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NCLEX-RN Clinical Judgment & Discrimination Patterns Flashcards

Master 101 clinical judgment & discrimination patterns concepts for the NCLEX-RN.

Question

Differentiate the clinical manifestations of heart failure based on the affected side:


Left-sided heart failure primarily manifests as congestion. Right-sided heart failure primarily manifests as congestion.

Question

A client with Type 1 diabetes presents with tachycardia, irritability, tremors, and cool, clammy skin. Which condition is indicated?


Question

What is the primary laboratory difference distinguishing Diabetic Ketoacidosis (DKA) from Hyperosmolar Hyperglycemic Syndrome (HHS) regarding byproducts of metabolism?


Question

Compare the pathophysiology and electrolyte imbalances of adrenal disorders:


Addison's disease involves of adrenal hormones and manifests with . Cushing's syndrome involves of adrenal hormones and manifests with .

Question

Contrast the urine specific gravity and serum sodium findings in Diabetes Insipidus (DI) versus SIADH.


Question

A client with myasthenia gravis is administered edrophonium (Tensilon). Their muscle strength significantly improves. How is this interpreted?


Question

A nurse assesses a lower leg ulcer that is irregularly shaped, located near the medial malleolus (ankle), and surrounded by brown-pigmented skin with edema. What type of ulcer is this?


Question

Describe the difference in the pattern and location of lesions between Ulcerative Colitis and Crohn's Disease.


Question

Differentiate peptic ulcers by pain timing and food response:


Gastric ulcer pain occursmeals and is by food. Duodenal ulcer pain occursmeals and is by food.

Question

Why is a non-contrast CT scan the absolute priority diagnostic before administering treatment for a suspected stroke?


Question

A client's telemetry monitor alarms indicating ventricular tachycardia. What is the PRIORITY nursing action?


Question

A client with pneumonia is being assessed. Which of the following findings is a 'relevant cue' indicating a complication requiring immediate action?