NurseLogic 2.0 Knowledge & Clinical Judgment (Advanced)
Study Guide 2026 | Complete Review | Graded A+
1. Why is slurred speech considered a higher priority finding in a patient
experiencing a vaso-occlusive crisis?
Slurred speech is a common symptom of dehydration in sickle cell
patients.
Slurred speech is often associated with pain management issues.
Slurred speech indicates a need for increased fluid intake.
Slurred speech may indicate neurological impairment or stroke,
which requires immediate intervention.
2. A patient with bipolar disorder presents with a serum lithium level of 1.5
mEq/L. What should the nurse's immediate action be?
Notify the healthcare provider and assess the patient for signs of
lithium toxicity.
Discontinue the medication immediately without further assessment.
Continue the current dosage as planned.
Increase the lithium dosage to achieve better control.
3. If a nurse observes that a toddler is still in pain after administering
benzocaine ear drops, what should be the next step?
Document the administration and wait for the medication to take
effect.
Assess the child for potential complications or need for additional
pain management.
Re-administer the benzocaine ear drops immediately.
, Consult a physician without further assessment.
4. Which client condition is most appropriate for electronic blood pressure
measurement?
A client who is recovering from a cardiac catheterization
A client with a history of hypertension
A client who is experiencing chest pain
A client who is in a stable condition
5. What is the therapeutic serum lithium level range for maintenance therapy in
bipolar disorder?
2.0 to 2.5 mEq/L
0.3 to 0.5 mEq/L
1.5 to 2.0 mEq/L
0.6 to 1.2 mEq/L
6. What is a common concern that family members may have when a patient has
a new colostomy?
Monitoring vital signs
Understanding medication side effects
Caring for the colostomy
Managing pain
7. The nurse is caring for a patient receiving clozapine [Clozaril]. Which
assessment finding is most indicative of an adverse effect of this drug?
White blood cell (WBC) count of 2000/mm3
, Bilirubin level of 2.5 mg/dL
Blood glucose level of 60 mg/dL
Blood urea nitrogen level of 25 mg/dL
8. After a lumbar puncture, the nurse asks the patient to lay flat for several
hours. Which post-procedure complication is prevented by this nursing
action?
Seizure
Bleeding
Headache
Hypertension
9. What practice indicates a need for intervention to protect client
confidentiality in a healthcare setting?
Assigning staff members on each shift the same password for
accessing medical records
Using individual logins for each staff member
Regularly changing passwords for accessing medical records
Implementing a two-factor authentication system
10. A nurse is caring for a client who is pregnant with a single fetus and has a
BMI of 23. How much weight should she gain during pregnancy?
- 15-20 lb
- 25-35 lb
- 10-15 lb
- 35-45 lb
, 11. Which of the four clients should the nurse perform an electronic blood
pressure measurement?
Client with anorexia and hypotension
Client recovering from cardiac cath
Client in stage 4 Parkinson's
Client with temp of 102.4 and is shivering
12. Describe the process a nurse should follow to calculate the amount of
gentamicin to administer based on the client's weight.
The nurse should administer the medication in one single dose
without dividing it.
The nurse should first convert the client's weight from pounds to
kilograms, then multiply the weight in kg by the prescribed dosage
of 5 mg/kg/day to determine the total daily dosage.
The nurse should only consider the volume of sodium chloride when
calculating the dosage.
The nurse should administer the medication based on the available
concentration without any calculations.
13. The client, who is 24 hours postoperative after a right lower lobectomy for
stage II lung cancer and has two chest tubes in place, reports intense
burning pain in his lower chest. On assessment, the nurse notes there is no
bubbling on exhalation in the water seal chamber. What action will the nurse
perform first?
Assist the client to a side-lying position and reassess the water seal
chamber for bubbling.
Immediately notify either the Rapid Response Team or the thoracic
surgical resident.
Study Guide 2026 | Complete Review | Graded A+
1. Why is slurred speech considered a higher priority finding in a patient
experiencing a vaso-occlusive crisis?
Slurred speech is a common symptom of dehydration in sickle cell
patients.
Slurred speech is often associated with pain management issues.
Slurred speech indicates a need for increased fluid intake.
Slurred speech may indicate neurological impairment or stroke,
which requires immediate intervention.
2. A patient with bipolar disorder presents with a serum lithium level of 1.5
mEq/L. What should the nurse's immediate action be?
Notify the healthcare provider and assess the patient for signs of
lithium toxicity.
Discontinue the medication immediately without further assessment.
Continue the current dosage as planned.
Increase the lithium dosage to achieve better control.
3. If a nurse observes that a toddler is still in pain after administering
benzocaine ear drops, what should be the next step?
Document the administration and wait for the medication to take
effect.
Assess the child for potential complications or need for additional
pain management.
Re-administer the benzocaine ear drops immediately.
, Consult a physician without further assessment.
4. Which client condition is most appropriate for electronic blood pressure
measurement?
A client who is recovering from a cardiac catheterization
A client with a history of hypertension
A client who is experiencing chest pain
A client who is in a stable condition
5. What is the therapeutic serum lithium level range for maintenance therapy in
bipolar disorder?
2.0 to 2.5 mEq/L
0.3 to 0.5 mEq/L
1.5 to 2.0 mEq/L
0.6 to 1.2 mEq/L
6. What is a common concern that family members may have when a patient has
a new colostomy?
Monitoring vital signs
Understanding medication side effects
Caring for the colostomy
Managing pain
7. The nurse is caring for a patient receiving clozapine [Clozaril]. Which
assessment finding is most indicative of an adverse effect of this drug?
White blood cell (WBC) count of 2000/mm3
, Bilirubin level of 2.5 mg/dL
Blood glucose level of 60 mg/dL
Blood urea nitrogen level of 25 mg/dL
8. After a lumbar puncture, the nurse asks the patient to lay flat for several
hours. Which post-procedure complication is prevented by this nursing
action?
Seizure
Bleeding
Headache
Hypertension
9. What practice indicates a need for intervention to protect client
confidentiality in a healthcare setting?
Assigning staff members on each shift the same password for
accessing medical records
Using individual logins for each staff member
Regularly changing passwords for accessing medical records
Implementing a two-factor authentication system
10. A nurse is caring for a client who is pregnant with a single fetus and has a
BMI of 23. How much weight should she gain during pregnancy?
- 15-20 lb
- 25-35 lb
- 10-15 lb
- 35-45 lb
, 11. Which of the four clients should the nurse perform an electronic blood
pressure measurement?
Client with anorexia and hypotension
Client recovering from cardiac cath
Client in stage 4 Parkinson's
Client with temp of 102.4 and is shivering
12. Describe the process a nurse should follow to calculate the amount of
gentamicin to administer based on the client's weight.
The nurse should administer the medication in one single dose
without dividing it.
The nurse should first convert the client's weight from pounds to
kilograms, then multiply the weight in kg by the prescribed dosage
of 5 mg/kg/day to determine the total daily dosage.
The nurse should only consider the volume of sodium chloride when
calculating the dosage.
The nurse should administer the medication based on the available
concentration without any calculations.
13. The client, who is 24 hours postoperative after a right lower lobectomy for
stage II lung cancer and has two chest tubes in place, reports intense
burning pain in his lower chest. On assessment, the nurse notes there is no
bubbling on exhalation in the water seal chamber. What action will the nurse
perform first?
Assist the client to a side-lying position and reassess the water seal
chamber for bubbling.
Immediately notify either the Rapid Response Team or the thoracic
surgical resident.
