NCLEX-PN Test Preparation Exam Questions Bank with Verified Rationalized Answers (Latest Update 2025/2026)

NCLEX-PN Test Preparation Exam Questions Bank with Verified
Rationalized Answers (Latest Update 2025/2026)



1. The parent of a preschooler with chickenpox asks the nurse about measures to make the c
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hild comfortable. The nurse instructs the parent to avoid admin-
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istering aspirin or any other product that contains salicylates. When given to children with
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chickenpox, aspirin has been linked to which disorder?
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1. Guillain-Barré syndrome v




2. Rheumatic fever v




3. Reye's syndrome v




4. Scarlet fever: Correct Answer: 3
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RATIONALES: Research shows a correlation between the use of aspirin during chickenpox
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and the development of Reye's syndrome (a disorder characterized by brain and liver toxici
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ty). Therefore, the nurse should instruct the parents to
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avoid administering aspirin or other products that contain salicylates and to consult the physic
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,an or pharmacist before administering any medication to a child with chickenpox. No research
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has found a link between aspirin use, chickenpox, and the development of Guillain-
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Barré syndrome, rheumatic fever, or scarlet fever.
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2. A client is to have an epidural block to relieve labor pain. The nurse antici-
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pates that the anesthesiologist will inject the anesthetic agent into the:
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1. subarachnoid space. v




2v/v
119

,2. area between the subarachnoid space and the dura mater.
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3. area between the dura mater and the ligamentum flavum.
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4. ligamentum flavum.: Correct Answer: 3 v v v v




RATIONALES: For an epidural block, the nurse should anticipate that the anesthe-
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siologist will inject a local anesthetic agent into the epidural space, located between the dura m
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ater and the ligamentum flavum in the lumbar region of the spinal column. When administering a
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spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space. Th
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e ligamentum flavum and the area between the subarachnoid space and the dura mater are in
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appropriate injection sites. v v



3. The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four divi
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ded doses for a client with anorexia nervosa who weighs 25 kg.The medication dispensed by t
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he pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution s
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hould the nurse administer with each dose?: Correct Answer: 14
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RATIONALES: To determine the total daily dosage, set up the following proportion: 25 kg/X = 1 kg
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/56 mg v



X = 1,400 mg.
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Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours:
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X = 1,400 mg/4 doses X = 3
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50 mg/dose.
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The adolescent should receive 350 mg every 6 hours.
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Lastly, calculate the volume to give for each dose by setting up this proportion: X/350 mg = 5 ml/
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, 125 mg v



X = 14 ml. v v v



4. The nurse must irrigate a gaping abdominal incision with sterile normal saline, using
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a piston syringe. How should the nurse proceed?
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4v/v
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