NCLEX RN COMPREHENSIVE EXIT EXAMS WITH
NGN, 2023 VERSION (REAL EXAM)
1. Ques on
Category: Physiological Adaptation
The nurse is aware that the following terms used to describe reduced cardiac output and
perfusion impairment due to ineffective pumping of the heart is:
A. Anaphylactic shock
B. Cardiogenic shock
C. Distributive shock
D. Myocardial infarction (MI)
Correct Answer: B. Cardiogenic shock
Cardiogenic shock is shock related to ineffective pumping of the heart.
2. Ques on
Category: Physiological Adaptation
A client with hypertension asks the nurse which factors can cause blood pressure to drop to
normal levels?
A. Kidneys’ excretion to sodium only.
B. Kidneys’ retention of sodium and water.
C. Kidneys’ excretion of sodium and water.
D. Kidneys’ retention of sodium and excretion of water.
Correct Answer: C. Kidneys’ excretion of sodium and water.
The kidneys respond to rise in blood pressure by excreting sodium and excess water. This
response ultimately affects systolic blood pressure by regulating blood volume.
3. Ques on
Category: Pharmacological and Parenteral Therapies
ti
, Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered
to treat hypertension is:
A. It dilates peripheral blood vessels.
B. It decreases sympathetic cardio acceleration.
C. It inhibits the angiotensin-converting enzymes.
D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Correct
Correct Answer: D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Furosemide is a loop diuretic that inhibits sodium and water reabsorption in the loop Henle,
thereby causing a decrease in blood pressure.
Option A: Vasodilators cause dilation of peripheral blood vessels, directly relaxing vascular
smooth muscle and decreasing blood pressure.
Option B: Adrenergic blockers decrease sympathetic cardio acceleration and decrease blood
pressure.
Option C: Angiotensin-converting enzyme inhibitors decrease blood pressure due to their action
on angiotensin.
4. Ques on
Category: Reduction of Risk Potential
Nurse Nikki knows that laboratory results supports the diagnosis of systemic lupus
erythematosus (SLE) is:
A. Elevated serum complement level
B. Thrombocytosis, elevated sedimentation rate
C. Pancytopenia, elevated antinuclear antibody (ANA) titer
D. Leukocytosis, elevated blood urea nitrogen (BUN) and creatinine levels
Correct Answer: C. Pancytopenia, elevated antinuclear antibody (ANA) titer
Laboratory findings for clients with SLE usually show pancytopenia, elevated ANA titer, and
decreased serum complement levels.
ti
, Option A: Decreased levels of serum complement is usually associated with SLE. The cause of
complement activation in SLE is the formation of immune complexes, which in turn activate
complement, predominantly by means of the classical pathway.
Option B: Thrombocytopenia is one of the components of pancytopenia. It is a condition in
which the platelet count is decreased.
Option D: Clients may have elevated BUN and creatinine levels from nephritis, but the increase
does not indicate SLE. The part of the kidney most frequently troubled by SLE is part of the
nephron called the glomerulus, a tuft of capillaries that functions to filter substances from the
blood. For this reason, the type of kidney inflammation most commonly experienced in lupus is
glomerulonephritis.
5. Ques on
Category: Health Promotion and Maintenance
Arnold, a 19-year-old client with a mild concussion is discharged from the emergency
department. Before discharge, he complains of a headache. When offered acetaminophen, his
mother tells the nurse the headache is severe and she would like her son to have something
stronger. Which of the following responses by the nurse is appropriate?
A. “Your son had a mild concussion, acetaminophen is strong enough.”
B. “Aspirin is avoided because of the danger of Reye’s syndrome in children or young adults.”
C. “Narcotics are avoided after a head injury because they may hide a worsening condition.”
D. Stronger medications may lead to vomiting, which increases the intracranial pressure (ICP).”
Correct
Correct Answer: C. Narcotics are avoided after a head injury because they may hide a worsening
condition.
Narcotics may mask changes in the level of consciousness that indicate increased ICP.
Option A: Acetaminophen is strong enough ignores the mother’s question and therefore isn’t
appropriate.
Option B: Aspirin is contraindicated in conditions that may have bleeding, such as trauma, and
for children or young adults with viral illnesses due to the danger of Reye’s syndrome.
Option D: Stronger medications may not necessarily lead to vomiting but will sedate the client,
thereby masking changes in his level of consciousness.
