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NCLEX-RN Quiz Test Bank (75 Questions) A+ Latest
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Created By: A SolutionNCLEX-RN Quiz Test Bank (75 Questions) A+
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.
• 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?
, Created By: A Solution
• A. Gastric lavage
• B. Administer acetylcysteine (Mucomyst) orally
• C. Start an IV Dextrose 5% with 0.33% normalsaline 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. A cetylcysteine reduces 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
• C. Manage pain
• D. Prevent urinarytractinfection Correct Answer: C. Manage pain
Managing pain is always a priority because it ultimately improves the quality of life. The
cornerstone of ureteral colic management is analgesia, which can be achieved most
expediently with parenteral narcoticsor nonsteroidal anti-inflammatory drugs (NSAIDs).
• Option A: IV hydration in the setting of acute renal colic is controversial. Whereas some
authorities believe that IV fluids hasten the passage of the stone through the urogenital
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