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NCLEX-PN 3000 Questions fully solved & updated
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NCLEX-PN 3000 Questions fully solved & updated
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NCLEX-PN 3000 Questions fully solved &updated
The parent of a preschooler with chickenpox asks the nurse about measures to
make the child comfortable. The nurse instructs the parent to avoid administering
aspirin or any other product that contains salicylates. When given to children
with chickenpox, aspirin has been linked to which disorder?
1. Guillain-Barré syndrome
2. Rheumatic fever
3. Reye's syndrome
4. Scarlet fever - ANSWER-Correct Answer: 3
RATIONALES: Research shows a correlation between the use of aspirin during
chickenpox and the development of Reye's syndrome (a disorder characterized
by brain and liver toxicity). Therefore, the nurse should instruct the parents to
avoid administering aspirin or other products that contain salicylates and to
consult the physician or pharmacist before administering any medication to a
child with chickenpox. No research has found a link between aspirin use,
,chickenpox, and the development of Guillain-Barré syndrome, rheumatic fever, or
scarlet fever.
A client is to have an epidural block to relieve labor pain. The nurse anticipates
that the anesthesiologist will inject the anesthetic agent into the:
1. subarachnoid space.
2. area between the subarachnoid space and the dura mater.
3. area between the dura mater and the ligamentum flavum.
4. ligamentum flavum. - ANSWER-Correct Answer: 3
RATIONALES: For an epidural block, the nurse should anticipate that the
anesthesiologist will inject a local anesthetic agent into the epidural space,
located between the dura mater and the ligamentum flavum in the lumbar region
of the spinal column. When administering a spinal block, the anesthesiologist
injects the anesthetic agent into the subarachnoid space. The ligamentum flavum
and the area between the subarachnoid space and the dura mater are
inappropriate injection sites.
The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in
four divided doses for a client with anorexia nervosa who weighs 25 kg. The
medication dispensed by the pharmacy contains a dosage strength of 125 mg/5
ml. How many milliliters of solution should the nurse administer with each dose?
- ANSWER-Correct Answer: 14
RATIONALES: To determine the total daily dosage, set up the following
proportion:
,25 kg/X = 1 kg/56 mg
X = 1,400 mg.
Next, divide the daily dosage by four doses to determine the dose to administer
every 6 hours:
X = 1,400 mg/4 doses
X = 350 mg/dose.
The adolescent should receive 350 mg every 6 hours.
Lastly, calculate the volume to give for each dose by setting up this proportion:
X/350 mg = 5 ml/125 mg
X = 14 ml.
The nurse must irrigate a gaping abdominal incision with sterile normal saline,
using a piston syringe. How should the nurse proceed?
1. Irrigate continuously until the solution becomes clear or all of the solution has
been used.
2. Moisten the area around the wound with normal saline after the irrigation.
3. Apply a wet-to-dry dressing to the wound after the irrigation.
4. Rapidly instill a stream of irrigating solution into the wound. - ANSWER-Correct
Answer: 1
RATIONALES: To wash away tissue debris and drainage effectively, the nurse
should irrigate the wound until the solution becomes clear or all of the solution
has been used. After the irrigation, the nurse should dry the area around the
wound; moistening it promotes microorganism growth and skin irritation. When
the area is dry, the nurse should apply a sterile dressing, rather than awet-to-dry
, dressing. The nurse always should instill the irrigating solution gently; rapid or
forceful instillation can damage tissues.
As an adolescent is receiving care, he's inadvertently injured with a warm
compress. The nurse completes an incident report based on the knowledge that
identification of which of the following is a goal of the report?
1. To reprimand the involved staff members for their actions
2. To identify the learning needs of staff to prevent incident recurrences
3. To reprimand the nurse-manager responsible for the unit
4. To hold people accountable for their actions - ANSWER-Correct Answer: 2
RATIONALES: The purpose of an incident report is threefold: to identify ways to
prevent incident recurrences, to identify patterns of care problems, and to
identify facts surrounding each incident. Incident reports aren't used to hold
people accountable for their actions, to punish those involved in the incident, or
to punish the nurse-manager responsible for the unit.
As a client progresses through pregnancy, she develops constipation. What is
the primary cause of this problem during pregnancy?
1. Decreased appetite
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