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RN exams clinical judgment practice questions, set 162

RN exams · clinical judgment

RN exams clinical judgment practice questions set 162

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 in a long-term care facility is transcribing a prescription for a client. Which of the following abbreviations is appropriate?

  1. A. sub q
  2. B. mcg
  3. C. qhs
  4. D. qod
Show answer and rationale

Correct answer: B — mcg

The correct answer is B: "mcg." This abbreviation stands for micrograms, which is commonly used in medication prescriptions. It is important for nurses to be familiar with standard abbreviations to ensure accurate transcription of prescriptions and to prevent medication errors. Option A, "sub q," is not an appropriate abbreviation as it is commonly written as "subcutaneous." Option C, "qhs," stands for "every bedtime," and option D, "qod," stands for "every other day," both of which are not appropriate in this context. Therefore, option B is the correct and appropriate abbreviation for the nurse to use when transcribing a prescription for a client.

Question 2

.A nurse is providing education to the family of a client who has been diagnosed with bipolar disorder. Which of the following instructions should the nurse include?

  1. A. The client should avoid all stressful situations.
  2. B. Encourage the client to get plenty of rest.
  3. C. Make sure the client takes prescribed medications regularly.
  4. D. Provide the client with information about support groups.
Show answer and rationale

Correct answer: C — Make sure the client takes prescribed medications regularly.

The correct answer is C. Making sure the client takes prescribed medications regularly is crucial in managing bipolar disorder. Medications help stabilize mood swings and prevent manic or depressive episodes. It is essential for the family to understand the importance of medication adherence to ensure the client's well-being. While avoiding stressful situations and getting plenty of rest are important aspects of managing bipolar disorder, medication adherence is a fundamental component of treatment. Additionally, providing information about support groups can also be beneficial, but ensuring medication compliance takes precedence in this situation.

Question 3

A nurse is reviewing labs with 25-year-old G1P0 who has type A negative blood. The client is asking when she will need Rhogam. The nurse should include which of the following in her response?

  1. A. You will receive Rhogam at 20 weeks9 gestation and then again 72 hours following delivery
  2. B. You will be given Rhogam at around 28weeks and then again within 72 hours following delivery
  3. C. Rhogam can only be given during the second trimester of pregnancy
  4. D. You will receive Rhogam injection once during each trimester of your pregnancy
Show answer and rationale

Correct answer: B — You will be given Rhogam at around 28weeks and then again within 72 hours following delivery

The correct answer is B because Rhogam is typically given to Rh-negative mothers at around 28 weeks of gestation to prevent hemolytic disease of the newborn. It is then administered again within 72 hours following delivery if the newborn is Rh-positive. Rhogam is not given during each trimester of pregnancy, as it is specifically timed to prevent sensitization to Rh-positive blood cells during pregnancy and delivery. Option A is incorrect as 20 weeks is too early for Rhogam administration, and option C is incorrect because Rhogam is not limited to the second trimester. Therefore, the best response for the nurse to provide to the client is option B.

Question 4

A nurse is caring for a client who is at 37 weeks of gestation and is experiencing preterm labor. Which of the following medications should the nurse plan to administer?

  1. A. Nifedipine
  2. B. Betamethasone
  3. C. Indomethacin
  4. D. Magnesium sulfate
Show answer and rationale

Correct answer: B — Betamethasone

The correct answer is B: Betamethasone. Betamethasone is a corticosteroid medication given to promote fetal lung maturity in preterm labor to reduce the risk of respiratory distress syndrome. Nifedipine is a calcium channel blocker used to reduce uterine contractions in preterm labor. Indomethacin is a nonsteroidal anti-inflammatory drug that can delay preterm labor by inhibiting prostaglandin synthesis. Magnesium sulfate is used to prevent seizures in preeclampsia or eclampsia, not for preterm labor. Therefore, Betamethasone is the most appropriate medication to administer in this scenario to improve the baby's lung function and health outcomes.

