Updated 2026 Exam
Table of content
1. Basic Care and Comfort
2. Health Promotion and Maintenance
3. Management of Care
4. Pharmacological and Parenteral Therapies
5. Physiological Adaptation
6. Reduction of Risk Potential
7. Safety and Infection Control
1. 1. Question
Category: Reduction of Risk Potential
During a community health assessment at a local
school’s parent-teacher conference, the nurse
encounters several parents and caregivers. Based on
their shared histories and lifestyles, the nurse
determines the risk factors for hypertension among
,Comprehensive NCLEX-RN Practice
Updated 2026 Exam
them. Which of the following individuals is at
the HIGHEST risk for developing hypertension?
A. A 45-year-old African-American attorney with a
family history of hypertension, who has a sedentary
lifestyle, consumes a diet high in sodium, and
recently had a significant weight gain.
Correct answer
B. A 60-year-old Asian-American shop owner with a
BMI of 28, who has well-managed type 2 diabetes,
takes medications for high cholesterol, and engages
in regular physical activity.
C. A 40-year-old Caucasian nurse who is a
vegetarian, has a healthy BMI, is a non-smoker but
reports high levels of work-related stress and
consumes excessive amounts of caffeine.
D. A 55-year-old Hispanic teacher who smokes
occasionally, has a healthy BMI, participates in a
,Comprehensive NCLEX-RN Practice
Updated 2026 Exam
moderate-intensity exercise program, and recently
started taking oral contraceptives.
Incorrect
E. A 50-year-old Middle Eastern engineer with a BMI
of 26, who has a family history of cardiovascular
diseases, does not engage in any form of exercise,
and has recently been diagnosed with obstructive
sleep apnea.
F. A 52-year-old Native American artist with a family
history of kidney disease, who smokes a pack of
cigarettes daily, drinks alcohol excessively, and
reports infrequent physical activity.
G. A 43-year-old European baker who has a BMI of
30, often deals with job-related stress, consumes a
diet rich in pastries and sweets, and has a sedentary
lifestyle due to long work hours.
Incorrect
, Comprehensive NCLEX-RN Practice
Updated 2026 Exam
Correct Answer: A. A 45-year-old African-
American attorney with a family history of
hypertension, who has a sedentary lifestyle and
consumes a diet high in sodium.
African-American adults have a higher prevalence of
hypertension compared to other racial and ethnic
groups in the United States. This individual also has
a family history of hypertension, a sedentary lifestyle,
and a diet high in sodium, which are all risk factors
for hypertension. Therefore, this individual is at the
greatest risk for developing hypertension among the
given choices.
• Option B. 60-year-old Asian-American
shop owner: Although age is a risk factor for
hypertension, this individual has well-
managed type 2 diabetes and engages in
regular physical activity. Their BMI of 28
suggests being overweight, but the