NURS 1240 CLINICAL JUDGEMENT EAQ | QUESTIONS
AND ANSSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
When evaluating fluid loss for a client with burns, which relationship between a
client's burned body surface area and fluid loss would the nurse consider?
- Equal
- Unrelated
- Inversely related
- Directly proportional Answer - Directly proportional
rationale: There is greater extravasation of fluid into the tissues as the amount
of tissue involved increases. Thus the relationship of fluid loss to body surface
area is directly proportional. Formulas (e.g., Parkland [Baxter) are used to
estimate fluid loss based on percentage of body surface area burned. Equal,
unrelated, and inversely related options are incorrect; the relationship is
proportional.
Which area of the client's body would the nurse consider a high risk for
developing a pressure injury when caring for an older adult with Alzheimer
type dementia who consistently sleeps in a semi-Fowler position in bed?
- Sacrum
- Scapulae
- Ischial spine
- Greater trochanter Answer - Sacrum
,rationale: The sacrum is the center of the greatest body mass; an elevated
torso exerts pressure toward this area.
Although the scapulae are at risk, they do not bear the greatest body weight as
when the client is in the semi-Fowler position. The ischial spine bears the
greatest pressure when the client is in an upright sitting position.
Greater trochanter is at risk when the client is in a side-lying position.
Which condition is contraindicated for St. John's wort herbal therapy?
- Anxiety
- Seizures
- Dementia
- Cardiac disease Answer - Dementia
rationale: St. John's wort is contraindicated for dementia; this herbal therapy is
used to treat anxiety. Bupropion therapy is contraindicated for seizures.
Valerian (Valeriana officinalis) is contraindicated for cardiac disease.
Which condition contraindicates the use of ginseng herbal therapy?
- Pregnancy
- Schizophrenia
- Bipolar depression
- Alzheimer disease Answer - Pregnancy
rationale: Pregnancy is contraindicated for ginseng herbal therapy.
Schizophrenia, bipolar depression, and Alzheimer disease are contraindicated
for St. John's Wort herbal therapy.
, Which toxic effect would the nurse find in a client who has overdosed on
isocarboxazid?
- Mydriasis
- Bradycardia
- Hypothermia
- Circulatory collapse Answer - Circulatory collapse
rationale: The clinical symptoms of monoamine oxidase inhibitors (MAOls)
generally appear after 12 hours of ingestion.
Circulatory collapse is associated with MAOI toxicity. Mydriasis, bradycardia,
and hyperthermia are not associated with an isocarboxazid overdose.
Which statement is true regarding antipsychotic medications?
- All first- and second-generation antipsychotics are equally effective.
- Second-generation antipsychotics pose a risk of extrapyramidal symptoms.
- First-generation antipsychotics pose a significant risk of metabolic side effects
- Clozapine is more effective than other second-generation antipsychotics.
Answer - Clozapine is more effective than other second-generation
antipsychotics.
rationale: Clozapine is a second-generation antipsychotic medication that is
more effective than other second-generation antipsychotics. Most (but not all)
first- and second-generation antipsychotics are equally effective.
Second-generation antipsychotics may cause metabolic side effects such as
diabetes and dyslipidemia. First-generation antipsychotics may cause
extrapyramidal side effects.
Which medication may lead to bruxism?
- Vilazodone
AND ANSSWERS | 2026 UPDATE | WITH COMPLETE
SOLUTION
When evaluating fluid loss for a client with burns, which relationship between a
client's burned body surface area and fluid loss would the nurse consider?
- Equal
- Unrelated
- Inversely related
- Directly proportional Answer - Directly proportional
rationale: There is greater extravasation of fluid into the tissues as the amount
of tissue involved increases. Thus the relationship of fluid loss to body surface
area is directly proportional. Formulas (e.g., Parkland [Baxter) are used to
estimate fluid loss based on percentage of body surface area burned. Equal,
unrelated, and inversely related options are incorrect; the relationship is
proportional.
Which area of the client's body would the nurse consider a high risk for
developing a pressure injury when caring for an older adult with Alzheimer
type dementia who consistently sleeps in a semi-Fowler position in bed?
- Sacrum
- Scapulae
- Ischial spine
- Greater trochanter Answer - Sacrum
,rationale: The sacrum is the center of the greatest body mass; an elevated
torso exerts pressure toward this area.
Although the scapulae are at risk, they do not bear the greatest body weight as
when the client is in the semi-Fowler position. The ischial spine bears the
greatest pressure when the client is in an upright sitting position.
Greater trochanter is at risk when the client is in a side-lying position.
Which condition is contraindicated for St. John's wort herbal therapy?
- Anxiety
- Seizures
- Dementia
- Cardiac disease Answer - Dementia
rationale: St. John's wort is contraindicated for dementia; this herbal therapy is
used to treat anxiety. Bupropion therapy is contraindicated for seizures.
Valerian (Valeriana officinalis) is contraindicated for cardiac disease.
Which condition contraindicates the use of ginseng herbal therapy?
- Pregnancy
- Schizophrenia
- Bipolar depression
- Alzheimer disease Answer - Pregnancy
rationale: Pregnancy is contraindicated for ginseng herbal therapy.
Schizophrenia, bipolar depression, and Alzheimer disease are contraindicated
for St. John's Wort herbal therapy.
, Which toxic effect would the nurse find in a client who has overdosed on
isocarboxazid?
- Mydriasis
- Bradycardia
- Hypothermia
- Circulatory collapse Answer - Circulatory collapse
rationale: The clinical symptoms of monoamine oxidase inhibitors (MAOls)
generally appear after 12 hours of ingestion.
Circulatory collapse is associated with MAOI toxicity. Mydriasis, bradycardia,
and hyperthermia are not associated with an isocarboxazid overdose.
Which statement is true regarding antipsychotic medications?
- All first- and second-generation antipsychotics are equally effective.
- Second-generation antipsychotics pose a risk of extrapyramidal symptoms.
- First-generation antipsychotics pose a significant risk of metabolic side effects
- Clozapine is more effective than other second-generation antipsychotics.
Answer - Clozapine is more effective than other second-generation
antipsychotics.
rationale: Clozapine is a second-generation antipsychotic medication that is
more effective than other second-generation antipsychotics. Most (but not all)
first- and second-generation antipsychotics are equally effective.
Second-generation antipsychotics may cause metabolic side effects such as
diabetes and dyslipidemia. First-generation antipsychotics may cause
extrapyramidal side effects.
Which medication may lead to bruxism?
- Vilazodone
