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.
(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.
