NCLEX-PN EXAM QUESTIONS AND 100%
CORRECT ANSWERS – LATEST GUIDE
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
2. Inadequate Fluid Intake
, 3. Prolonged Gastric Emptying
4. Reduced Intestinal Motility
Correct Answer: 4
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?
1. Administering Insulin Once Per Day
2. Administering Multiple Doses Of Insulin
3. Limiting Dietary Fat Intake
4. Substituting An Oral Antidiabetic Agent For Insulin - Correct Answer: 2
Rationales: During An Adolescent Growth Spurt, A Regimen Of Multiple Insulin Doses
Achieves Better Control Of The Blood Glucose Level Because It More Closely Simulates
Endogenous Insulin Release. A Single Daily Dose Of Insulin Wouldn't Control This Client's
Blood Glucose Level As Effectively. Limiting Dietary Fat Intake Wouldn't Help The Body Use
Glucose At The Cellular Level. An Adolescent With Type 1 Diabetes Mellitus Doesn't Produce
Insulin And Therefore Can't Receive An Oral Antidiabetic Agent Instead Of Insulin.
CORRECT ANSWERS – LATEST GUIDE
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
2. Inadequate Fluid Intake
, 3. Prolonged Gastric Emptying
4. Reduced Intestinal Motility
Correct Answer: 4
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?
1. Administering Insulin Once Per Day
2. Administering Multiple Doses Of Insulin
3. Limiting Dietary Fat Intake
4. Substituting An Oral Antidiabetic Agent For Insulin - Correct Answer: 2
Rationales: During An Adolescent Growth Spurt, A Regimen Of Multiple Insulin Doses
Achieves Better Control Of The Blood Glucose Level Because It More Closely Simulates
Endogenous Insulin Release. A Single Daily Dose Of Insulin Wouldn't Control This Client's
Blood Glucose Level As Effectively. Limiting Dietary Fat Intake Wouldn't Help The Body Use
Glucose At The Cellular Level. An Adolescent With Type 1 Diabetes Mellitus Doesn't Produce
Insulin And Therefore Can't Receive An Oral Antidiabetic Agent Instead Of Insulin.
