Prioritization & Clinical Judgment for NCLEX-RN

1. A patient is admitted with acute chest pain and shortness of breath. The nurse anticipates that the physician will order which diagnostic test to confirm a myocardial infarction? • A. Electrocardiogram (ECG) • B. Chest X-ray • C. Arterial blood gas (ABG) • D. Magnetic resonance imagin...

Question 1: A nurse is providing education to a patient with peripheral artery disease (PAD). Which of the following statements made by the patient indicates the need for further teaching? A) “I will walk until I experience pain, then rest, and continue walking once the pain subsides.” B) “I...

Question 1: A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The nurse notices that the client's respiratory rate has decreased from 20 to 10 breaths per minute. What is the most appropriate nursing intervention? A. Increase the oxygen flow to 8 L/min B. Lower the oxygen fl...

1. A patient presents with persistent nausea and vomiting. Which electrolyte imbalance is most likely? • A. Hyperkalemia • B. Hypocalcemia • C. Hyponatremia • D. Hypokalemia Correct Answer: D. Hypokalemia Rationale: Prolonged vomiting can lead to a loss of potassium (hypokalemia), as p...

Question 1 A nurse is assessing a patient with acute renal failure. Which laboratory result should the nurse prioritize for evaluation? A) Serum creatinine B) Serum albumin C) Blood glucose D) Hemoglobin Answer: A) Serum creatinine Rationale: Serum creatinine is a key indicator of renal functi...

1. Which of the following is the most critical initial assessment finding in a patient with a suspected stroke? o A. Blood pressure o B. Glasgow Coma Scale score o C. Pupillary response o D. Oxygen saturation o Answer: B. Glasgow Coma Scale score Rationale: The Glasgow Coma Scale (GCS) assesse...

1. Which hormone is primarily responsible for regulating blood glucose levels? a) Cortisol b) Insulin c) Thyroxine d) Estrogen Answer: b) Insulin Rationale: Insulin is the primary hormone produced by the pancreas that helps regulate blood glucose levels by facilitating the uptake of glucose in...

1. A nurse is assessing a patient’s skin for signs of dehydration. Which finding would indicate dehydration? A) Warm, dry skin B) Moist, cool skin C) Elastic skin turgor D) Pale, clammy skin Answer: A) Warm, dry skin Rationale: Dehydrated skin is often warm and dry due to decreased moisture ...