NCLEX-PN 3000 Exam Questions With
Correct Answers
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.
|
|
1
,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
2
,|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.
3
, 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.
A |client |is |admitted |to |the |health |care |facility |with |bowel |obstruction |secondary |to |colon |cancer. |The
|nurse |obtains |a |health |history, |measures |vital |signs, |and |auscultates |for |bowel |sounds. |Which |step |of
|the |nursing |process |is |the |nurse |performing?
|
|
1. |Planning
|
|
2. |Data |collection
|
|
3. |Evaluation
|
|
4. |Implementation |- | |
|||||||||||||| Correct |Answer: |2
RATIONALES: |During |the |data |collection |step |of |the |nursing |process, |the |nurse |obtains |the |client's
|health |history, |measures |vital |signs, |and |performs |a |physical |examination |to |gather |data |for |use |in
|formulating |the |nursing |diagnoses. |During |the |planning |step, |the |nurse |designs |methods |to |help
|resolve |client |problems |and |meet |client |needs. |During |evaluation, |the |nurse |determines |the
4
Correct Answers
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.
|
|
1
,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
2
,|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.
3
, 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.
A |client |is |admitted |to |the |health |care |facility |with |bowel |obstruction |secondary |to |colon |cancer. |The
|nurse |obtains |a |health |history, |measures |vital |signs, |and |auscultates |for |bowel |sounds. |Which |step |of
|the |nursing |process |is |the |nurse |performing?
|
|
1. |Planning
|
|
2. |Data |collection
|
|
3. |Evaluation
|
|
4. |Implementation |- | |
|||||||||||||| Correct |Answer: |2
RATIONALES: |During |the |data |collection |step |of |the |nursing |process, |the |nurse |obtains |the |client's
|health |history, |measures |vital |signs, |and |performs |a |physical |examination |to |gather |data |for |use |in
|formulating |the |nursing |diagnoses. |During |the |planning |step, |the |nurse |designs |methods |to |help
|resolve |client |problems |and |meet |client |needs. |During |evaluation, |the |nurse |determines |the
4
