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RN exams clinical judgment practice questions, set 161

RN exams · clinical judgment

RN exams clinical judgment practice questions set 161

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

You are asked by your instructor to discuss about Contingency Theory. What should you include in your discussion?

  1. A. It is a theory in leadership that views the pattern of leader behavior as dependent on the interaction of the personality and the needs of the situation.
  2. B. It considers that leaders must provide followers the sense of security and approval and discipline to succeed in an output.
  3. C. It emphasizes that both leaders and followers should act on one another to raise their motivation.
  4. D. It states that leadership qualities inspire followers to be motivated by what they do.
Show answer and rationale

Correct answer: A — It is a theory in leadership that views the pattern of leader behavior as dependent on the interaction of the personality and the needs of the situation.

The correct answer is A: "It is a theory in leadership that views the pattern of leader behavior as dependent on the interaction of the personality and the needs of the situation." Contingency Theory proposes that the effectiveness of a leader is contingent upon the specific situation or context. This theory suggests that there is no one-size-fits-all approach to leadership, as what may be effective in one situation could be ineffective in another. By understanding the interaction between the leader's traits or behaviors and the demands of the situation, leaders can adapt their style to best fit the circumstances, ultimately improving their effectiveness.

Question 2

The nurse is obtaining a history on a family new to the clinic. Which would be the best indicator of the family\'s probable developmental stage?

  1. A. Family\'s current housing situation
  2. B. Family\'s cultural background
  3. C. Family\'s stage in the family life cycle
  4. D. Family\'s employment status
Show answer and rationale

Correct answer: C — Family\'s stage in the family life cycle

The best indicator of a family's probable developmental stage is their stage in the family life cycle. This stage reflects the family's current position in terms of age, marital status, and the presence of children. Understanding where a family is in their life cycle helps the nurse assess their needs and provide appropriate care. The family's current housing situation may impact their living conditions but does not necessarily indicate their developmental stage. Cultural background and employment status are important factors to consider but may not directly reflect the family's developmental stage as accurately as their position in the family life cycle.

Question 3

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

  1. A. Uteroplacental insufficiency
  2. B. Maternal bradycardia
  3. C. Umbilical cord compression
  4. D. Fetal head compression.
Show answer and rationale

Correct answer: A — Uteroplacental insufficiency

Late decelerations on the fetal monitor strip indicate uteroplacental insufficiency. This means there is a decrease in blood flow and oxygen to the placenta, resulting in compromised oxygenation for the fetus. Late decelerations typically occur after the peak of the contraction and can be a sign of fetal distress. Maternal bradycardia refers to a slow heart rate in the mother, which would not directly cause late decelerations. Umbilical cord compression and fetal head compression can cause variable decelerations on the monitor strip, not late decelerations. Therefore, option A, uteroplacental insufficiency, is the correct interpretation in this scenario.

Question 4

A process within the nursing professional development specialist practice model is:

  1. A. Patient safety
  2. B. Staff orientation
  3. C. The learning environment
  4. D. The quality of care
Show answer and rationale

Correct answer: C — The learning environment

The correct answer is C: 'The learning environment.' In the nursing professional development specialist practice model, creating and maintaining a conducive learning environment for staff is a critical process. This involves promoting continuous learning, providing educational resources, and fostering a culture of professional growth and development. While patient safety, staff orientation, and the quality of care are important aspects of nursing practice, they are not specific processes within the nursing professional development specialist model. Therefore, option C best aligns with the focus on education and professional development within this model.

Question 5

The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to:

  1. A. Wash the gloves before removing them
  2. B. Gently pull on the fingers of the gloves when removing them
  3. C. Gently pull just below the cuff and invert the gloves when removing them
  4. D. Remove the gloves and then turn them inside out
Show answer and rationale

Correct answer: C — Gently pull just below the cuff and invert the gloves when removing them

The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is by gently pulling just below the cuff and inverting the gloves. This technique helps contain any potential pathogens on the inside of the gloves, reducing the risk of contamination. Washing the gloves before removal or pulling on the fingers can actually increase the risk of spreading pathogens. Turning the gloves inside out after removal is not recommended as it can expose the hands to any contaminants on the outer surface of the gloves. Therefore, option C is the correct choice for safe glove removal to minimize the risk of pathogen transfer.

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Question 6

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse include?

  1. A. Keep the newborn\'s eyes uncovered during phototherapy.
  2. B. Apply lotion to the newborn\'s skin to prevent dryness.
  3. C. Reposition the newborn every 2 hours.
  4. D. Dress the newborn in warm clothing.
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Question 7

A nurse is planning care for a patient who is immobile. Which of the following interventions should the nurse include to prevent skin breakdown?

  1. A. Use a draw sheet when repositioning the patient
  2. B. Limit the intake of protein
  3. C. Use a donut-shaped cushion when the patient is in a chair
  4. D. Massage bony prominences frequently
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Question 8

Which of the following drugs is associated with the reaction of extreme photosensitivity?

  1. A. Digitalis
  2. B. Niacin
  3. C. Tetracycline
  4. D. Fluoroquinolones
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Question 9

A nurse is teaching a client about dietary modifications for hyperlipidemia. What should the client avoid?

  1. A. High-fiber foods
  2. B. Low-fat foods
  3. C. Sugary foods
  4. D. Salty foods
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Question 10

A nurse is teaching a client about proper foot care with diabetes. What advice is crucial?

  1. A. Soak feet in hot water daily.
  2. B. Wear tight-fitting shoes.
  3. C. Inspect feet daily.
  4. D. Walk barefoot as much as possible.
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Question 11

A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?

  1. A. Clear the respiratory tract.
  2. B. Dry the infant off and cover the head.
  3. C. Stimulate the infant to cry.
  4. D. Cut the umbilical cord.
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Question 12

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 13

In the hospital, your department is using the functional method of patient care modality. What is it all about?

  1. A. One nurse is responsible for giving bedside care, another one for administering medications and another one for treatments and so on
  2. B. It is a one on one constant patient care for a period of time.
  3. C. The nurse has the responsibility for giving nursing care to the client from admission until discharge
  4. D. A team leader has the task of coordinating the total care of a group of patients.
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Question 14

The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?

  1. A. Preschoolers
  2. B. Young school age
  3. C. Middle school age
  4. D. Late school age and adolescents
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Question 15

When the group has reached socio-emotional maturity, which types of behaviors will predominate?

  1. A. Interpersonal behaviors
  2. B. Intrapersonal behaviors
  3. C. Task behaviors
  4. D. Relational behaviors
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 161 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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