NCLEX Practice Exam - Question 1 Explanation: The incidence of hypert...

Question 1

40-year-old Caucasian nurse

Question 1 Explanation:

The incidence of hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising.Question 2

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

Question 2 Explanation:

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.

NCLEX Practice Exam

• (40 Questions)

Which individual is at greatest risk for developing hypertension?

60-year-old Asian American shop owner

55-year-old Hispanic teacher

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?

Acetylcysteine (mucomyst) for age per pharmacy

Activated charcoal per pharmacy

Question 3

45 year-old African American attorney

Gastric lavage PRN 1 / 4

angina at rest

dizziness

Question 3 Explanation:

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.Question 4

Manage pain

Question 4 Explanation:

The immediate goal of therapy is to alleviate the client’s pain.Question 5

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

thrombus formation

falling blood pressure

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:

Control nausea

Prevent urinary tract infection

Maintain fluid and electrolyte balance 2 / 4

Decreasing amounts of body fat and muscle mass

Progressive height increase of 4 inches each year

Question 5 Explanation:

School age children gain about 5.5 pounds each year and increase about 2 inches in height.Question 6

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

see the health care provider immediately

Question 6 Explanation:

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.Question 7

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

Little change in body appearance from year to year

Yearly weight gain of about 5.5 pounds per year

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

check blood pressure again in two (2) months

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

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 seven (7) years and admitted with bacterial 3 / 4

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

Question 7 Explanation:

The best candidate for discharge is one who has had a chronic condition and is most familiar with their care. This client in option A is most likely stable and could continue medication therapy at home.Question 8

Must be stored in a dark container

Question 8 Explanation:

Thyroid supplement should be taken in the morning to minimize the side effects of insomnia Question 9

A young adult with diabetes mellitus Type 2 for over ten (10) years and admitted with antibiotic-induced diarrhea 24 hours ago.

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

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:

May decrease the client’s energy level

Will decrease the client’s heart rate

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?

pneumonia five days ago.

Should be taken in the morning

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