NCLEX-RN Practice Quiz Test
Bank #1 (75 Questions) 2021
Update
NCLEXRN-01-001
Question Tag: hypertension
Question Category: Physiological Integrity, Reduction of Risk
Potential
Which individual is at greatest risk for developing hypertension?
A. 45-year-old African-American attorney
B. 60-year-old Asian-American shop owner
C. 40-year-old Caucasian nurse
D. 55-year-old Hispanic teacher
Correct Answer: A: 45-year-old African American attorney
Option A: African-Americans develop high blood pressure
at younger ages than other groups in the US. Researchers
have uncovered that African-Americans respond differently
to hypertensive drugs than other groups of people. They are
also found out to be more sensitive to salt, which increases
the risk of developing hypertension.
Option B: The incidence of hypertension in Asian-
Americans does not appear to be significantly higher than
the general population, according to limited US data.
Option C: The racial disparity in hypertension and
hypertension-related outcomes has been recognized for
decades with African-Americans with greater risks than
Caucasians.
Option D: Hypertension prevalence rates in Hispanics may
vary by gender and country of origin. Hispanic Americans
overall have relatively low levels of hypertension, despite
elevated levels of diabetes and obesity.
NCLEXRN-01-002
,Question Tag: acetaminophen
Question Category: Physiological Integrity, Pharmacological and
Parenteral Therapies
A 15-year-old female who ingested 15 tablets of maximum strength
acetaminophen 45 minutes ago is rushed to the emergency
department. Which of these orders should the nurse do first?
A. Gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV Dextrose 5% with 0.33% normal saline to
keep the vein open
D. Have the patient drink activated charcoal mixed with
water
Correct Answer: A. Gastric lavage
Option A: Acetaminophen overdose is extremely toxic to
the liver causing hepatotoxicity. Early symptoms of hepatic
damage include nausea, vomiting, abdominal pain,
and diarrhea. If not treated immediately, hepatic necrosis
occurs and may lead to death. Removing as much of the
drug as possible is the first step in treatment for
acetaminophen overdose, this is best done through gastric
lavage. Gastric lavage (irrigation) and aspiration consist of
flushing the stomach with fluids and then aspirating the
fluid back out. This procedure is done in life-threatening
cases such as acetaminophen toxicity and only if less than
one (1) hour has occurred after ingestion.
Option B: The oral formulation of acetylcysteine is the drug
of choice for the treatment of acetaminophen overdose but
should be done after GI decontamination with activated
charcoal. Liver damage is minimized by giving
acetylcysteine (Mucomyst), the antidote for acetaminophen.
Acetylcysteine reduces injury by substituting for depleted
glutathione in the reaction that converts the toxic
metabolite of acetaminophen to its nontoxic form. When
given within 8 hours of acetaminophen toxicity,
acetylcysteine is effective in preventing severe liver injury.
It is administered orally or intravenously.
Option C: Intermittent IV infusion with Dextrose 5% may be
considered for late-presenting or chronic ingestion.
, Option D: Oral activated charcoal (AC) avidly adsorbs
acetaminophen and may be administered if the patient
presents within 1 hour after ingesting a potentially toxic
dose. Charcoal should not be administered immediately
before or with antidotes since it can effectively adsorb it
and neutralize the benefits.
NCLEXRN-01-003
Question Tag: cardiac catheterization
Question Category: Safe and Effective Care Environment,
Management of Care
Which complication of cardiac catheterization should the nurse monitor
for in the initial 24 hours after the procedure?
A. Angina at rest
B. Thrombus formation
C. Dizziness
D. Falling blood pressure
Correct Answer: B. Thrombus formation
A thrombus formation may prevent blood from flowing normally
through the circulatory system, which may become an embolism, and
block the flow of blood towards major organs in the body.
Option A: The reported incidence of myocardial
infarction with angina at rest is less than 0.1%, and is
mostly influenced by patient-related factors like the extent
and severity of underlying cardiovascular-related diseases
and technique-related factors.
