Nursier
Register
Log in Register Register

RN exams clinical judgment practice questions, set 169

RN exams · clinical judgment

RN exams clinical judgment practice questions set 169

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

Combivir is a combination therapy used to treat HIV and AIDS include which * of the following drugs?

  1. A. Lamivudine and stavudine
  2. B. Lamivudine and zidovudine
  3. C. Abacavir and zidovudine
  4. D. Abacavir and stavudine
Show answer and rationale

Correct answer: B — Lamivudine and zidovudine

The correct answer is B: Lamivudine and zidovudine. Combivir is a combination therapy that consists of these two drugs. Lamivudine and zidovudine work together to inhibit the replication of the HIV virus. Lamivudine is a nucleoside reverse transcriptase inhibitor, while zidovudine is a nucleoside analog reverse transcriptase inhibitor. Both drugs target different stages of the HIV life cycle, making them effective when used in combination. Choice A (Lamivudine and stavudine) is incorrect because stavudine is not part of the Combivir combination therapy. Choice C (Abacavir and zidovudine) is incorrect because abacavir is not included in Combivir. Choice D (Abacavir and stavudine) is incorrect because stavudine is not part of the Combivir combination therapy.

Question 2

To minimize chances of renal calculi recurring, it is important for Mr. Reed to

  1. A. take prophylactic antibiotics on a daily basis
  2. B. increase fluid intake
  3. C. take megadoses of vitamin C daily
  4. D. get adequate rest to reduce stress and enhance resistance
Show answer and rationale

Correct answer: B — increase fluid intake

The correct answer is B: increase fluid intake. Adequate hydration helps prevent the formation of kidney stones by diluting the substances in the urine that can lead to stone formation. Increasing fluid intake can also help flush out minerals and toxins from the kidneys. A: Taking prophylactic antibiotics daily is not recommended for preventing renal calculi as it can lead to antibiotic resistance and potential side effects. C: Taking megadoses of vitamin C daily can actually increase the risk of kidney stone formation as excess vitamin C can be converted into oxalate, a substance known to contribute to stone formation. D: While adequate rest and stress reduction are important for overall health, they do not directly prevent the recurrence of renal calculi.

Question 3

A patient receiving palliative care for end-stage amyotrophic lateral sclerosis (ALS) experiences difficulty swallowing and expresses concerns about choking. What intervention should the palliative nurse prioritize to address the patient's concerns?

  1. A. Encourage the patient to avoid eating solid foods to prevent choking.
  2. B. Refer the patient to a speech therapist for swallowing exercises and techniques.
  3. C. Administer sedative medications to reduce anxiety related to choking fears.
  4. D. Recommend inserting a feeding tube for nutritional support.
Show answer and rationale

Correct answer: B — Refer the patient to a speech therapist for swallowing exercises and techniques.

The most appropriate intervention for a patient with difficulty swallowing due to end-stage ALS and concerns about choking is to refer the patient to a speech therapist for swallowing exercises and techniques (Choice B). Speech therapists are trained to assess and manage swallowing difficulties in patients, especially those with neurodegenerative diseases like ALS. They can provide specific exercises and strategies to help the patient swallow safely and reduce the risk of choking. This intervention focuses on addressing the underlying issue causing the difficulty swallowing and aims to improve the patient's quality of life by enhancing their ability to eat and drink. The other options are not as effective or appropriate in addressing the patient's concerns.

Question 4

A patient presents with symptoms of polyuria, polydipsia, and polyphagia. Laboratory tests reveal hyperglycemia and glycosuria. Which type of diabetes mellitus is the patient most likely experiencing?

  1. A. Type 1 diabetes mellitus
  2. B. Type 2 diabetes mellitus
  3. C. Gestational diabetes mellitus
  4. D. Latent autoimmune diabetes in adults (LADA)
Show answer and rationale

Correct answer: A — Type 1 diabetes mellitus

The patient is most likely experiencing Type 1 diabetes mellitus based on the presentation of polyuria, polydipsia, polyphagia, hyperglycemia, and glycosuria. Type 1 diabetes is characterized by autoimmune destruction of the beta cells in the pancreas, leading to absolute insulin deficiency. This results in high blood sugar levels (hyperglycemia) and glucose spilling into the urine (glycosuria). Patients with Type 1 diabetes often present with the classic symptoms of polyuria (increased urination), polydipsia (increased thirst), and polyphagia (increased hunger) due to the body's inability to utilize glucose for energy effectively. Management of Type 1 diabetes typically involves lifelong insulin therapy to maintain blood sugar levels within a target range.

