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RN exams clinical judgment practice questions, set 140

RN exams · clinical judgment

RN exams clinical judgment practice questions set 140

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

The recent discovery of taste receptors that detect sweetness in the small intestine illustrates that

  1. A. chemical responses occur in various parts of the body.
  2. B. new discoveries about anatomy and physiology are still being made.
  3. C. everything about anatomy and physiology has been discovered.
  4. D. the molecular and cellular level is crucial in anatomy and physiology.
Show answer and rationale

Correct answer: B — new discoveries about anatomy and physiology are still being made.

The recent discovery of taste receptors in the small intestine illustrates that new discoveries about anatomy and physiology are still being made. This finding demonstrates that our understanding of the human body is continuously evolving. Choice A is incorrect because the discovery does not imply that chemical responses occur in only one part of the body but rather showcases a specific new discovery. Choice C is incorrect as it is highly improbable that everything about anatomy and physiology has been discovered given the complexity of the human body. Choice D is incorrect as while the molecular and cellular level is important in anatomy and physiology, the primary focus of this discovery is on the new findings about the taste receptors in the small intestine.

Question 2

What is a benefit of regular activity and exercise for the respiratory system?

  1. A. An increased chance of infection
  2. B. A reduced chance of pneumonia
  3. C. Diminished oxygen level
  4. D. Decreased circulation
Show answer and rationale

Correct answer: B — A reduced chance of pneumonia

The correct answer is B: A reduced chance of pneumonia. Regular activity and exercise strengthen the respiratory muscles, improve lung function, and enhance overall respiratory health. This reduces the risk of infections such as pneumonia by improving the body's ability to fight off respiratory illnesses. Incorrect choices: A: An increased chance of infection - This is incorrect as regular activity and exercise actually boost the immune system, reducing the likelihood of infections. C: Diminished oxygen level - This is incorrect as exercise increases oxygen intake and improves oxygen delivery to the body's tissues. D: Decreased circulation - This is incorrect as exercise improves circulation, leading to better oxygen and nutrient delivery throughout the body.

Question 3

Nurse Carlos teaches a community adult class about the common symptoms of tuberculosis. Which of the following should Nurse Carlos include?

  1. A. weight loss
  2. B. dyspnea on exertion
  3. C. increased appetite
  4. D. mental status changes
Show answer and rationale

Correct answer: A — weight loss

The correct answer is A: weight loss. Weight loss is a common symptom of tuberculosis due to the impact of the infection on the body's metabolism and appetite. This symptom is important to recognize as it can be an early indicator of the disease. Dyspnea on exertion (B) is not a common symptom of tuberculosis, as it typically affects the lungs rather than causing difficulty breathing. Increased appetite (C) is not a typical symptom, as TB usually leads to decreased appetite and weight loss. Mental status changes (D) are not directly associated with tuberculosis and are more commonly seen in other conditions affecting the brain. Therefore, weight loss is the most relevant symptom to include in the teaching material for identifying possible cases of tuberculosis.

Question 4

Nurse Cecile is teaching a female client about preventing osteoporosis. Which of the following teaching points is correct?

  1. A. Obtaining an X-ray of the bones every 3 years is recommended to detect bone loss.
  2. B. To avoid fractures, the client should avoid strenuous exercise.
  3. C. The recommended daily allowance of calcium may be found in a wide variety of foods.
  4. D. Obtaining the recommended daily allowance of calcium requires taking a calcium supplement.
Show answer and rationale

Correct answer: C — The recommended daily allowance of calcium may be found in a wide variety of foods.

The correct answer is C because it emphasizes the importance of obtaining the recommended daily allowance of calcium from a variety of foods. Calcium is essential for bone health and can be found in dairy products, leafy greens, nuts, and fortified foods. This teaching point promotes a balanced and healthy diet as a natural way to prevent osteoporosis. Choice A is incorrect because routine X-rays are not recommended for detecting bone loss in osteoporosis. Choice B is incorrect as regular exercise, including weight-bearing and resistance training, is beneficial for bone health and can help prevent fractures. Choice D is incorrect as it is possible to meet the daily calcium requirement through dietary sources without necessarily needing a calcium supplement.

