2023 NCLEX RN EXAM ACTUAL EXAM WITH REAL

2023 NCLEX RN EXAM ACTUAL EXAM WITH REAL

QUESTIONS AND 100% VERIFIED ANSWERS WITH

RATIONALES/A+ GRADE

40 items Comprehensive NCLEX review answer key

• Which individual is at greatest risk for developing hypertension?
• 45 year-old African American attorney
• 60 year-old Asian American shop owner
• 40 year-old Caucasian nurse
• 55 year-old Hispanic teacher

The correct answer is A:

RATIONALE: 45 year-old African American attorney The incidence of

hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising.

• 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?

• Gastric lavage PRN
• Acetylcysteine (mucomyst) for age per pharmacy
• Start an IV Dextrose 5% with 0.33% normal saline to keep vein open
• Activated charcoal per pharmacy

The correct answer is A:

RATIONALE: Gastric lavage PRN Removing as much of the drug as

possible is the first step in treatment for this drug overdose. This is best done by gastric lavage. The next drug to give would be activated charcoal, then mucomyst and lastly the IV fluids.

• Which complication of cardiac catheterization should the nurse

monitor for in the initial 24 hours after the procedure?

• angina at rest
• thrombus formation
• dizziness
• falling blood pressure

The correct answer is B:

RATIONALE: thrombus formation Thrombus formation in the coronary

arteries is a potential problem in the initial 24 hours after a cardiac catheterization. A falling BP occurs along with hemorrhage of the insertion site which is associated with the first 12 hours after the procedure.

• 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 1 / 2

temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is

• Maintain fluid and electrolyte balance
• Control nausea
• Manage pain

• Prevent urinary tract infection

The correct answer is C:

RATIONALE: Manage pain The immediate goal of therapy is to alleviate

the client‟s pain.

• What would the nurse expect to see while assessing the growth of

children during their school age years?

• Decreasing amounts of body fat and muscle mass
• Little change in body appearance from year to year
• Progressive height increase of 4 inches each year
• Yearly weight gain of about 5.5 pounds per year

The correct answer is D:

RATIONALE: Yearly weight gain of about 5.5 pounds per year School

age children gain about 5.5 pounds each year and increase about 2 inches in height.

• At a community health fair the blood pressure of a 62 year-old client

is 160/96. The client states “My blood pressure is usually much lower.” The nurse should tell the client to

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

hours

• check blood pressure again in 2 months
• see the health care provider immediately
• visit the health care provider within 1 week for a BP check

The correct answer is A:

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

hours The blood pressure reading is moderately high with the need to have it rechecked in a few days. The client states it is „usually much lower.‟ Thus a concern exists for complications such as stroke.However immediate check by the provider of care is not warranted.Waiting 2 months or a week for follow-up is too long.

• 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?

• A middle aged client with a history of being ventilator

dependent for over 7 years and admitted with bacterial pneumonia five days ago

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