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NCLEX-PN 3000 TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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NCLEX-PN 3000 TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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NCLEX-PN 3000 QuestionsThe discern of a preschooler with chickenpox asks the nurse approximately measures to
make the child cozy. The nurse instructs the determine to keep away from administering
aspirin or another product that incorporates salicylates. When given to kids with chickenpox,
aspirin has been related to which disease?
1. Guillain-Barré syndrome
2. Rheumatic fever
3. Reye's syndrome
four. Scarlet fever - ANSCorrect Answer: 3
RATIONALES: Research suggests a correlation among the usage of aspirin during
chickenpox and the development of Reye's syndrome (a sickness characterised by using
mind and liver toxicity). Therefore, the nurse have to instruct the parents to keep away from
administering aspirin or other merchandise that include salicylates and to consult the
physician or pharmacist earlier than administering any medication to a baby with chickenpox.
No research has determined a link between aspirin use, chickenpox, and the improvement of
Guillain-Barré syndrome, rheumatic fever, or scarlet fever.
A patron is to have an epidural block to alleviate exertions pain. The nurse anticipates that
the anesthesiologist will inject the anesthetic agent into the:
1. Subarachnoid area.
2. Place between the subarachnoid space and the dura mater.
,3. Region among the dura mater and the ligamentum flavum.
Four. Ligamentum flavum. - ANSCorrect Answer: 3
RATIONALES: For an epidural block, the nurse must assume that the anesthesiologist will
inject a local anesthetic agent into the epidural space, placed between the dura mater and
the ligamentum flavum in the lumbar area of the spinal column. When administering a spinal
block, the anesthesiologist injects the anesthetic agent into the subarachnoid area. The
ligamentum flavum and the vicinity among the subarachnoid area and the dura mater are
inappropriate injection websites.
The health practitioner prescribes penicillin potassium oral suspension 56 mg/kg/day in 4
divided doses for a consumer with anorexia nervosa who weighs 25 kg. The medicinal drug
dispensed by means of the pharmacy consists of a dosage power of one hundred twenty five
mg/5 ml. How many milliliters of solution need to the nurse administer with every dose? -
ANSCorrect Answer: 14
RATIONALES: To decide the total day by day dosage, set up the subsequent percentage:
25 kg/X = 1 kg/fifty six mg
X = 1,four hundred mg.
Next, divide the every day dosage by way of 4 doses to determine the dose to administer
every 6 hours:
X = 1,four hundred mg/4 doses
X = 350 mg/dose.
The adolescent have to get hold of 350 mg each 6 hours.
Lastly, calculate the volume to provide for every dose by setting up this proportion:
X/350 mg = five ml/125 mg
X = 14 ml.
The nurse need to irrigate a gaping abdominal incision with sterile everyday saline, using a
piston syringe. How should the nurse continue?
1. Irrigate constantly till the solution will become clean or all of the answer has been used.
2. Moisten the region around the wound with regular saline after the irrigation.
,Three. Apply a wet-to-dry dressing to the wound after the irrigation.
Four. Rapidly instill a circulate of irrigating answer into the wound. - ANSCorrect Answer: 1
RATIONALES: To wash away tissue particles and drainage successfully, the nurse ought to
irrigate the wound until the solution turns into clear or all of the answer has been used. After
the irrigation, the nurse must dry the place across the wound; moistening it promotes
microorganism boom and skin infection. When the location is dry, the nurse should practice
a sterile dressing, in place of awet-to-dry dressing. The nurse usually should instill the
irrigating solution gently; speedy or forceful instillation can harm tissues.
As a youngster is receiving care, he is inadvertently injured with a warm compress. The
nurse completes an incident file based totally on the information that identification of which of
the following is a goal of the file?
1. To reprimand the worried staff individuals for their movements
2. To perceive the gaining knowledge of wishes of team of workers to save you incident
recurrences
3. To reprimand the nurse-supervisor liable for the unit
4. To preserve human beings answerable for their actions - ANSCorrect Answer: 2
RATIONALES: The purpose of an incident record is threefold: to discover ways to save you
incident recurrences, to identify patterns of care problems, and to become aware of data
surrounding each incident. Incident reviews aren't used to hold people accountable for their
actions, to punish the ones involved in the incident, or to punish the nurse-supervisor
answerable for the unit.
, As a purchaser progresses thru being pregnant, she develops constipation. What is the
primary reason of this hassle during being pregnant?
1. Decreased urge for food
2. Inadequate fluid intake
3. Prolonged gastric emptying
four. Reduced intestinal motility - ANSCorrect Answer: four
RATIONALES: During being pregnant, hormonal modifications and mechanical strain reduce
motility within the small gut, enhancing water absorption and promoting constipation.
Although decreased appetite, inadequate fluid intake, and extended gastric emptying can
also make a contribution to constipation, they aren't the primary cause.
An adolescent with kind 1 diabetes mellitus is experiencing a increase spurt. Which
treatment technique would be most effective for this consumer?
1. Administering insulin as soon as according to day
2. Administering more than one doses of insulin
three. Limiting nutritional fats intake
four. Substituting an oral antidiabetic agent for insulin - ANSCorrect Answer: 2
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