General clinical nursing judgment encompasses the foundational, safety-critical practices that underpin every nursing specialty and recur across the entire NCLEX-RN blueprint: medication administration and the rights that protect it, fall prevention, accurate patient identification, the safe and least-restrictive use of restraints, pressure-injury prevention and staging, and clear, accurate documentation. These are not glamorous topics, but errors in exactly these areas are among the leading causes of preventable patient harm, which is why the exam returns to them again and again, often as the right answer to a prioritization or safety item. The scope of the problem frames the nurse's responsibility. Medication errors are among the most common adverse events in acute care and the great majority are preventable through systematic verification. Falls are a leading cause of injury-related harm in hospitalized adults, and a substantial proportion of falls result in injury. Pressure injuries affect a meaningful share of hospitalized patients and are largely preventable with consistent nursing care. Wrong-patient events are prevented by the disciplined use of two identifiers every time. The unifying theme is that safety depends less on...