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NurseLogic Knowledge and Clinical Judgment Advanced

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Exam Details !

Title : NurseLogic Knowledge and Clinical Judgment Advanced

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : FUNDAMENTALS of Nursing (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 190 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Fundamentals questions tailored for RN students.

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1 :
The following patients require routine vital signs to be obtained by the nursing assistive personnel (NAP). You instruct the NAP to obtain vital signs on which patient first?

45-year-old mother who just got off the phone after a heated discussion with her preteen daughter

65-year-old woman who has just returned from a treadmill test and is out of breath

35-year-old man who has just finished his last bite of hamburger

18-year-old teen who has been watching IV with some visitors

Hint : 💡Pick the client in a resting state without recent activity, food, or emotional stress.

Correct Answers:

No Correct Answers Available !

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2 :
A nurse would monitor which client's vital signs most frequently?

a resident in a long-term care facility

a client in a critical care unit in septic shock

a client hospitalized with hypertension

a client receiving intravenous antibiotics as an outpatient

Hint : 🚨Prioritize the setting and condition with the greatest hemodynamic instability and highest acuity.

Correct Answers:

No Correct Answers Available !

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3 :
A nurse is preparing to assess the pulse of a 15-month-old child. The nurse will likely assess which pulse?

carotid

radial

brachial

apical

Hint : 🎯Choose the site that provides the most accurate central cardiac assessment in toddlers.

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No Correct Answers Available !

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4 :
A patient has been transferred to your unit from the respiratory intensive care unit, where he has been for the past 2 weeks recovering from pneumonia. He is receiving oxygen via 4 L nasal cannula. His respiratory rate is 26 breaths/min, and his oxygen saturation is 92%. In planning his care, which information is most helpful in determining your priority nursing interventions?

Patient's perception of dyspnea

Baseline vital signs

Activity order

Medication list

Hint : 🗣️Let the patient’s reported breathlessness guide the urgency of respiratory interventions.

Correct Answers:

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5 :
A 52-year-old woman is admitted with dyspnea and discomfort in her left chest with deep breaths. She has smoked for 35 years and recently lost over 10 pounds. Her vital signs on admission are: HR 1 1 2, BP 1 38/82, RR 22, tympanic temperature 36.8°C (98.2°F), and oxygen saturation 94%. She is receiving oxygen at 2 L/min via a nasal cannula. Which vital sign reflects a positive outcome of the oxygen therapy?

Temperature: 37°C (98.6°F)

Respiratory rate: 24

Blood pressure: 134/78

Oxygen saturation: 96%

Hint : 📈Look for a direct improvement in oxygenation shown by higher SpO₂ after therapy.

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6 :
A nurse is assisting with teaching a newly licensed nurse about the loss of body heat. The nurse should include that heat loss that occurs when sweat dries on the skin is caused by which of the following mechanisms?

Evaporation

Conduction

Radiation

Convection

Hint : 🌫️Focus on the phase change that removes heat as moisture leaves the skin.

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7 :
A nurse is collecting data on a client who has an oral temperature of 39°C (102.2°F). Which of the following findings should the nurse expect?

Decreased peripheral pulses

Heart rate 108/min

Respiratory rate 10/min

Dilated pupils

Hint : ⏱️Expect tachycardia with elevated temperature due to increased metabolism.

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8 :
A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select All that Apply.)

A client who had recent oral surgery

A client who has hemorrhoids

A client who has a coagulation disorder

A client who breaths through the mouth

A client who is drinking ice water

Hint : 🧭Choose clients where oral route improves safety and accuracy compared with rectal alternatives.

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9 :
Various sounds are heard when the nurse assesses a blood pressure. What does the first sound heard through the stethoscope represent?

systolic pressure

diastolic pressure

auscultatory gap

pulse pressure

Hint : 🩹Identify the first audible Korotkoff sound to mark systolic flow return in the artery.

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10 :
A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

Pink mucous membranes

Restlessness

Heart rate 110/min

Respiratory rate 28/min

Hint : 🌷Look for signs of improved tissue oxygenation rather than persistent distress.

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Ans

NurseLogic Knowledge and Clinical Judgment Advanced

No.

1 : The following patients require routine vital signs to be obtained by the nursing assistive personnel (NAP). You instruct the NAP to obtain vital signs on which patient first?

2 : A nurse would monitor which client's vital signs most frequently?

3 : A nurse is preparing to assess the pulse of a 15-month-old child. The nurse will likely assess which pulse?

6 : A nurse is assisting with teaching a newly licensed nurse about the loss of body heat. The nurse should include that heat loss that occurs when sweat dries on the skin is caused by which of the following mechanisms?

7 : A nurse is collecting data on a client who has an oral temperature of 39°C (102.2°F). Which of the following findings should the nurse expect?

8 : A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select All that Apply.)

9 : Various sounds are heard when the nurse assesses a blood pressure. What does the first sound heard through the stethoscope represent?

10 : A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?

1 :
The following patients require routine vital signs to be obtained by the nursing assistive personnel (NAP). You instruct the NAP to obtain vital signs on which patient first?

2 :
A nurse would monitor which client's vital signs most frequently?

3 :
A nurse is preparing to assess the pulse of a 15-month-old child. The nurse will likely assess which pulse?

6 :
A nurse is assisting with teaching a newly licensed nurse about the loss of body heat. The nurse should include that heat loss that occurs when sweat dries on the skin is caused by which of the following mechanisms?

7 :
A nurse is collecting data on a client who has an oral temperature of 39°C (102.2°F). Which of the following findings should the nurse expect?

8 :
A nurse is reinforcing teaching with a newly licensed nurse about measuring body temperature in clients. The nurse should instruct to obtain an oral temperature in which of the following clients? (Select All that Apply.)

9 :
Various sounds are heard when the nurse assesses a blood pressure. What does the first sound heard through the stethoscope represent?

10 :
A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?