NCLEX RN COMPREHENSIVE EXIT EXAMS WITH NGN, VERSION (REAL EXAM)

NCLEX RN COMPREHENSIVE EXIT EXAMS WITH NGN, VERSION (REAL EXAM)

1. Question
Category: Physiological Adaptation
The nurse is aware that the following terms used to describe reduced cardiac output and
perfusion impairment due to ineffective pumping of the heart is:
A. Anaphylactic shock
B. Cardiogenic shock
C. Distributive shock
D. Myocardial infarction (MI)
Correct Answer: B. Cardiogenic shock
Cardiogenic shock is shock related to ineffective pumping of the heart.
2. Question
Category: Physiological Adaptation
A client with hypertension asks the nurse which factors can cause blood pressure to drop to
normal levels?
A. Kidneys’ excretion to sodium only.
B. Kidneys’ retention of sodium and water.
C. Kidneys’ excretion of sodium and water.
D. Kidneys’ retention of sodium and excretion of water.

Correct Answer: C. Kidneys’ excretion of sodium and water.
The kidneys respond to rise in blood pressure by excreting sodium and excess water. This
response ultimately affects systolic blood pressure by regulating blood volume.
3. Question
Category: Pharmacological and Parenteral Therapies
Nurse Rose is aware that the statement that best explains why furosemide (Lasix) is administered
to treat hypertension is:
A. It dilates peripheral blood vessels.
B. It decreases sympathetic cardio acceleration.
C. It inhibits the angiotensin-converting enzymes.
D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Correct
Correct Answer: D. It inhibits the reabsorption of sodium and water in the loop of Henle.
Furosemide is a loop diuretic that inhibits sodium and water reabsorption in the loop Henle,
thereby causing a decrease in blood pressure. 

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