NCLEX-PN 3000 Questions
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1. The parent of a preschooler with chickenpox asks the nurse about mea-
sures 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.
2. 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/
, NCLEX-PN 3000 Questions
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1. subarachnoid space.
2/
, NCLEX-PN 3000 Questions
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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 anes- thesiologist 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
3/
, NCLEX-PN 3000 Questions
Study online at
X= https://quizlet.com/_qst5u
14 ml.
4/
Study online at
https://quizlet.com/_qst5u
1. The parent of a preschooler with chickenpox asks the nurse about mea-
sures 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.
2. 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/
, NCLEX-PN 3000 Questions
Study online at
https://quizlet.com/_qst5u
1. subarachnoid space.
2/
, NCLEX-PN 3000 Questions
Study online at
https://quizlet.com/_qst5u
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 anes- thesiologist 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
3/
, NCLEX-PN 3000 Questions
Study online at
X= https://quizlet.com/_qst5u
14 ml.
4/
