NCLEX RN September 2023
NGN Actual Questions &
Answers Bank with Rationales
100% Verified Q&A
,NCLEX RN September 2023
NGN Actual Questions &
Answers Bank with Rationales
,1. 1. Question
Category: Reduction of Risk Potential
The nurse educates individuals on the risk factors for developing hypertension
during a community health fair. Which of the following individuals are at
the MOST significant risk for developing hypertension?
o A 45-year-old African-American attorney with a family history of
hypertension, who has a sedentary lifestyle and consumes a diet high in
sodium.
o A 60-year-old Asian-American shop owner with a BMI of 28, who has well-
managed type 2 diabetes and engages in regular physical activity.
o A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, and is
a non-smoker but reports high levels of work-related stress.
o A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI,
and participates in a moderate-intensity exercise program.
Correct Answer: A 45-year-old African-American attorney with a family
history of hypertension, who has a sedentary lifestyle and consumes a diet
high in sodium.
African-American adults have a higher prevalence of hypertension compared to
other racial and ethnic groups in the United States. This individual also has a
family history of hypertension, a sedentary lifestyle, and a diet high in sodium,
which are all risk factors for hypertension. Therefore, this individual is at the
greatest risk for developing hypertension among the given choices.
Option B. 60-year-old Asian-American shop owner: Although age is a
risk factor for hypertension, this individual has well-managed type 2
diabetes and engages in regular physical activity. Their BMI of 28 suggests
being overweight, but the combination of other factors makes this
individual’s risk lower than the African-American attorney.
Option C. 40-year-old Caucasian nurse: While this individual reports high
levels of work-related stress, which can be a risk factor for hypertension,
they have a healthy BMI, are a vegetarian, and a non-smoker. These factors
, help offset their risk, making them less likely to develop hypertension
compared to the African-American attorney.
Option D. 55-year-old Hispanic teacher: Although this individual smokes
occasionally, which is a risk factor for hypertension, they have a healthy
BMI and participate in a moderate-intensity exercise program. These
factors help reduce their risk, making them less likely to develop
hypertension compared to the African-American attorney.
2. 2. Question
Category: Pharmacological and Parenteral Therapies
A 15-year-old female with a history of depression is rushed to the emergency
department after ingesting 15 tablets of maximum-strength acetaminophen 45
minutes ago in a suicide attempt. The patient’s vital signs are stable, but she is
visibly anxious and tearful. The healthcare provider has written several orders to
manage the situation. Which of the following orders should the nurse prioritize
and carry out first?
A. Perform gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV with Dextrose 5% and 0.33% normal saline
D. Have the patient drink activated charcoal mixed with water
Correct Answer: B. Administer acetylcysteine (Mucomyst) orally
Although gastric lavage can help remove any remaining acetaminophen from the
stomach, it is not the priority intervention in this situation. Administering the
antidote, acetylcysteine (Mucomyst), should be the primary focus to counteract
the toxic effects of acetaminophen on the liver. Acetylcysteine is the antidote for
acetaminophen toxicity and should be administered as soon as possible to
maximize its effectiveness in preventing liver damage.
Option A: 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.
NGN Actual Questions &
Answers Bank with Rationales
100% Verified Q&A
,NCLEX RN September 2023
NGN Actual Questions &
Answers Bank with Rationales
,1. 1. Question
Category: Reduction of Risk Potential
The nurse educates individuals on the risk factors for developing hypertension
during a community health fair. Which of the following individuals are at
the MOST significant risk for developing hypertension?
o A 45-year-old African-American attorney with a family history of
hypertension, who has a sedentary lifestyle and consumes a diet high in
sodium.
o A 60-year-old Asian-American shop owner with a BMI of 28, who has well-
managed type 2 diabetes and engages in regular physical activity.
o A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, and is
a non-smoker but reports high levels of work-related stress.
o A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI,
and participates in a moderate-intensity exercise program.
Correct Answer: A 45-year-old African-American attorney with a family
history of hypertension, who has a sedentary lifestyle and consumes a diet
high in sodium.
African-American adults have a higher prevalence of hypertension compared to
other racial and ethnic groups in the United States. This individual also has a
family history of hypertension, a sedentary lifestyle, and a diet high in sodium,
which are all risk factors for hypertension. Therefore, this individual is at the
greatest risk for developing hypertension among the given choices.
Option B. 60-year-old Asian-American shop owner: Although age is a
risk factor for hypertension, this individual has well-managed type 2
diabetes and engages in regular physical activity. Their BMI of 28 suggests
being overweight, but the combination of other factors makes this
individual’s risk lower than the African-American attorney.
Option C. 40-year-old Caucasian nurse: While this individual reports high
levels of work-related stress, which can be a risk factor for hypertension,
they have a healthy BMI, are a vegetarian, and a non-smoker. These factors
, help offset their risk, making them less likely to develop hypertension
compared to the African-American attorney.
Option D. 55-year-old Hispanic teacher: Although this individual smokes
occasionally, which is a risk factor for hypertension, they have a healthy
BMI and participate in a moderate-intensity exercise program. These
factors help reduce their risk, making them less likely to develop
hypertension compared to the African-American attorney.
2. 2. Question
Category: Pharmacological and Parenteral Therapies
A 15-year-old female with a history of depression is rushed to the emergency
department after ingesting 15 tablets of maximum-strength acetaminophen 45
minutes ago in a suicide attempt. The patient’s vital signs are stable, but she is
visibly anxious and tearful. The healthcare provider has written several orders to
manage the situation. Which of the following orders should the nurse prioritize
and carry out first?
A. Perform gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV with Dextrose 5% and 0.33% normal saline
D. Have the patient drink activated charcoal mixed with water
Correct Answer: B. Administer acetylcysteine (Mucomyst) orally
Although gastric lavage can help remove any remaining acetaminophen from the
stomach, it is not the priority intervention in this situation. Administering the
antidote, acetylcysteine (Mucomyst), should be the primary focus to counteract
the toxic effects of acetaminophen on the liver. Acetylcysteine is the antidote for
acetaminophen toxicity and should be administered as soon as possible to
maximize its effectiveness in preventing liver damage.
Option A: 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.