Options C & D: A falling BP and dizziness occur along with
hemorrhage of the insertion site which is associated with
the first 12 hours after the procedure.
NCLEXRN-01-004
Question Tag: renal calculi, flank pain
Question Category: Physiological Integrity, Basic Care and Comfort
A client is admitted to the emergency room with renal calculi and is
complaining of moderate to severe flank pain and nausea. The client’s
, temperature is 100.8 degrees Fahrenheit. The priority nursing goal for
this client is:
A. Maintain fluid and electrolyte balance
B. Control nausea
C. Manage pain
D. Prevent urinary tract infection
Correct Answer: C. Manage pain
Managing pain is always a priority because it ultimately improves the
quality of life. The cornerstone of ureteral colic management is
analgesia, which can be achieved most expediently with
parenteral narcotics or nonsteroidal anti-inflammatory drugs (NSAIDs).
Option A: IV hydration in the setting of acute renal colic is
controversial. Whereas some authorities believe that IV
fluids hasten the passage of the stone through the
urogenital system, others express concern that additional
hydrostatic pressure exacerbates the pain of renal colic.
Option B: Because nausea and vomiting frequently
accompany acute renal colic, antiemetics often play a role
in renal colic therapy. Several antiemetics have a sedating
effect that is often helpful.
Option D: Overuse of the more effective antibiotic agents
leaves only highly resistant bacteria, but failure to
adequately treat a UTI complicated by an obstructing
calculus can result in potentially life-threatening urosepsis
and pyonephrosis.
Questions and rationale from Nurseslabs.com Feel free to print or
share and link back to us! For more practice questions, please visit
our Nursing Test Bank [https://nurseslabs.com/nursing-test-bank]
NCLEXRN-01-005
Question Tag: growth, school age
Question Category: Health Promotion and Maintenance
What would the nurse expect to see while assessing the growth of
children during their school age years?
A. Decreasing amounts of body fat and muscle mass
Bank #1 (75 Questions) 2021
Update
NCLEXRN-01-001
Question Tag: hypertension
Question Category: Physiological Integrity, Reduction of Risk
Potential
Which individual is at greatest risk for developing hypertension?
A. 45-year-old African-American attorney
B. 60-year-old Asian-American shop owner
C. 40-year-old Caucasian nurse
D. 55-year-old Hispanic teacher
Correct Answer: A: 45-year-old African American attorney
Option A: African-Americans develop high blood pressure
at younger ages than other groups in the US. Researchers
have uncovered that African-Americans respond differently
to hypertensive drugs than other groups of people. They are
also found out to be more sensitive to salt, which increases
the risk of developing hypertension.
Option B: The incidence of hypertension in Asian-
Americans does not appear to be significantly higher than
the general population, according to limited US data.
Option C: The racial disparity in hypertension and
hypertension-related outcomes has been recognized for
decades with African-Americans with greater risks than
Caucasians.
Option D: Hypertension prevalence rates in Hispanics may
vary by gender and country of origin. Hispanic Americans
overall have relatively low levels of hypertension, despite
elevated levels of diabetes and obesity.
NCLEXRN-01-002
,Question Tag: acetaminophen
Question Category: Physiological Integrity, Pharmacological and
Parenteral Therapies
A 15-year-old female who ingested 15 tablets of maximum strength
acetaminophen 45 minutes ago is rushed to the emergency
department. Which of these orders should the nurse do first?
A. Gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV Dextrose 5% with 0.33% normal saline to
keep the vein open
D. Have the patient drink activated charcoal mixed with
water
Correct Answer: A. Gastric lavage
Option A: Acetaminophen overdose is extremely toxic to
the liver causing hepatotoxicity. Early symptoms of hepatic
damage include nausea, vomiting, abdominal pain,
and diarrhea. If not treated immediately, hepatic necrosis
occurs and may lead to death. Removing as much of the
drug as possible is the first step in treatment for
acetaminophen overdose, this is best done through gastric
lavage. Gastric lavage (irrigation) and aspiration consist of
flushing the stomach with fluids and then aspirating the
fluid back out. This procedure is done in life-threatening
cases such as acetaminophen toxicity and only if less than
one (1) hour has occurred after ingestion.
