lOMoARcPSD|9993607
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()1/63lOMoARcPSD|9993607
NCLEX-RN PRACTICE QUIZ TEST BANK 1 lOMoARcPSD|9993607
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()2/63NCLEX-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 lOMoARcPSD|9993607
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()4/63injury 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
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()1/63lOMoARcPSD|9993607
NCLEX-RN PRACTICE QUIZ TEST BANK 1 lOMoARcPSD|9993607
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()2/63NCLEX-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 lOMoARcPSD|9993607
1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs
https://nurseslabs.com/full-text-nclex-rn-practice-quiz-test-bank-900-questions/Downloaded by Cecilia Musyoki ()4/63injury 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
