2023 NCLEX RN Exam Test Bank NGN Actual ExamQ&A
100% Verified A+
1. 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
The correct answer is A: 45 year-old African American attorney The
incidence of hypertension is greater among African Americans than
other groups in the US. The incidence among the Hispanic population is
rising.
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?
A) Gastric lavage PRN
B) Acetylcysteine (mucomyst) for age per pharmacy
C) Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
D) Activated charcoal per pharmacy
The correct answer is A: Gastric lavage PRN 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.
3. 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
The correct answer is B: thrombus formation 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.
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
A) Maintain fluid and electrolyte balance
B) Control nausea
C) Manage pain
,D) Prevent urinary tract infection
, The correct answer is C: Manage pain The immediate goal of therapy is
to alleviate the client‟s pain.
5. 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
The correct answer is 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.
6. At a community health fair the blood pressure of a 62 year-old client
is 160/96. The client states “My blood pressure is usually much lower.”
The nurse should tell the client to
A) go get a blood pressure check within the next 48 to 72
hours
B) check blood pressure again in 2 months
C) see the health care provider immediately
D) visit the health care provider within 1 week for a BP check
The correct answer is A: go get a blood pressure check within the next
48 to 72 hours 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.
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) A middle aged client with a history of being ventilator
dependent for over 7 years and admitted with bacterial
pneumonia five days ago
B) A young adult with diabetes mellitus Type 2 for over 10 years and
admitted with antibiotic induced diarrhea 24 hours ago
C) An elderly client with a history of hypertension,
hypercholesterolemia and lupus, and was admitted with Stevens-
Johnson syndrome that morning
D) An adolescent with a positive HIV test and admitted for acute
cellulitus of the lower leg 48 hours ago
The correct answer is A: A middle aged client with a history of being
ventilator dependent for over 7 years and admitted with bacterial
100% Verified A+
1. 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
The correct answer is A: 45 year-old African American attorney The
incidence of hypertension is greater among African Americans than
other groups in the US. The incidence among the Hispanic population is
rising.
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?
A) Gastric lavage PRN
B) Acetylcysteine (mucomyst) for age per pharmacy
C) Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
D) Activated charcoal per pharmacy
The correct answer is A: Gastric lavage PRN 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.
3. 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
The correct answer is B: thrombus formation 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.
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
A) Maintain fluid and electrolyte balance
B) Control nausea
C) Manage pain
,D) Prevent urinary tract infection
, The correct answer is C: Manage pain The immediate goal of therapy is
to alleviate the client‟s pain.
5. 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
The correct answer is 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.
6. At a community health fair the blood pressure of a 62 year-old client
is 160/96. The client states “My blood pressure is usually much lower.”
The nurse should tell the client to
A) go get a blood pressure check within the next 48 to 72
hours
B) check blood pressure again in 2 months
C) see the health care provider immediately
D) visit the health care provider within 1 week for a BP check
The correct answer is A: go get a blood pressure check within the next
48 to 72 hours 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.
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) A middle aged client with a history of being ventilator
dependent for over 7 years and admitted with bacterial
pneumonia five days ago
B) A young adult with diabetes mellitus Type 2 for over 10 years and
admitted with antibiotic induced diarrhea 24 hours ago
C) An elderly client with a history of hypertension,
hypercholesterolemia and lupus, and was admitted with Stevens-
Johnson syndrome that morning
D) An adolescent with a positive HIV test and admitted for acute
cellulitus of the lower leg 48 hours ago
The correct answer is A: A middle aged client with a history of being
ventilator dependent for over 7 years and admitted with bacterial