Question 5

A nurse is teaching a patient how to manage allergic rhinitis. What is the most important point to include?

  1. A. Use oral antihistamines two weeks before allergy season.
  2. B. Identify and avoid environmental triggers.
  3. C. Wash hands frequently to prevent spreading allergies.
  4. D. Limit corticosteroid nasal sprays due to systemic effects.
Show answer and rationale

Correct answer: B — Identify and avoid environmental triggers.

The correct answer is B: Identify and avoid environmental triggers. This is the most important point because it addresses the root cause of allergic rhinitis, which is exposure to allergens. By identifying and avoiding triggers such as pollen, dust mites, and pet dander, the patient can effectively manage their symptoms. Using oral antihistamines preemptively (choice A) may provide some relief, but does not address the underlying cause. Washing hands frequently (choice C) is important for preventing infections but not directly related to managing allergic rhinitis. Limiting corticosteroid nasal sprays (choice D) is incorrect as they are commonly used and effective in managing allergic rhinitis symptoms without significant systemic effects when used as directed.

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Ten more RN exams clinical judgment questions

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Question 6

The nurse is caring for a patient who has an intra-aortic balloon pump in place. Which action should be included in the plan of care?

  1. A. Position the patient supine at all times.
  2. B. Avoid the use of anticoagulant medications.
  3. C. Measure the patient’s urinary output every hour.
  4. D. Provide a massive range of motion for all extremities.
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Question 7

A 30-year-old pregnant patient is at 36 weeks gestation and expresses concerns about swelling in her legs. Which of the following assessments is most important for the nurse to make?

  1. A. Assess the patient's weight gain during the pregnancy.
  2. B. Examine the legs for any signs of deep vein thrombosis (DVT).
  3. C. Instruct the patient to elevate her legs and rest.
  4. D. Evaluate the patient's dietary intake of sodium.
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Question 8

In order to promote a resident's right to privacy which item is used to cover a resident while making an occupied bed?

  1. A. A bath blanket
  2. B. A bedspread
  3. C. A waterproof bed protector
  4. D. A fitted bottom sheet
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Question 9

Which infant is most likely to express Rh incompatibility?

  1. A. Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor.
  2. B. Infant who is Rh negative and a mother who is Rh negative.
  3. C. Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor.
  4. D. Infant who is Rh positive and a mother who is Rh positive.
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Question 10

Which statement about leptospirosis is INCORRECT:

  1. A. Leptospirosis is acute infectious disease with typical geographic distribution
  2. B. Reservoirs of leptospira are different wild and domestic animals-mainly rodents
  3. C. Leptospira can be cultivated on blood and chocolate agar
  4. D. doxycycline and penicillins are drugs of choice for treatment of leptospirosis
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Question 11

Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting?

  1. A. There is limited access to information useful to the nurse in giving care in the community.
  2. B. More paperwork and forms are required when giving care in the hom
  3. D. It is more challenging to control the environment in the community.
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Question 12

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
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Question 13

A patient with asthma reports increased use of a rescue inhaler. What is the nurse's priority intervention?

  1. A. Notify the healthcare provider about the patient's symptoms.
  2. B. Teach the patient proper inhaler technique.
  3. C. Perform a peak expiratory flow reading.
  4. D. Assess the patient's adherence to a maintenance medication regimen.
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Question 14

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 15

A nurse is teaching a patient how to manage allergic rhinitis. What is the most important point to include?

  1. A. Use oral antihistamines two weeks before allergy season.
  2. B. Identify and avoid environmental triggers.
  3. C. Wash hands frequently to prevent spreading allergies.
  4. D. Limit corticosteroid nasal sprays due to systemic effects.
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 140 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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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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