Question 5

A nurse in a provider’s office performs a fecal occult blood test with a positive result on a client. Which of the following clients may have a false positive result?

  1. A. A client who has a venous stasis ulcer.
  2. B. A client who takes an iron supplement.
  3. C. A client who has peripheral hematomas.
  4. D. A client who underwent a barium swallow study.
Show answer and rationale

Correct answer: B — A client who takes an iron supplement.

The correct answer is B: 'A client who takes an iron supplement.' Fecal occult blood tests can produce false positive results in individuals who take iron supplements due to the presence of unabsorbed iron in the gastrointestinal tract. Iron can mimic the appearance of blood in the stool, leading to a positive test result. Clients with venous stasis ulcers (A), peripheral hematomas (C), and those who underwent a barium swallow study (D) are not typically associated with false positive results in fecal occult blood tests. Therefore, clients taking iron supplements are more likely to have a false positive result, making option B the correct choice.

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Question 6

A nurse is educating a client on the use of an incentive spirometer. What is the primary benefit?

  1. A. Improves circulation.
  2. B. Prevents lung infections.
  3. C. Enhances deep breathing.
  4. D. Decreases anxiety.
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Question 7

Which of the following is not related to a drug toxicity of Atenolol?

  1. A. CHF
  2. B. Tachycardia
  3. C. AV block
  4. D. Sedative appearance
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Question 8

The nurse is reviewing the process of egg maturation and ovulation with a client. What occurs during ovulation in the ovarian cycle that the nurse should include in the teaching session with the client?

  1. A. Under the influence of follicle-stimulating hormone, several follicles begin to ripen, and the ovum with each begins to mature.
  2. B. The empty ruptured cavity in the ovary becomes the corpus luteum and begins to secrete progesterone and estrogen.
  3. C. About day 14, a surge of hormones cause the ovum to burst through the ovary.
  4. D. The uterus is prepared for implantation of an ovum.
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Question 9

A nurse is preparing to administer a blood transfusion. What is a critical first step?

  1. A. Verify the client\'s identity.
  2. B. Check the blood type and crossmatch.
  3. C. Warm the blood to body temperature.
  4. D. Document the procedure in the client\'s chart.
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Question 10

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client’s express consent for the procedure. Which of the following actions should the nurse take?

  1. A. Witness the client’s signature on a consent form.
  2. B. Check the medical record for the client’s signature on a previous consent form.
  3. C. Have another nurse co-sign the client’s consent.
  4. D. Obtain verbal consent from the client.
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Question 11

This is a joint trait of a leader which is defined as his ability to possess honesty, responsibility and maturity in the working area.

  1. A. Integrity
  2. B. Personality
  3. C. Intelligence
  4. D. Flexibility
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Question 12

Which role is typically the most challenging for preceptors?

  1. A. Educator
  2. B. Evaluator
  3. C. Role model
  4. D. Socializer
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Question 13

When discussing prenatal nutrition with a group of clients, the nurse explains that folic acid is essential during pregnancy to prevent:

  1. A. Hypertension
  2. B. Neural tube defects
  3. C. Gestational diabetes
  4. D. Preterm labor
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Question 14

.A nurse is planning care for a client with obsessive-compulsive disorder (OCD). Which intervention should be included in the care plan?

  1. A. Discourage the client from performing rituals.
  2. B. Allow the client to perform rituals in the early stages of treatment.
  3. C. Encourage the client to focus on their compulsions.
  4. D. Isolate the client to prevent performance of rituals.
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Question 15

A nurse is assessing a newborn who is 24 hours old. Which of the following findings should the nurse report to the provider?

  1. A. Mongolian spots
  2. B. Plantar creases covering the entire sole
  3. C. Erythema toxicum
  4. D. Subconjunctival hemorrhage
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About these RN exams clinical judgment questions

RN exams clinical judgment practice questions, set 162 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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