Welcome to our NCLEX-RN Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX-RN exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX-RN exam.
1. During a community health assessment at a local school’s parent-teacher conference, the nurse encounters several parents and caregivers. Based on their shared histories and lifestyles, the nurse determines the risk factors for hypertension among them. Which of the following individuals is at the HIGHEST risk for developing hypertension?
A. A 45-year-old African-American attorney with a family history of hypertension, who has a sedentary lifestyle, consumes a diet high in sodium, and recently had a significant weight gain.
B. A 60-year-old Asian-American shop owner with a BMI of 28, who has well-managed type 2 diabetes, takes medications for high cholesterol, and engages in regular physical activity.
C. A 40-year-old Caucasian nurse who is a vegetarian, has a healthy BMI, is a non-smoker but reports high levels of work-related stress and consumes excessive amounts of caffeine.
D. A 55-year-old Hispanic teacher who smokes occasionally, has a healthy BMI, participates in a moderate-intensity exercise program, and recently started taking oral contraceptives.
2. A 15-year-old female with a history of depression is brought to the emergency department.
Nurse’s Notes:
1115: A 15-year-old female with a history of depression and recent relationship troubles with her close friends is brought to the emergency department by her concerned parents after they found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning, the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial scratches.
Vital signs as of 1115:
- Blood pressure: 120/70
- Heart rate: 88 bpm
- Respiratory rate: 18 bpm
- Oxygen saturation: 98% on room air
As the nurse prepares to address the situation, several orders from the primary care provider come in. Which of the following orders should the nurse prioritize and carry out first?
3. A 68-year-old male with a history of hypertension and diabetes has undergone a cardiac catheterization to evaluate potential coronary artery disease. He has a known allergy to iodine-based contrast agents, which required premedication with corticosteroids and antihistamines. The procedure was successful, but the patient experienced brief hypotension during the administration of the contrast material. The patient has been transferred to the cardiac step-down unit for observation, and the nurse is aware of the potential complications that can arise in the initial 24 hours post-procedure. Which complication should the nurse monitor closely during this period?
4. A 43-year-old male with a history of recurrent renal calculi is admitted to the emergency department presenting with severe left flank pain radiating to the groin, nausea, and an episode of vomiting. He also reports burning and urgency during urination. His vital signs reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be the top priority for this client?
5. During a school screening program for children aged 6-12, a nurse is tasked with evaluating their growth parameters. She encounters a 9-year-old girl who is shorter than her peers and seems to have less muscle development. To align her observations with typical growth expectations for school-age children, what would the nurse expect to see?