NCLEX-RN Actual Practice Quiz Test Bank
With Fully Verified Answers and Rationales
(75 Questions 2025/2026)
NCLEXRN-01-001
Question Tag: hypertension
Question Category: Physiological Integrity, Reduction of Risk Potential
Which individual is at greatest risk for developing hypertension?
C
A. 45-year-old African-American attorney
B. 60-year-old Asian-American shop owner
LE
C. 40-year-old Caucasian nurse
D. 55-year-old Hispanic teacher
Correct Answer: A: 45-year-old African American attorney
ST
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
BE
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
C
Option A: Acetaminophen overdose is extremely toxic to the liver
LE
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.
ST
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
BE
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?
C
A. Angina at rest
B. Thrombus formation
LE
C. Dizziness
D. Falling blood pressure
ST
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
BE
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).
C
Option A: IV hydration in the setting of acute renal colic is
LE
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
ST
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.
BE
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.
NCLEXRN-01-005
Question Tag: growth, school age
Question Category: Health Promotion and Maintenance
With Fully Verified Answers and Rationales
(75 Questions 2025/2026)
NCLEXRN-01-001
Question Tag: hypertension
Question Category: Physiological Integrity, Reduction of Risk Potential
Which individual is at greatest risk for developing hypertension?
C
A. 45-year-old African-American attorney
B. 60-year-old Asian-American shop owner
LE
C. 40-year-old Caucasian nurse
D. 55-year-old Hispanic teacher
Correct Answer: A: 45-year-old African American attorney
ST
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
BE
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
C
Option A: Acetaminophen overdose is extremely toxic to the liver
LE
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.
ST
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
BE
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?
C
A. Angina at rest
B. Thrombus formation
LE
C. Dizziness
D. Falling blood pressure
ST
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
BE
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).
C
Option A: IV hydration in the setting of acute renal colic is
LE
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
ST
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.
BE
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.
NCLEXRN-01-005
Question Tag: growth, school age
Question Category: Health Promotion and Maintenance