Option B: The oral formulation of acetylcysteine is the drug
of choice for the treatment of acetaminophen overdose but
should be done after GI decontamination with activated
charcoal. Liver damage is minimized by giving
acetylcysteine (Mucomyst), the antidote for acetaminophen.
Acetylcysteine reduces injury by substituting for depleted
glutathione in the reaction that converts the toxic
metabolite of acetaminophen to its nontoxic form. When
given within 8 hours of acetaminophen toxicity,
acetylcysteine is effective in preventing severe liver injury.
It is administered orally or intravenously.
Option C: Intermittent IV infusion with Dextrose 5% may be
considered for late-presenting or chronic ingestion.
, Option D: Oral activated charcoal (AC) avidly adsorbs
acetaminophen and may be administered if the patient
presents within 1 hour after ingesting a potentially toxic
dose. Charcoal should not be administered immediately
before or with antidotes since it can effectively adsorb it
and neutralize the benefits.
NCLEXRN-01-003
Question Tag: cardiac catheterization
Question Category: Safe and Effective Care Environment,
Management of Care
Which complication of cardiac catheterization should the nurse monitor
for in the initial 24 hours after the procedure?
A. Angina at rest
B. Thrombus formation
C. Dizziness
D. Falling blood pressure
Correct Answer: B. Thrombus formation
A thrombus formation may prevent blood from flowing normally
through the circulatory system, which may become an embolism, and
block the flow of blood towards major organs in the body.
Option A: The reported incidence of myocardial
infarction with angina at rest is less than 0.1%, and is
mostly influenced by patient-related factors like the extent
and severity of underlying cardiovascular-related diseases
and technique-related factors.
Options C & D: A falling BP and dizziness occur along with
hemorrhage of the insertion site which is associated with
the first 12 hours after the procedure.
NCLEXRN-01-004
Question Tag: renal calculi, flank pain
Question Category: Physiological Integrity, Basic Care and Comfort
A client is admitted to the emergency room with renal calculi and is
complaining of moderate to severe flank pain and nausea. The client’s
, temperature is 100.8 degrees Fahrenheit. The priority nursing goal for
this client is:
A. Maintain fluid and electrolyte balance
B. Control nausea
C. Manage pain
D. Prevent urinary tract infection
Correct Answer: C. Manage pain
Managing pain is always a priority because it ultimately improves the
quality of life. The cornerstone of ureteral colic management is
analgesia, which can be achieved most expediently with
parenteral narcotics or nonsteroidal anti-inflammatory drugs (NSAIDs).
Option A: IV hydration in the setting of acute renal colic is
controversial. Whereas some authorities believe that IV
fluids hasten the passage of the stone through the
urogenital system, others express concern that additional
hydrostatic pressure exacerbates the pain of renal colic.
Option B: Because nausea and vomiting frequently
accompany acute renal colic, antiemetics often play a role
in renal colic therapy. Several antiemetics have a sedating
effect that is often helpful.
Option D: Overuse of the more effective antibiotic agents
leaves only highly resistant bacteria, but failure to
adequately treat a UTI complicated by an obstructing
calculus can result in potentially life-threatening urosepsis
and pyonephrosis.
Questions and rationale from Nurseslabs.com Feel free to print or
share and link back to us! For more practice questions, please visit
our Nursing Test Bank [https://nurseslabs.com/nursing-test-bank]
NCLEXRN-01-005
Question Tag: growth, school age
Question Category: Health Promotion and Maintenance
What would the nurse expect to see while assessing the growth of
children during their school age years?
A. Decreasing amounts of body fat and muscle mass
