Free NCLEX-RN Questions and Answers

Question 1

Which person has the highest chance of having hypertension?

Accepted Answer

45-year-old African-American attorney

Answer

African Americans have a significantly higher prevalence and severity of hypertension compared to other racial and ethnic groups, often developing it earlier in life. While age is a risk factor, the combination of African-American ethnicity and being in the mid-40s places this individual at the highest risk among the given options. This demographic group experiences a disproportionate burden of hypertension.

Question 2

A 18-year-old female is transported to the emergency room after taking 15 maximum dosage acetaminophen tablets 45 minutes earlier. Which directive should the nurse follow first?

Accepted Answer

Gastric lavage

Answer

For an acetaminophen overdose within 1 hour of ingestion, gastric lavage (stomach pumping) is often the preferred initial intervention to remove unabsorbed medication from the stomach. This procedure aims to quickly reduce the amount of drug absorbed into the bloodstream. Activated charcoal can also be used, but lavage is more effective for large ingestions within a very short timeframe before significant absorption occurs.

Question 3

In the first 24 hours following the procedure, which cardiac catheterization complication should the nurse be on the lookout for?

Accepted Answer

Thrombus formation

Answer

After a cardiac catheterization, the insertion site (often the femoral artery) is at risk for complications. Thrombus formation, leading to arterial occlusion, is a significant concern in the first 24 hours due to vessel trauma and the presence of a foreign body (catheter). Nurses must diligently monitor for signs of decreased circulation, pain, pallor, and pulselessness in the affected extremity to detect this serious complication early.

Question 4

A patient with renal calculi is brought into the emergency room complaining of nausea and moderate to severe flank discomfort. The patient is currently 100.8 degrees Fahrenheit hot. For this client, the top nursing objective is:

Accepted Answer

Manage pain

Answer

Renal calculi (kidney stones) often cause excruciating flank pain, which is typically the most distressing symptom for the patient. While preventing infection (indicated by fever), maintaining fluid balance, and controlling nausea are important, addressing the severe pain is the immediate priority to provide comfort and allow the patient to cooperate with further diagnostic and treatment measures. Effective pain management improves patient well-being and facilitates care.

Question 5

What would a nurse look for when evaluating a child's progress over the school years?

Accepted Answer

Yearly weight gain of about 5.5 pounds per year

Answer

School-aged children (6-12 years) typically experience a steady, moderate growth rate. A weight gain of approximately 5.5 pounds (2.5 kg) per year is considered a normal and healthy indicator of progress during these years. This consistent growth reflects adequate nutrition and development, unlike the other options which describe abnormal or inconsistent growth patterns.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

Free NCLEX-RN Questions and Answers