After a patient receives a PRN medication, the nurse should reassess the targeted symptom and relevant safety indicators within the appropriate timeframe and document the response. True or false?
15 Comprehensive Clinical Judgment Practice Online Quiz Questions
Use this free practice quiz with 20 questions to review 15 Comprehensive Clinical Judgment Practice, test your knowledge, and prepare for your next test or exam.
A practical nurse is about to collect a specimen. Which action best supports correct patient identification?
- A
Collect the specimen after confirming the patient’s room number.
- B
Confirm the patient using two identifiers before collecting the specimen.
- C
Ask a nearby staff member to identify the patient.
- D
Collect the specimen first and verify the label afterward.
When a situation requires assessment or decision-making beyond a practical nurse’s role, promptly notify the appropriate .
A nurse connects a patient’s new findings to possible problems and considers how the findings fit together. What clinical judgment step is the nurse using?
Before administering a medication, a practical nurse finds that its label does not match the active order. What should the nurse do?
- A
Give the medication because it is on the medication cart.
- B
Ask the patient which dose they usually take and give that dose.
- C
Hold the medication and clarify the discrepancy through the appropriate process.
- D
Change the active order to match the label.
A practical nurse recognizes an immediate threat to a patient’s safety but has a routine scope-of-practice question. The nurse should wait for routine clarification before initiating the emergency response.
- A
True
- B
False
After an intervention, the nurse should the patient and compare the response with the expected outcome.
A patient says, “I had a bad reaction to that medication last time,” just before a scheduled dose. Select all appropriate actions.
- A
Ask about the reaction and check the allergy and medication record.
- B
Clarify before administration if safety remains uncertain.
- C
Give the medication because it is prescribed.
- D
Document the concern and resolve it before administering the medication.
A nurse finishes a contaminated task and prepares to provide care to another patient. Select all actions that reduce transmission risk.
- A
Perform hand hygiene after removing gloves.
- B
Change gloves and perform hand hygiene when moving from a contaminated task to a clean task, as indicated.
- C
Use the same gloves for both patients if they appear clean.
- D
Select PPE based on the expected exposure.
What acronym names the communication framework whose parts are Situation, Background, Assessment, and Recommendation?
A patient reports dizziness immediately after standing. What is the safest immediate response?
- A
Encourage the patient to keep walking to improve endurance.
- B
Assist the patient to sit or lie safely, assess for injury and relevant symptoms, and report as indicated.
- C
Leave the patient standing while obtaining a full history.
- D
Tell the patient dizziness is expected with age.
A practical nurse notices that a patient has suddenly developed a facial droop and difficulty speaking. Which response is most appropriate?
- A
Assess and report the sudden neurologic change promptly using the appropriate emergency response.
- B
Finish routine tasks first, then reassess the patient.
- C
Wait to see whether the facial droop resolves without notifying anyone.
- D
Give routine care and report the change at the end of the shift.
A patient becomes pale and reports chest pressure while walking. Describe the practical nurse’s immediate actions, communication, and follow-up, including how to maintain safety and evaluate the patient’s response.
A practical nurse is preparing to collect a specimen. Which action best verifies the patient's identity before collection?
- A
Confirm the patient's room number and ask whether the specimen label is correct.
- B
Use two patient identifiers before collecting and labeling the specimen.
- C
Ask a nearby staff member to identify the patient.
- D
Collect the specimen first and verify the patient's identity afterward.
True or false: After removing gloves, the nurse should perform hand hygiene; wearing gloves does not replace hand hygiene.
- A
True
- B
False
Before a scheduled dose, the nurse finds that the medication label does not match the active order. What should the nurse do?
- A
Administer the medication because it is on the medication cart.
- B
Ask the patient which dose they usually take and give that dose.
- C
Hold the medication and clarify the discrepancy through the appropriate process.
- D
Change the order to match the medication label.
An appropriate medication order is for 500 mg, and each available tablet contains 250 mg. How many tablets should be given? Enter the number of tablets. 500 mg÷250 mg/tablet
A nurse notices that a patient's condition has changed from baseline. In the six-step clinical-judgment sequence, what step follows recognizing cues and involves connecting findings to possible problems?
A practical nurse gives a prescribed PRN medication. Which action best completes the nursing follow-up?
- A
Assume the medication worked if the patient does not call again.
- B
Reassess the targeted symptom and relevant safety indicators within the appropriate timeframe, then document the response.
- C
Wait until the next shift to evaluate the effect.
- D
Give another dose immediately if the first dose has not yet helped.
A resident who was alert at breakfast is now difficult to arouse, breathing shallowly at 8 times per minute, with oxygen saturation 88% on room air. The resident received an opioid 40 minutes ago. Which handoff best conveys the urgent situation and the response needed?
- A
“The resident seems off. Please come when you can.”
- B
“The resident is difficult to arouse and breathing shallowly at 8 times per minute, with oxygen saturation 88% on room air. This is a change from baseline; an opioid was given 40 minutes ago. Please assess now.”
- C
“The resident received medication earlier and may be tired.”
- D
“The resident’s other care is complete.”