NCLEX-RN Exam Pack Set 10
(75 Questions & Answers
Updated 2022)
,NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
NCLEX-RN Exam Pack Set 10(75 Questions &
Answers Updated 2022)
1. 1. Question
The nurse should visit which of the following clients first?
o A. The client with diabetes with a blood
glucose of95mg/dL
o B. The client with hypertension being
maintained onLisinopril
o C. The client with chest pain and a
history ofangina
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
,NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
Correct Answer: C. The client with chest pain and a
history of angina
The client with chest pain should be seen first because this could
indicate a myocardial infarction. Despite many advances in
treatment, acute MI still carries a mortality rate of 5-30%; the
majority of deaths occur prior to arrival to the hospital. In
addition, within the first year after an MI, there is an additional
mortality rate of 5% to 12%. The overall prognosis depends on
the extent of heart muscle damage and ejection fraction.
o Option A: The client in answer A has blood glucose
within normal limits. The diagnosis of T1DM is usually
through a characteristic history supported by elevated
serum glucose levels (fasting glucose greater than 126
mg/dL, random glucose over 200 mg/dL, or
hemoglobin A1C (HbA1c exceeding 6.5%) with or
without antibodies to glutamic acid decarboxylase
(GAD) and insulin.
o Option B: The client in this option is maintained on
blood pressure medication. Pharmacological therapy
o D. The client with Raynaud’s disease
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
, NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
consists of angiotensin-converting enzyme inhibitors
(ACEi), angiotensin receptor blockers (ARBs), diuretics
(usually thiazides), calcium channel blockers (CCBs),
and beta-blockers (BBs), which are instituted taking
into account age, race, and comorbidities such as
presence of renal dysfunction, LV dysfunction, heart
failure, and cerebrovascular disease. JNC-8, ACC, and
ESC/ ESH have their separate recommendations for
pharmacological management.
o Option D: The client in answer D is in no distress. In
Raynaud phenomenon, blood-flow restriction occurs
during cold temperatures and emotional stress.
Specifically, in Raynaud phenomenon, there is
vasoconstriction of the digital arteries and cutaneous
arterioles.
• 2. Question
A client with cystic fibrosis is taking pancreatic enzymes.
Thenurse should administer this medication:
o A. Once per day in the morning
o B. Three times per day with meals
o C. Once per day at bedtime
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
(75 Questions & Answers
Updated 2022)
,NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
NCLEX-RN Exam Pack Set 10(75 Questions &
Answers Updated 2022)
1. 1. Question
The nurse should visit which of the following clients first?
o A. The client with diabetes with a blood
glucose of95mg/dL
o B. The client with hypertension being
maintained onLisinopril
o C. The client with chest pain and a
history ofangina
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
,NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
Correct Answer: C. The client with chest pain and a
history of angina
The client with chest pain should be seen first because this could
indicate a myocardial infarction. Despite many advances in
treatment, acute MI still carries a mortality rate of 5-30%; the
majority of deaths occur prior to arrival to the hospital. In
addition, within the first year after an MI, there is an additional
mortality rate of 5% to 12%. The overall prognosis depends on
the extent of heart muscle damage and ejection fraction.
o Option A: The client in answer A has blood glucose
within normal limits. The diagnosis of T1DM is usually
through a characteristic history supported by elevated
serum glucose levels (fasting glucose greater than 126
mg/dL, random glucose over 200 mg/dL, or
hemoglobin A1C (HbA1c exceeding 6.5%) with or
without antibodies to glutamic acid decarboxylase
(GAD) and insulin.
o Option B: The client in this option is maintained on
blood pressure medication. Pharmacological therapy
o D. The client with Raynaud’s disease
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
, NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
consists of angiotensin-converting enzyme inhibitors
(ACEi), angiotensin receptor blockers (ARBs), diuretics
(usually thiazides), calcium channel blockers (CCBs),
and beta-blockers (BBs), which are instituted taking
into account age, race, and comorbidities such as
presence of renal dysfunction, LV dysfunction, heart
failure, and cerebrovascular disease. JNC-8, ACC, and
ESC/ ESH have their separate recommendations for
pharmacological management.
o Option D: The client in answer D is in no distress. In
Raynaud phenomenon, blood-flow restriction occurs
during cold temperatures and emotional stress.
Specifically, in Raynaud phenomenon, there is
vasoconstriction of the digital arteries and cutaneous
arterioles.
• 2. Question
A client with cystic fibrosis is taking pancreatic enzymes.
Thenurse should administer this medication:
o A. Once per day in the morning
o B. Three times per day with meals
o C. Once per day at bedtime
NCLEX-RN Exam Pack Set 10 (75
Questions & Answers Updated 2022)
