

What is the form of therapy that encourages the person to remember past experiences?

  1. A. Reality orientation
  2. B. Validating
  3. C. Reminiscence therapy
  4. D. Remotivation therapy
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Question 12

Your adult patient is experiencing a prolonged episode of paroxysmal supraventricular tachycardia but remains stable at the present time. He denies chest pain, shortness of breath, and his skin is warm and dry. He has failed to convert to a normal sinus rhythm after receiving the max dosage of adenosine in succession. What is your next step?

  1. A. Administer verapamil
  2. B. Administer procainamide
  3. C. Obtain expert consultation about diagnosis and treatment
  4. D. Administer Adenocard
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Question 13

The nurse is setting an infusion pump to deliver 4 mcg/kg/min of a medication to a patient who weighs 50 kg. How many micrograms should the patient receive in one hour?

  1. A. 200
  2. B. 1200
  3. C. 12
  4. D. 0
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Question 14

A client experiences intrusive, insulting auditory hallucinations. Which independent behavioral technique can the nurse teach the client to employ when the voices are troublesome?

  1. A. Take additional antipsychotic medication
  2. B. Lie down in bed and try to sleep
  3. C. Sing or whistle to compete with the voices
  4. D. Eat a large portion of chocolate
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Question 15

Which of the following people may commit intimate partner violence (IPV)?

  1. A. An uncle
  2. B. A neighbor
  3. C. A friend
  4. D. A spouse
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 136 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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