clinical thinking.
Perfect for daily study, last-minute test prep, or self-paced review. Use it to
sharpen clinical judgment and boost your NCLEX readiness!
✅ Question 1:
A client is prescribed digoxin. Which finding would most concern the nurse?
A. Heart rate of 58 bpm
B. Potassium level of 3.1 mEq/L
C. BP of 106/70 mmHg
D. Respiratory rate of 20 breaths/min
Answer: B
Hypokalemia increases the risk of digoxin toxicity.
✅ Question 2:
Which vaccine is safe to administer during pregnancy?
A. MMR
B. Varicella
C. Influenza (inactivated)
D. HPV
Answer: C
Inactivated flu vaccines are safe during pregnancy; live vaccines are contraindicated.
✅ Question 3:
A nurse is teaching a newly diagnosed diabetic client about insulin. Which statement
needs clarification?
A. "I will rotate injection sites."
B. "I will avoid injecting into areas to be exercised."
C. "I will mix long-acting and regular insulin in one syringe."
D. "I will carry glucose tablets with me."
Answer: C
Long-acting insulins like glargine should not be mixed with other insulins.
, ✅ Question 4:
A client is in labor. Which fetal heart rate pattern is most concerning?
A. Early decelerations
B. Variable decelerations
C. Late decelerations
D. Accelerations
Answer: C
Late decels indicate uteroplacental insufficiency-potential fetal distress.
✅ Question 5:
Which task can be delegated to a UAP?
A. Administering a medication
B. Evaluating a client's pain level
C. Collecting a urine specimen
D. Teaching about diet
Answer: C
UAPs can collect specimens but cannot assess, teach, or medicate.
✅ Question 6:
What should the nurse do first?
A. Notify the healthcare provider
B. Assess the client's condition
C. Document the findings
D. Reassure the client
Answer: B
Nursing process begins with assessment; the nurse should assess the client's condition first.
✅ Question 7
Which finding in a 34-week pregnant client should the nurse report immediately?
A. Occasional leg cramps
B. Blood pressure of 150/96 mm Hg
C. Weight gain of 1.5 lb in 1 week
D. Mild heartburn after meals