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NCLEX-PN 80 EXAM QUESTIONS AND
ACCURATE ANSWERS GRADED A+ WITH
RATIONALES 2025—2026 UPDATE
1.The parent of a preschooler with chickenpox asks
the nurse about measures to make the child
comfortable. The nurse instructs the parent to avoid
admin- istering 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.
2.A client is to have an epidural block to relieve
labor pain. The nurse antici- pates 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 anesthe- siologist 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.
3.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.
4.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 th
wound.:
Correct Answer: 1
RATIONALES: To wash away tissue debris and drainage effectively
the nurse should irrigate the wound until the solution becomes
NCLEX-PN 80 EXAM QUESTIONS AND
ACCURATE ANSWERS GRADED A+ WITH
RATIONALES 2025—2026 UPDATE
1.The parent of a preschooler with chickenpox asks
the nurse about measures to make the child
comfortable. The nurse instructs the parent to avoid
admin- istering 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.
2.A client is to have an epidural block to relieve
labor pain. The nurse antici- pates 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 anesthe- siologist 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.
3.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.
4.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 th
wound.:
Correct Answer: 1
RATIONALES: To wash away tissue debris and drainage effectively
the nurse should irrigate the wound until the solution becomes
