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RN exams clinical judgment practice questions, set 143

RN exams · clinical judgment

RN exams clinical judgment practice questions set 143

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

Which of the following actions by Florence Nightingale demonstrates her role as an epidemiologist?

  1. A. She convinced other women to join her in giving nursing care to all the soldiers.
  2. B. She demonstrated that a safer environment resulted in decreased mortality rat
  3. D. She obtained safe water and better food supplies and fought the lice and rats.
Show answer and rationale

Correct answer: B — She demonstrated that a safer environment resulted in decreased mortality rat

The correct answer is B because Florence Nightingale demonstrated her role as an epidemiologist by showing that a safer environment led to decreased mortality rates. She implemented measures such as improving sanitation, ventilation, and hygiene in hospitals during the Crimean War, resulting in a significant reduction in deaths. This exemplifies her understanding of how environmental factors impact public health outcomes. Choice A is incorrect because convincing others to provide nursing care does not directly relate to epidemiology. Choice D is incorrect as addressing water, food supplies, lice, and rats pertains more to public health and sanitation practices rather than epidemiology. Choice C is left blank as it does not provide any relevant information.

Question 2

A client with acute respiratory distress syndrome (ARDS) is intubated and placed on mechanical ventilation. What is the priority nursing assessment?

  1. A. Checking for signs of barotrauma.
  2. B. Monitoring for ventilator-associated pneumonia.
  3. C. Ensuring proper endotracheal tube placement.
  4. D. Assessing for sedation-related complications.
Show answer and rationale

Correct answer: C — Ensuring proper endotracheal tube placement.

The correct answer is C: Ensuring proper endotracheal tube placement. This is the priority assessment because incorrect placement can lead to inadequate oxygenation and ventilation. Step 1: Verify tube placement by auscultating bilateral breath sounds. Step 2: Confirm placement with chest x-ray. Step 3: Assess for signs of respiratory distress to ensure adequate oxygenation. Choices A, B, and D are incorrect because they are important assessments but not the priority in this scenario. Checking for barotrauma (A) and monitoring for ventilator-associated pneumonia (B) are important considerations, but ensuring proper tube placement takes precedence. Assessing for sedation-related complications (D) is also crucial but not the priority assessment in this case.

Question 3

A nurse is caring for a child who is hospitalized for an exacerbation of asthma. The nurse is preparing discharge teaching, as the client will be going home on nebulizer treatments and an inhaler. The client and her family members, who are recent immigrants to the United States, speak little English. In addition to enlisting an interpreter to help with the language barrier, what should be a priority for the nurse in developing a teaching plan?

  1. A. Provide written instructions before discharge.
  2. B. Make sure the parents can set up the treatments for their child.
  3. C. Make sure the child comes back for the follow-up appointment.
  4. D. Address any healing beliefs the family has.
Show answer and rationale

Correct answer: D — Address any healing beliefs the family has.

Addressing any healing beliefs the family has should be a priority for the nurse in developing a teaching plan for the child with asthma. The family's cultural beliefs and practices may influence their understanding and acceptance of medical treatments. By understanding and respecting the family's beliefs, the nurse can tailor the teaching plan to align with the family's values and ensure better adherence to the treatment plan. This approach promotes effective communication, trust, and collaboration between the healthcare team and the family, which is essential for the child's recovery and ongoing management of asthma. Providing culturally sensitive care is crucial in improving health outcomes and promoting family-centered care in a diverse healthcare setting.

Question 4

A patient is receiving finasteride (Proscar) for the treatment of benign prostatic hyperplasia. Which of the following is an expected outcome of the medication?

  1. A. Decrease in the size of the prostate gland.
  2. B. Improved urinary flow and decreased symptoms of urinary retention.
  3. C. Increased production of prostate-specific antigen (PSA).
  4. D. Reduction in the number of nocturnal awakenings.
Show answer and rationale

Correct answer: B — Improved urinary flow and decreased symptoms of urinary retention.

The correct answer is B. Finasteride (Proscar) is used in the treatment of benign prostatic hyperplasia to improve urinary flow and decrease symptoms of urinary retention by reducing the size of the prostate gland. Choice A is incorrect because although finasteride may reduce the size of the prostate gland, the expected outcome relevant to the patient's symptoms is improved urinary flow rather than a specific change in gland size. Choice C is incorrect because finasteride actually decreases the production of prostate-specific antigen (PSA) due to its mechanism of action. Choice D is incorrect because although improved urinary flow may lead to a reduction in nocturnal awakenings, the main expected outcome of finasteride treatment is related to urinary symptoms.