Question 5

The nurse is caring for a patient with diabetes mellitus who is experiencing hypoglycemia. Which intervention should the nurse implement first?

  1. A. Administer 50% dextrose intravenously.
  2. B. Give the patient 4 ounces of orange juice.
  3. C. Check the patient\'s blood glucose level.
  4. D. Notify the healthcare provider.
Show answer and rationale

Correct answer: C — Check the patient\'s blood glucose level.

The correct answer is to check the patient's blood glucose level first (Option C). Before administering any intervention, it is crucial to assess the patient's current blood glucose level to confirm hypoglycemia. This step will guide the nurse in determining the appropriate intervention. Administering treatment without confirming the blood glucose level can be dangerous and may lead to incorrect management. Once the blood glucose level is confirmed to be low, the nurse can then proceed with appropriate interventions such as giving orange juice or administering dextrose. Notifying the healthcare provider can be done after the immediate need for intervention is addressed. Therefore, checking the patient's blood glucose level is the priority in this situation.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing

Ten more RN exams clinical judgment questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

The nurse is caring for a patient with heart failure who is receiving furosemide. Which assessment finding indicates that the medication is effective?

  1. A. The patient\'s weight has increased.
  2. B. The patient\'s lung sounds are clear.
  3. C. The patient\'s heart rate is regular.
  4. D. The patient\'s blood pressure is within normal limits.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

The nurse is teaching a patient how to use an incentive spirometer. Which instruction should the nurse include?

  1. A. Exhale forcefully into the spirometer.
  2. B. Inhale slowly and deeply through the mouthpiece.
  3. C. Use the spirometer every 4 hours.
  4. D. Keep the spirometer at the bedside.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

Which of these findings can the LPN/LVN obtain by observation?

  1. A. The patient\'s hair is dirty.
  2. B. The patient\'s breath has an odor of alcohol.
  3. C. The patient\'s heartbeat is abnormal.
  4. D. The patient\'s skin is clammy.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

Which information is most important for the nurse to include in the teaching plan for a patient with systemic lupus erythematosus (SLE)?

  1. A. Apply fragrance-free lotion to dry areas twice daily.
  2. B. Avoid direct sunlight exposure.
  3. C. Take anti-inflammatory medications as prescribed.
  4. D. Increase calcium intake.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

Which statement indicates that the nurse\'s teaching has been successful for a patient diagnosed with stage II Hodgkin disease?

  1. A. Two nodes in my left arm area are affected
  2. B. Radiation therapy is the only treatment option.
  3. C. Chemotherapy and radiation are both treatment options.
  4. D. The patient has a good chance of recovery because the disease was caught early.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

Which assessment finding indicates that a patient admitted for diagnostic testing to rule out fibromyalgia may actually have the disorder?

  1. A. Generalized pain throughout the body
  2. B. A pain response to nonpainful stimuli
  3. C. Localized pain in the legs
  4. D. Pain in the joints
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

Which infection is suspected when an immune-compromised patient displays a low-grade fever, and burning and shooting pain progressing from the clavicle to the scapula?

  1. A. Herpes simplex
  2. B. Shingles
  3. C. Cytomegalovirus
  4. D. Epstein-Barr virus
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

What is the major focus of Healthy People 2020?

  1. A. Research funding
  2. B. Health information distribution
  3. C. Healthy lifestyle encouragement
  4. D. Health improvement program designs
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A nurse is caring for a client with suspected deep vein thrombosis. What intervention is essential?

  1. A. Apply cold packs to the affected area.
  2. B. Massage the affected leg.
  3. C. Administer anticoagulants.
  4. D. Elevate the affected limb.
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

What should the nurse monitor for in a patient with advanced AIDS who shows weight loss and poor food consumption?

  1. A. Dehydration
  2. B. Malnutrition
  3. C. Anasarca
  4. D. Cachexia
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 169 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the RN exams exam guide.

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.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing