NCLEX-PN 3000 QUESTIONS EXAM V2 (LATEST
2024/ 2025 UPDATE) QUESTIONS AND
VERIFIED ANSWERS; 100% CORRECT; GRADE A
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 - ANS-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. - ANS-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? - ANS-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. - ANS-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 - ANS-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 - ANS-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.
2024/ 2025 UPDATE) QUESTIONS AND
VERIFIED ANSWERS; 100% CORRECT; GRADE A
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 - ANS-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. - ANS-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? - ANS-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. - ANS-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 - ANS-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 - ANS-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.
