NCLEX Practice Exam 1

Question 1

Which individual is at greatest risk for developing hypertension?

Accepted Answer

45 year-old African American attorney

Answer

60-year-old Asian American shop owner

Answer

40-year-old Caucasian nurse

Answer

40-year-old Caucasian nurse

Question 2

A child who ingested 15 maximum strength acetaminophen tablets 45 minutes ago is seen in the emergency department. Which of these orders should the nurse do first?

Accepted Answer

Gastric lavage PRN

Answer

Acetylcysteine (mucomyst) for age per pharmacy

Answer

Start an IV Dextrose 5% with 0.33% normal saline to keep vein open

Answer

Activated charcoal per pharmacy

Question 3

Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?

Accepted Answer

thrombus formation

Answer

angina at rest

Answer

dizziness

Answer

dizziness

Question 4

A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is:

Accepted Answer

Manage pain

Answer

Maintain fluid and electrolyte balance

Answer

Control nausea

Answer

Prevent urinary tract infection

Question 5

What would the nurse expect to see while assessing the growth of children during their school age years?

Accepted Answer

Yearly weight gain of about 5.5 pounds per year

Answer

Decreasing amounts of body fat and muscle mass

Answer

Little change in body appearance from year to year

Answer

Progressive height increase of 4 inches each year

Question 6

At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to

Accepted Answer

go get a blood pressure check within the next 48 to 72 hours

Answer

check blood pressure again in two (2) months

Answer

see the health care provider immediately

Answer

visit the health care provider within 1 week for a BP check

Question 7

The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for a new admission?

Accepted Answer

A middle-aged client with a history of being ventilator dependent for over seven (7) years and admitted with bacterial pneumonia five days ago.

Answer

An elderly client with a history of hypertension, hypercholesterolemia, and lupus, and was admitted with Stevens-Johnson syndrome that morning.

Answer

An adolescent with a positive HIV test and admitted for acute cellulitis of the lower leg 48 hours ago

Question 8

A client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes that this medication:

Accepted Answer

Should be taken in the morning

Answer

May decrease the client’s energy level

Answer

Must be stored in a dark container

Answer

Will decrease the client’s heart rate

Question 9

A 3-year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?

Accepted Answer

Notify the healthcare provider of the child’s status

Answer

Prepare the child for x-ray of upper airways

Answer

Examine the child’s throat

Answer

Collect a sputum specimen

Question 10

In children suspected to have a diagnosis of diabetes, which one of the following complaints would be most likely to prompt parents to take their school age child for evaluation?

Accepted Answer

Bed wetting

Answer

Polyphagia

Answer

Dehydration

Answer

Weight loss