Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%)

Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%) 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? 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. 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. 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. 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 Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%) 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 these 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. Question Category: Pharmacological and Parenteral Therapies Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%) 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. Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%) 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. Option C: While maintaining hydration and keeping the vein open is important for the overall management of the patient, it is not the priority intervention in this situation. Option D: Activated charcoal can help bind any remaining acetaminophen in the stomach, potentially reducing its absorption into the bloodstream. 3. Question Category: Management of Care A 68-year-old male with a history of hypertension and diabetes has undergone a cardiac catheterization to evaluate potential coronary artery disease. He has a known allergy to iodine-based contrast agents, which required premedication with corticosteroids and antihistamines. The procedure was successful, but the patient experienced brief hypotension during the administration of the contrast material. The patient has been transferred to the cardiac step-down unit for observation, and the nurse is aware of the potential complications that can arise in the initial 24 hours Comprehensive NCLEX-RN Practice Questions | Quiz 1: 75 Questions 100% (75 of 75 point(s) (100%) post-procedure. Which complication should the nurse monitor closely during this period? A. Persistent angina despite being at rest and receiving nitroglycerin B. Thrombus formation leading to decreased peripheral pulses and cyanosis C. Dizziness accompanied by a sudden drop in blood pressure when standing D. Gradual decrease in blood pressure with no other symptoms Correct Answer: B. Thrombus formation In the initial 24 hours after a cardiac catheterization, the nurse should closely monitor for thrombus formation. Thrombus formation at the catheterization site can lead to serious complications, such as decreased blood flow to the extremities or embolization to other parts of the body. While the other options (angina at rest, dizziness, and falling blood pressure) can be potential concerns, thrombus formation is the most critical complication to monitor for during the immediate post-procedure period. 4. Question Category: Basic Care and Com