ADVANCED COMPREHENSIVE NCLEX-RN PRACTICE EXAM #1 WITH QUESTIONS
AND WELL VERIFIED ANSWERS [REAL EXAM!!!]2025
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?
A. A 45-year-old African-American attorney with a family history of hypertension, who has a
sedentary lifestyle, consumes a diet high in sodium, and recently had a significant weight
gain.
B. A 60-year-old Asian-American shop owner with a BMI of 28, who has well-managed type
2 diabetes, takes medications for high cholesterol, and engages in regular physical
activity.
C. A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, is a non-smoker
but reports high levels of work-related stress and consumes excessive amounts of
caffeine.
D. A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI, participates
in a moderate-intensity exercise program, and recently started taking oral contraceptives.
E. A 50-year-old Middle Eastern engineer with a BMI of 26, who has a family history of
cardiovascular diseases, does not engage in any form of exercise, and has recently been
diagnosed with obstructive sleep apnea.
F. 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.
G. 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
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
E. Conduct a psychiatric evaluation.
, F. Apply wrist restraints to prevent further self-harm.
3. 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 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
4. A 43-year-old male with a history of recurrent renal calculi is admitted to the emergency
department presenting with severe left flank pain radiating to the groin, nausea, and an
episode of vomiting. He also reports burning and urgency during urination. His vital signs
reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100
beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and
uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient
and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be
the top priority for this client?
A. Maintain fluid and electrolyte balance
B. Control nausea
C. Manage pain
AND WELL VERIFIED ANSWERS [REAL EXAM!!!]2025
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?
A. A 45-year-old African-American attorney with a family history of hypertension, who has a
sedentary lifestyle, consumes a diet high in sodium, and recently had a significant weight
gain.
B. A 60-year-old Asian-American shop owner with a BMI of 28, who has well-managed type
2 diabetes, takes medications for high cholesterol, and engages in regular physical
activity.
C. A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, is a non-smoker
but reports high levels of work-related stress and consumes excessive amounts of
caffeine.
D. A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI, participates
in a moderate-intensity exercise program, and recently started taking oral contraceptives.
E. A 50-year-old Middle Eastern engineer with a BMI of 26, who has a family history of
cardiovascular diseases, does not engage in any form of exercise, and has recently been
diagnosed with obstructive sleep apnea.
F. 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.
G. 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
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
E. Conduct a psychiatric evaluation.
, F. Apply wrist restraints to prevent further self-harm.
3. 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 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
4. A 43-year-old male with a history of recurrent renal calculi is admitted to the emergency
department presenting with severe left flank pain radiating to the groin, nausea, and an
episode of vomiting. He also reports burning and urgency during urination. His vital signs
reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100
beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and
uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient
and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be
the top priority for this client?
A. Maintain fluid and electrolyte balance
B. Control nausea
C. Manage pain
