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N...
NCLEX-RN Practice Quiz Test Bank (75
Questions)
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
1 of 54 2/14/2022, 8:07
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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
2 of 54 2/14/2022, 8:07
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N...
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
3 of 54 2/14/2022, 8:07
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N...
• 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
• B. Little change in body appearance from year to year
• C. Progressive height increase of 4 inches each year
• D. Yearly weight gain of about 5.5 pounds per year
Correct Answer: D. Yearly weight gain of about 5.5 pounds per year
School age children gain about 5.5 pounds each year and increase about 2 inches in
height. Between ages 2 to 10 years, a child will grow at a steady pace.
• Option A: Decreasing amounts of body fat and muscle mass are common in toddlers.
• Option B: A decrease in the change in body appearance occurs among young adults.
• Option C: Growth spurts are common in school-age children, as are periods of slow
growth.
4 of 54 2/14/2022, 8:07
N...
NCLEX-RN Practice Quiz Test Bank (75
Questions)
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
1 of 54 2/14/2022, 8:07
,FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-qu
N...
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
2 of 54 2/14/2022, 8:07
,FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-qu
N...
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
3 of 54 2/14/2022, 8:07
,FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-qu
N...
• 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
• B. Little change in body appearance from year to year
• C. Progressive height increase of 4 inches each year
• D. Yearly weight gain of about 5.5 pounds per year
Correct Answer: D. Yearly weight gain of about 5.5 pounds per year
School age children gain about 5.5 pounds each year and increase about 2 inches in
height. Between ages 2 to 10 years, a child will grow at a steady pace.
• Option A: Decreasing amounts of body fat and muscle mass are common in toddlers.
• Option B: A decrease in the change in body appearance occurs among young adults.
• Option C: Growth spurts are common in school-age children, as are periods of slow
growth.
4 of 54 2/14/2022, 8:07
