Exam (elaborations)

NCLEX-RN PRACTICE QUIZ E-BOOK 1 100% VERIFIED

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Course
NCLEX-RN

Institution
NCLEX-RN

A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this disease would the nurse not expect to see at this time? A. Positive sweat test B. Bulky greasy stools C. Moist, productive cough D. Mec...

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Uploaded on March 6, 2023
Number of pages 63
Written in 2022/2023
Type Exam (elaborations)
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NCLEX-RN PRACTICE
QUIZ TEST BANK 1

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, lOMoARcPSD|9993607

1/20/22, 1:48 PM FULL-TEXT: NCLEX-RN Practice Quiz Test Bank (900 Questions) - Nurseslabs

NCLEX-RN Practice Quiz Test
Bank #1 (75 Questions)
NCLEXRN-01-001

Question Tag: hypertension
Question Category: Physiological Integrity, Reduction of Risk

Potential Which individual is at greatest risk for developing

hypertension?

A. 45-year-old African-American attorney
B.60-year-old Asian-American shop owner
C. 40-year-old Caucasian nurse
D. 55-year-old Hispanic teacher

Correct Answer: A: 45-year-old African American attorney

Option A: African-Americans develop high blood pressure at younger
ages than other groups in the US. Researchers have uncovered that
African-Americans respond differently to hypertensive drugs than other
groups of people. They are also found out to be more sensitive to salt,
which increases the risk of developing hypertension.

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, Option B: The incidence of hypertension in Asian-Americans does not
appear to be significantly higher than the general population, according to
limited US data.
Option C: The racial disparity in hypertension and hypertension-
related outcomes has been recognized for decades with African-
Americans with greater risks than Caucasians.
Option D: Hypertension prevalence rates in Hispanics may vary by
gender and country of origin. Hispanic Americans overall have
relatively low levels of hypertension, despite elevated levels of
diabetes and obesity.

NCLEXRN-01-002

Question Tag: acetaminophen
Question Category: Physiological Integrity, Pharmacological and Parenteral
Therapies

A 15-year-old female who ingested 15 tablets of maximum strength
acetaminophen 45 minutes ago is rushed to the emergency department.
Which of these orders should the nurse do first?

A. Gastric lavage
B. Administer acetylcysteine (Mucomyst) orally
C. Start an IV Dextrose 5% with 0.33% normal saline to keep the vein open
D. Have the patient drink activated charcoal mixed with water

Correct Answer: A. Gastric lavage

Option A: Acetaminophen overdose is extremely toxic to the liver
causing hepatotoxicity. Early symptoms of hepatic damage include
nausea, vomiting, abdominal pain, and diarrhea. If not treated
immediately, hepatic necrosis occurs and may lead to death. Removing
as much of the drug as possible is the first step in treatment for
acetaminophen overdose, this is best done through gastric lavage.
Gastric lavage (irrigation) and aspiration consist of flushing the stomach
with fluids and then aspirating the fluid back out. This procedure is done
in life-threatening cases such as acetaminophen toxicity and only if less
than one (1) hour has occurred after ingestion.
Option B: The oral formulation of acetylcysteine is the drug of choice for
the treatment of acetaminophen overdose but should be done after GI
decontamination with activated charcoal. Liver damage is minimized by
giving acetylcysteine (Mucomyst), the antidote for acetaminophen.
Acetylcysteine reduces

, lOMoARcPSD|9993607

injury by substituting for depleted glutathione in the reaction that
converts the toxic metabolite of acetaminophen to its nontoxic form.
When given within 8 hours of acetaminophen toxicity, acetylcysteine is
effective in preventing severe liver injury. It is administered orally or
intravenously.
Option C: Intermittent IV infusion with Dextrose 5% may be considered
for late- presenting or chronic ingestion.
Option D: Oral activated charcoal (AC) avidly adsorbs acetaminophen
and may be administered if the patient presents within 1 hour after
ingesting a potentially toxic dose. Charcoal should not be administered
immediately before or with antidotes since it can effectively adsorb it and
neutralize the benefits.

NCLEXRN-01-003

Question Tag: cardiac catheterization
Question Category: Safe and Effective Care Environment, Management of Care

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

A. Angina at rest
B. Thrombus formation
C. Dizziness
D. Falling blood pressure

Correct Answer: B. Thrombus formation

A thrombus formation may prevent blood from flowing normally through the
circulatory system, which may become an embolism, and block the flow of
blood towards major organs in the body.

Option A: The reported incidence of myocardial infarction with angina at
rest is less than 0.1%, and is mostly influenced by patient-related factors
like the extent and severity of underlying cardiovascular-related diseases
and technique-related factors.
Options C & D: A falling BP and dizziness occur along with
hemorrhage of the insertion site which is associated with the first 12
hours after the procedure.

NCLEXRN-01-004

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