Comprehensive NCLEX-RN Practice Exam #1
1. Question 1 of 30
1. Question
Category: Reduction of Risk Potential
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?
o 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.
o 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.
o 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.
o 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.
, o 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.
o 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.
o 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.
Correct
Correct Answer: A. 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 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 this 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.
Related topics:
• Hypertension Nursing Care Plans
• Hypertension
Question 2 of 30
2. Question
Category: Pharmacological and Parenteral Therapies
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.
Correct
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.
Related topics:
• Acetaminophen Overdose
• Acetaminophen Nursing Considerations
1. Question 1 of 30
1. Question
Category: Reduction of Risk Potential
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?
o 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.
o 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.
o 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.
o 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.
, o 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.
o 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.
o 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.
Correct
Correct Answer: A. 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 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 this 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.
Related topics:
• Hypertension Nursing Care Plans
• Hypertension
Question 2 of 30
2. Question
Category: Pharmacological and Parenteral Therapies
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.
Correct
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.
Related topics:
• Acetaminophen Overdose
• Acetaminophen Nursing Considerations
