NCLEX-RN Practice Quiz Test
Bank #1 (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
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
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.
Bank #1 (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
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
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.
