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2023 NCLEX RN Exam Test Bank | 900 Actual Exam Q&A 100% Verified Updated A+
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2023 NCLEX RN Exam Test Bank | 900Actual Exam Q&A 100% Verified Updated
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,NCLEX-RN Practice Quiz Test Bank (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.
• 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
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,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 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
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, • D. Prevent urinary tract infection
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 narcotics or 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 system,
others express concern that additional hydrostatic pressure exacerbates the pain of renal colic.
• Option B: Because nausea and vomiting frequently accompany acute renal colic,
antiemetics often play a role in renal colic therapy. Several antiemetics have a sedating effect
that is often helpful.
• Option D: Overuse of the more effective antibiotic agents leaves only highly resistant
bacteria, but failure to adequately treat a UTI complicated by an obstructing calculus can result
in potentially life-threatening urosepsis and pyonephrosis.
Questions and rationale from Nurseslabs.com Feel free to print or share and link back to us! For
more practice questions, please visit our Nursing Test Bank [https://nurseslabs.com/nursing-test-
bank]
NCLEXRN-01-005
Question Tag: growth, school age
Question Category: Health Promotion and Maintenance
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