NCLEX Final Certification Competency Exam Questions with Certified Answers 2024/2025
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Nclex
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Nclex
NCLEX Final Certification Competency Exam Questions with Certified Answers 2024/2025
What is one of the earliest signs of ICP? - correct answer change in responsiveness
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Avoid IM/venipncture...
NCLEX-PN Appraisal Exam Assessment
Questions and Correct Answers with
Rationales Latest Updates 2024/2025
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 - 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. - 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? - 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. -
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 - 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
RATIONALES: During pregnancy, hormonal changes and
mechanical pressure reduce motility in the small intestine,
enhancing water absorption and promoting constipation.
Although decreased appetite, inadequate fluid intake, and
prolonged gastric emptying may contribute to constipation, they
aren't the primary cause.
An adolescent with type 1 diabetes mellitus is experiencing a
growth spurt. Which treatment approach would be most effective
for this client?
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