ADVANCED COMPREHENSIVE NCLEX-RN
PRACTICE EXAM
#1
1.During a community health assessment at a local school’s parent-
teacher conference, the nurse encounters several parents and
caregivers. Based on their shared histories and lifestyles, the nurse
determines the risk factors for hypertension among them. Which of the
following individuals is at the HIGHEST risk for developing
hypertension?
, form of exercise, and has recently been diagnosed with obstructive
sleep apnea.
A 52-year-old Native American artist with a family history of kidney
disease, who smokes a pack of cigarettes daily, drinks alcohol
excessively, and reports infrequent physical activity.
A 43-year-old European baker who has a BMI of 30, often deals with
job-related stress, consumes a
diet rich in pastries and sweets, and has a sedentary lifestyle due to
long work hours.
, 2. A 15-year-old female with a history of depression is brought to the
emergency department.
Nurse’s Notes:
1115: A 15-year-old female with a history of depression and recent
relationship troubles with her close friends is brought to the emergency
department by her concerned parents after they found an empty bottle
of maximum-strength acetaminophen in her room. Upon questioning,
the patient tearfully admits to ingesting 15 tablets of the medication 45
minutes ago. She is visibly anxious and frequently looks at the marks
on her wrists, which seem to be superficial scratches.
Vital signs as of 1115:
Blood pressure: 120/70
Heart rate: 88 bpm
Respiratory rate: 18 bpm
Oxygen saturation: 98% on room air
As the nurse prepares to address the situation, several orders from the
primary care provider come in. Which of the following orders should the
nurse prioritize and carry out first?
A. Perform gastric lavage
PRACTICE EXAM
#1
1.During a community health assessment at a local school’s parent-
teacher conference, the nurse encounters several parents and
caregivers. Based on their shared histories and lifestyles, the nurse
determines the risk factors for hypertension among them. Which of the
following individuals is at the HIGHEST risk for developing
hypertension?
, form of exercise, and has recently been diagnosed with obstructive
sleep apnea.
A 52-year-old Native American artist with a family history of kidney
disease, who smokes a pack of cigarettes daily, drinks alcohol
excessively, and reports infrequent physical activity.
A 43-year-old European baker who has a BMI of 30, often deals with
job-related stress, consumes a
diet rich in pastries and sweets, and has a sedentary lifestyle due to
long work hours.
, 2. A 15-year-old female with a history of depression is brought to the
emergency department.
Nurse’s Notes:
1115: A 15-year-old female with a history of depression and recent
relationship troubles with her close friends is brought to the emergency
department by her concerned parents after they found an empty bottle
of maximum-strength acetaminophen in her room. Upon questioning,
the patient tearfully admits to ingesting 15 tablets of the medication 45
minutes ago. She is visibly anxious and frequently looks at the marks
on her wrists, which seem to be superficial scratches.
Vital signs as of 1115:
Blood pressure: 120/70
Heart rate: 88 bpm
Respiratory rate: 18 bpm
Oxygen saturation: 98% on room air
As the nurse prepares to address the situation, several orders from the
primary care provider come in. Which of the following orders should the
nurse prioritize and carry out first?
A. Perform gastric lavage
