Comprehensive NCLEX-RN Practice
Exam #1 2025 30 Questions and
Rationales (All Answered) and
Categories Covered
You have reached 30 of 30 point(s), (100%)
Categories
Basic Care and Comfort100%
Health Promotion and Maintenance100%
Management of Care100%
Pharmacological and Parenteral Therapies100%
Physiological Adaptation100%
Reduction of Risk Potential100%
Safety and Infection Control100%
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?
, 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.
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
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
Exam #1 2025 30 Questions and
Rationales (All Answered) and
Categories Covered
You have reached 30 of 30 point(s), (100%)
Categories
Basic Care and Comfort100%
Health Promotion and Maintenance100%
Management of Care100%
Pharmacological and Parenteral Therapies100%
Physiological Adaptation100%
Reduction of Risk Potential100%
Safety and Infection Control100%
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?
, 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.
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
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
