Clinical Judgment - Beginning Test

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Nurse Logic 2.0 - Knowledge and Clinical Judgment - Beginning Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The client is experiencing increased shortness of breath and has a productive cough. What should the nurse do first?

• Administer prescribed bronchodilators

✔✔ B. Assess the client’s oxygen saturation level

• Encourage the client to drink fluids
• Notify the healthcare provider

A nurse is performing an assessment on a client who has just been started on an antihypertensive medication. The client reports dizziness when standing. What should the nurse do first?✔✔ A. Assess the client’s blood pressure in both sitting and standing positions

• Encourage the client to take the medication with food
• Decrease the medication dose as ordered
• Suggest that the client drink more water to alleviate the symptoms
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A client with diabetes has a blood glucose level of 280 mg/dL. The nurse knows that this is elevated. What should the nurse do first?

• Administer insulin as prescribed

✔✔ B. Assess for symptoms of hyperglycemia

• Recheck the blood glucose level in 30 minutes
• Notify the healthcare provider immediately

A nurse is caring for a client with a history of deep vein thrombosis (DVT). The nurse notices the client’s calf is swollen and warm. What is the nurse’s first action?✔✔ A. Measure the circumference of the calf and compare it to the other leg

• Notify the healthcare provider immediately
• Elevate the client’s leg to reduce swelling
• Apply a cold compress to the affected area

A nurse is caring for a client who is post-operative following an abdominal surgery. The client reports feeling nauseous and begins to vomit. What should the nurse do first?✔✔ A. Assess the client's vital signs and respiratory status

• Administer the prescribed antiemetic medication
• Position the client on their side to prevent aspiration 2 / 3

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• Offer the client ice chips to soothe their stomach

A nurse is assessing a client who has a new diagnosis of heart failure. The nurse notes the client is experiencing edema in the lower extremities. What is the nurse's first priority?

• Monitor the client’s intake and output
• Administer a diuretic as prescribed

✔✔ C. Assess the client’s weight and vital signs

• Encourage the client to elevate their legs

A nurse is caring for a client with a wound infection. The nurse notices redness, warmth, and purulent drainage at the wound site. What should the nurse do first?✔✔ A. Assess the client’s vital signs and temperature

• Apply a sterile dressing to the wound
• Notify the healthcare provider immediately
• Administer the prescribed antibiotic

A nurse is caring for a client who has been prescribed an opioid medication for pain. The nurse notices that the client is drowsy and has a respiratory rate of 8 breaths per minute. What is the nurse’s first action?

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