6. Ques on
ti
NGN, 2023 VERSION (REAL EXAM)
1. Ques on
Category: Physiological Adaptation
The nurse is aware that the following terms used to describe reduced cardiac output and
perfusion impairment due to ineffective pumping of the heart is:
A. Anaphylactic shock
B. Cardiogenic shock
C. Distributive shock
D. Myocardial infarction (MI)
Correct Answer: B. Cardiogenic shock
Cardiogenic shock is shock related to ineffective pumping of the heart.
2. Ques on
Category: Physiological Adaptation
A client with hypertension asks the nurse which factors can cause blood pressure to drop to
normal levels?
A. Kidneys’ excretion to sodium only.
B. Kidneys’ retention of sodium and water.
C. Kidneys’ excretion of sodium and water.
D. Kidneys’ retention of sodium and excretion of water.
Correct Answer: C. Kidneys’ excretion of sodium and water.
The kidneys respond to rise in blood pressure by excreting sodium and excess water. This
response ultimately affects systolic blood pressure by regulating blood volume.
3. Ques on
Category: Pharmacological and Parenteral Therapies
ti
, Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered
to treat hypertension is:
A. It dilates peripheral blood vessels.
B. It decreases sympathetic cardio acceleration.
C. It inhibits the angiotensin-converting enzymes.
D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Correct
Correct Answer: D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Furosemide is a loop diuretic that inhibits sodium and water reabsorption in the loop Henle,
thereby causing a decrease in blood pressure.
Option A: Vasodilators cause dilation of peripheral blood vessels, directly relaxing vascular
smooth muscle and decreasing blood pressure.
Option B: Adrenergic blockers decrease sympathetic cardio acceleration and decrease blood
pressure.
Option C: Angiotensin-converting enzyme inhibitors decrease blood pressure due to their action
on angiotensin.
4. Ques on
Category: Reduction of Risk Potential
Nurse Nikki knows that laboratory results supports the diagnosis of systemic lupus
erythematosus (SLE) is:
A. Elevated serum complement level
B. Thrombocytosis, elevated sedimentation rate
C. Pancytopenia, elevated antinuclear antibody (ANA) titer
D. Leukocytosis, elevated blood urea nitrogen (BUN) and creatinine levels
Correct Answer: C. Pancytopenia, elevated antinuclear antibody (ANA) titer
Laboratory findings for clients with SLE usually show pancytopenia, elevated ANA titer, and
decreased serum complement levels.
ti
, Option A: Decreased levels of serum complement is usually associated with SLE. The cause of
complement activation in SLE is the formation of immune complexes, which in turn activate
complement, predominantly by means of the classical pathway.
Option B: Thrombocytopenia is one of the components of pancytopenia. It is a condition in
which the platelet count is decreased.
Option D: Clients may have elevated BUN and creatinine levels from nephritis, but the increase
does not indicate SLE. The part of the kidney most frequently troubled by SLE is part of the
nephron called the glomerulus, a tuft of capillaries that functions to filter substances from the
blood. For this reason, the type of kidney inflammation most commonly experienced in lupus is
glomerulonephritis.
5. Ques on
Category: Health Promotion and Maintenance
Arnold, a 19-year-old client with a mild concussion is discharged from the emergency
department. Before discharge, he complains of a headache. When offered acetaminophen, his
mother tells the nurse the headache is severe and she would like her son to have something
stronger. Which of the following responses by the nurse is appropriate?
A. “Your son had a mild concussion, acetaminophen is strong enough.”
B. “Aspirin is avoided because of the danger of Reye’s syndrome in children or young adults.”
C. “Narcotics are avoided after a head injury because they may hide a worsening condition.”
D. Stronger medications may lead to vomiting, which increases the intracranial pressure (ICP).”
Correct
Correct Answer: C. Narcotics are avoided after a head injury because they may hide a worsening
condition.
Narcotics may mask changes in the level of consciousness that indicate increased ICP.
Option A: Acetaminophen is strong enough ignores the mother’s question and therefore isn’t
appropriate.
Option B: Aspirin is contraindicated in conditions that may have bleeding, such as trauma, and
for children or young adults with viral illnesses due to the danger of Reye’s syndrome.
Option D: Stronger medications may not necessarily lead to vomiting but will sedate the client,
thereby masking changes in his level of consciousness.
6. Ques on
ti