Question 5

According to a study by Robinson (2014), three parts of our true presence (how we connect with patients) are found in being:

  1. A. Friendly, kind, and sweet
  2. B. Genuine, gifted, and creative
  3. C. Humorous, partial, and grateful
  4. D. Genuine, attentive, and immersed
Show answer and rationale

Correct answer: D — Genuine, attentive, and immersed

The correct answer is D because being genuine shows sincerity and authenticity in interactions with patients. Attentiveness implies active listening and focus on the patient's needs, fostering a strong connection. Immersion signifies being fully engaged and present during patient interactions, enhancing the quality of care provided. In contrast, choices A, B, and C lack the essential components of active listening, authenticity, and full engagement, making them incorrect. Being friendly, kind, and sweet (choice A) may not necessarily reflect genuine presence. Similarly, being humorous, partial, and grateful (choice C) or genuine, gifted, and creative (choice B) do not fully capture the core elements of true presence as outlined in the study by Robinson (2014).

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Question 6

Which of the following cells undergoes meiosis to produce four sperm?

  1. A. Spermatids
  2. B. Spermatogonium
  3. C. Primary spermatocyte
  4. D. Ovum
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Question 7

A patient has been diagnosed with glaucoma and the nurse is preparing health education regarding the patients medication regimen. The patient states that she is eager to beat this disease and looks forward to the time that she will no longer require medication. How should the nurse best respond?

  1. A. You have a great attitude. This will likely shorten the amount of time that you need medications.
  2. B. In fact, glaucoma usually requires lifelong treatment with medications.
  3. C. Most people are treated until their intraocular pressure goes below 50 mm Hg.
  4. D. You can likely expect a minimum of 6 months of treatment.
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Question 8

The healthcare provider prescribes atenolol 50 mg daily for a client with angina pectoris. Which finding should the nurse report to the healthcare provider before administering this medication?

  1. A. Irregular pulse.
  2. B. Tachycardia.
  3. C. Chest pain.
  4. D. Urinary frequency.
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Question 9

A patient with fever, chills, and neck stiffness had a cerebrospinal fluid sample with Gram-negative diplococci. What is the likely diagnosis?

  1. A. Meningococcal meningitis
  2. B. Pneumococcal meningitis
  3. C. Haemophilus influenzae meningitis
  4. D. Listeria monocytogenes meningitis
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Question 10

The nurse is preparing a patient for thoracentesis. Which position is most appropriate?

  1. A. Supine with the head of the bed flat.
  2. B. Sitting upright and leaning forward.
  3. C. Lying on the affected side.
  4. D. Prone with arms raised above the head.
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Question 11

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

  1. A. Constant bubbling in the water seal chamber.
  2. B. Intermittent bubbling in the suction control chamber.
  3. C. Tidaling in the water seal chamber.
  4. D. Drainage of 75 mL in the first 24 hours.
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Question 12

A client with type 1 diabetes mellitus is being taught self-administration of insulin by a nurse. Which of the following instructions should the nurse include?

  1. A. Inject air into the vial before withdrawing the insulin.
  2. B. Draw up the short-acting insulin first, then the long-acting insulin.
  3. C. Store unopened insulin vials in the freezer.
  4. D. Rotate injection sites within the same anatomical region.
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Question 13

Which phase of the menstrual cycle is characterized by the shedding of the uterine lining?

  1. A. Follicular phase
  2. B. Luteal phase
  3. C. Menstrual phase
  4. D. Ovulation phase
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Question 14

Which condition is associated with inadequate intake of vitamin C?

  1. A. Rickets
  2. B. Marasmus
  3. C. Kwashiorkor
  4. D. Scurvy
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Question 15

What is the primary therapeutic action of tamsulosin (Flomax) in a male patient with benign prostatic hyperplasia (BPH)?

  1. A. Relaxation of the muscles in the prostate and bladder neck, leading to improved urinary flow.
  2. B. Reduction in prostate size and improvement in urinary symptoms.
  3. C. Increase in urine flow and relief of urinary obstruction.
  4. D. Improvement in erectile function.
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 143 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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