NUR 101 NCLEX PRACTISE EXAM 1 (40 MARKS)
NCLEX Practice Exam 1 (40 Questions)
Question 1
Which individual is at greatest risk for developing hypertension?
45 year-old African American attorney
60-year-old Asian American shop owner
40-year-old Caucasian nurse
55-year-old Hispanic teacher
Question 1 Explanation:
The incidence of hypertension is greater among African Americans than other groups in the US. The
incidence among the Hispanic population is rising.
Question 2
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the
emergency department. Which of these orders should the nurse do first?
Gastric lavage PRN
Acetylcysteine (mucomyst) for age per pharmacy
Start an IV Dextrose 5% with 0.33% normal saline to keep vein
open
Activated charcoal per pharmacy
Question 2 Explanation:
Removing as much of the drug as possible is the first step in treatment for this drug overdose. This is best
done by gastric lavage. The next drug to give would be activated charcoal, then mucomyst and lastly the
IV fluids.
Question 3
,Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after
the procedure?
angina at rest
thrombus formation
dizziness
falling blood pressure
Question 3 Explanation:
Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac
catheterization. A falling BP occurs along with hemorrhage of the insertion site which is associated with
the first 12 hours after the procedure.
Question 4
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:
Maintain fluid and electrolyte balance
Control nausea
Manage pain
Prevent urinary tract infection
Question 4 Explanation:
The immediate goal of therapy is to alleviate the client’s pain.
Question 5
, What would the nurse expect to see while assessing the growth of children during their school age years?
Decreasing amounts of body fat and muscle mass
Little change in body appearance from year to year
Progressive height increase of 4 inches each year
Yearly weight gain of about 5.5 pounds per year
Question 5 Explanation:
School age children gain about 5.5 pounds each year and increase about 2 inches in height.
Question 6
At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states
“My blood pressure is usually much lower.” The nurse should tell the client to
go get a blood pressure check within the next 48 to 72 hours
check blood pressure again in two (2) months
see the health care provider immediately
visit the health care provider within 1 week for a BP check
Question 6 Explanation:
The blood pressure reading is moderately high with the need to have it rechecked in a few days. The
client states it is ‘usually much lower.’ Thus a concern exists for complications such as stroke. However,
immediate check by the provider of care is not warranted. Waiting 2 months or a week for follow-up is too
long.
Question 7
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the
nurse put first on the list to be discharged in order to make a room available for a new admission?
A middle-aged client with a history of being ventilator
dependent for over seven (7) years and admitted with bacterial
NCLEX Practice Exam 1 (40 Questions)
Question 1
Which individual is at greatest risk for developing hypertension?
45 year-old African American attorney
60-year-old Asian American shop owner
40-year-old Caucasian nurse
55-year-old Hispanic teacher
Question 1 Explanation:
The incidence of hypertension is greater among African Americans than other groups in the US. The
incidence among the Hispanic population is rising.
Question 2
A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the
emergency department. Which of these orders should the nurse do first?
Gastric lavage PRN
Acetylcysteine (mucomyst) for age per pharmacy
Start an IV Dextrose 5% with 0.33% normal saline to keep vein
open
Activated charcoal per pharmacy
Question 2 Explanation:
Removing as much of the drug as possible is the first step in treatment for this drug overdose. This is best
done by gastric lavage. The next drug to give would be activated charcoal, then mucomyst and lastly the
IV fluids.
Question 3
,Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after
the procedure?
angina at rest
thrombus formation
dizziness
falling blood pressure
Question 3 Explanation:
Thrombus formation in the coronary arteries is a potential problem in the initial 24 hours after a cardiac
catheterization. A falling BP occurs along with hemorrhage of the insertion site which is associated with
the first 12 hours after the procedure.
Question 4
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:
Maintain fluid and electrolyte balance
Control nausea
Manage pain
Prevent urinary tract infection
Question 4 Explanation:
The immediate goal of therapy is to alleviate the client’s pain.
Question 5
, What would the nurse expect to see while assessing the growth of children during their school age years?
Decreasing amounts of body fat and muscle mass
Little change in body appearance from year to year
Progressive height increase of 4 inches each year
Yearly weight gain of about 5.5 pounds per year
Question 5 Explanation:
School age children gain about 5.5 pounds each year and increase about 2 inches in height.
Question 6
At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states
“My blood pressure is usually much lower.” The nurse should tell the client to
go get a blood pressure check within the next 48 to 72 hours
check blood pressure again in two (2) months
see the health care provider immediately
visit the health care provider within 1 week for a BP check
Question 6 Explanation:
The blood pressure reading is moderately high with the need to have it rechecked in a few days. The
client states it is ‘usually much lower.’ Thus a concern exists for complications such as stroke. However,
immediate check by the provider of care is not warranted. Waiting 2 months or a week for follow-up is too
long.
Question 7
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the
nurse put first on the list to be discharged in order to make a room available for a new admission?
A middle-aged client with a history of being ventilator
dependent for over seven (7) years and admitted with bacterial
