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RN exams clinical judgment practice questions, set 159

RN exams · clinical judgment

RN exams clinical judgment practice questions set 159

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 nurse is educating a client about hypertension management. What lifestyle change is recommended?

  1. A. Increase salt intake.
  2. B. Decrease fiber intake.
  3. C. Increase physical activity.
  4. D. Increase alcohol consumption.
Show answer and rationale

Correct answer: C — Increase physical activity.

The correct answer is C: Increase physical activity. Regular physical activity can help lower blood pressure and improve overall cardiovascular health. It helps to strengthen the heart, improve blood circulation, and manage weight, all of which are important factors in managing hypertension. In contrast, increasing salt intake (A) can actually worsen hypertension by causing the body to retain more water and raise blood pressure. Decreasing fiber intake (B) is not recommended as fiber-rich foods can help lower blood pressure. Lastly, increasing alcohol consumption (D) can be harmful as excessive alcohol intake can raise blood pressure and contribute to other health issues.

Question 2

.A distraught, single, first-time mother cries and asks a nurse, \'How can I go to work if I can\'t afford childcare?\' What is the nurse\'s initial action in assisting the client with the problem-solving process?

  1. A. Determine the risks and benefits for each alternative.
  2. B. Formulate goals for resolution of the problem.
  3. C. Evaluate the outcome of the implemented alternative.
  4. D. Assess the facts of the situation.
Show answer and rationale

Correct answer: D — Assess the facts of the situation.

The correct answer is D: 'Assess the facts of the situation.' In this scenario, the nurse's initial action should be to gather information by assessing the facts of the situation. By understanding the client's specific circumstances, the nurse can identify key details such as the mother's financial situation, job requirements, available support system, etc. This assessment will provide a foundation for problem-solving and help the nurse determine the best course of action to assist the client effectively. Options A, B, and C involve steps that come after the initial assessment and may not be as relevant until the nurse has a clear understanding of the client's situation.

Question 3

.Which of the following statements about the DSM-5 is inaccurate?

  1. A. It includes specific criteria for diagnosing mental disorders.
  2. B. It is used by mental health professionals to guide diagnosis.
  3. C. It provides a classification system for mental disorders.
  4. D. It includes guidelines for treatment of mental disorders.
Show answer and rationale

Correct answer: D — It includes guidelines for treatment of mental disorders.

The DSM-5, or Diagnostic and Statistical Manual of Mental Disorders, is a classification system used by mental health professionals for diagnosing mental disorders. It includes specific criteria for diagnosis and provides a structured way to categorize different mental health conditions. While the DSM-5 is a valuable resource for diagnosis and classification, it does not include specific guidelines for treatment of mental disorders. Treatment guidelines are typically based on research, clinical experience, and individual patient needs, and are not part of the DSM-5 itself. Therefore, option D is the inaccurate statement as the DSM-5 does not include treatment guidelines.

Question 4

A nurse is preparing a client for surgery. What medication should be administered preoperatively?

  1. A. Antibiotics to prevent infection.
  2. B. Sedatives to reduce anxiety.
  3. C. Pain management medications.
  4. D. Anticoagulants to prevent blood clots.
Show answer and rationale

Correct answer: B — Sedatives to reduce anxiety.

The correct answer is B: Sedatives to reduce anxiety. Preoperatively, it is essential to administer sedatives to help calm the client's nerves and reduce anxiety before surgery. This can help promote a more smooth and successful surgical experience for both the client and the healthcare team. Antibiotics (option A) are typically given intraoperatively to prevent infection during surgery. Pain management medications (option C) are usually administered postoperatively to manage pain after the procedure. Anticoagulants (option D) are commonly used postoperatively to prevent blood clots. However, for preoperative preparation, reducing anxiety with sedatives is the priority.

Question 5

Which best describes family-centered care?

  1. A. A partnership between the nurse and the family
  2. B. The nurse as the primary decision maker
  3. C. The family as the primary decision maker
  4. D. The child as the primary focus
Show answer and rationale

Correct answer: A — A partnership between the nurse and the family

Family-centered care is a philosophy of care that involves a partnership between healthcare providers, including nurses, and families. This approach recognizes that families are experts on their children and encourages collaboration in decision-making to ensure the best outcomes for the child. It emphasizes mutual respect, open communication, and shared decision-making. The nurse plays a crucial role in supporting and guiding the family while also respecting their knowledge and preferences. This approach ultimately leads to more patient-centered and holistic care. Therefore, option A, 'A partnership between the nurse and the family,' best describes family-centered care.

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Question 6

The nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result folic acid deficiency?

  1. A. iron deficiency anemia
  2. B. Poor bone formation
  3. C. Macrosomia fetus
  4. D. Neural tube defect
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Question 7

.A nurse is assessing a client who has been diagnosed with narcissistic personality disorder. Which of the following behaviors should the nurse expect?

  1. A. Grandiose sense of self-importance
  2. B. Lack of empathy
  3. C. Need for excessive admiration
  4. D. Envy of others
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Question 8

The nurse is performing a family assessment. Which of the following should the nurse assess to determine a family\'s ability to manage a child\'s chronic condition?

  1. A. Family\'s communication patterns
  2. B. Family\'s financial resources
  3. C. Family\'s ability to access healthcare
  4. D. Family\'s spiritual beliefs
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Question 9

The nurse explains which role is responsible for verifying that the consent form is signed and that the surgical site is marked?

  1. A. Scrub nurse
  2. B. Surgeon
  3. C. Anesthesiologist
  4. D. Circulating nurse
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Question 10

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?

  1. A. Increase the newborn\'s visual stimulation
  2. B. Weigh the newborn every other day
  3. C. Discourage parental interaction until after a social evaluation
  4. D. Swaddle the newborn in a flexed position
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Question 11

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include?

  1. A. Your stomach will empty rapidly
  2. B. You should expect your uterus to double in size
  3. C. You should anticipate nasal stuffiness.
  4. D. Your nipples will become lighter in color.
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Question 12

.A nurse is assessing a client who has been diagnosed with paranoid personality disorder. Which of the following behaviors should the nurse expect?

  1. A. Distrust of others
  2. B. Reluctance to confide in others
  3. C. Suspiciousness of others
  4. D. Jealousy of others
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Question 13

A client with a life-threatening condition is brought to the emergency department. What is the nurse\'s initial role?

  1. A. Perform a thorough patient assessment and make tentative nursing diagnoses
  2. B. Ability to perform self-care
  3. C. Reaction to a change of environment
  4. D. Relationship with close family members
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Question 14

A nurse is preparing a client for a barium swallow test. What instructions should the nurse give?

  1. A. Eat a low-residue diet before the test.
  2. B. Avoid eating or drinking 6 hours before the test.
  3. C. Drink plenty of water before the test.
  4. D. Avoid exercise before the test.
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Question 15

A nurse is educating a client on lifestyle changes to manage type 2 diabetes. What should be included?

  1. A. Increase physical activity.
  2. B. Reduce carbohydrate intake.
  3. C. Follow a high-protein diet.
  4. D. Limit fluid intake.
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 159 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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