NCLEX-PN STUDY EXAMS REVIEWS
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-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 ause, achickenpox, aand athe adevelopment
aof aGuillain-Barré asyndrome, arheumatic afever, aor ascarlet afever.
A aclient ais ato ahave aan aepidural ablock ato arelieve alabor apain. aThe anurse aanticipates
athat athe aanesthesiologist awill ainject athe aanesthetic aagent ainto athe:
,1. subarachnoid aspace.
2. area abetween athe asubarachnoid aspace aand athe adura amater.
3. area abetween athe adura amater aand athe aligamentum aflavum.
4. ligamentum aflavum. a- aCORRECT aANSWER-Correct aAnswer: a3
RATIONALES: aFor aan aepidural ablock, athe anurse ashould aanticipate athat athe
aanesthesiologist awill ainject aa alocal aanesthetic aagent ainto athe aepidural aspace,
alocated abetween athe adura amater aand athe aligamentum aflavum ain athe alumbar
aregion aof athe aspinal acolumn. aWhen aadministering aa aspinal ablock, athe
aanesthesiologist ainjects athe aanesthetic aagent ainto athe asubarachnoid aspace. aThe
aligamentum aflavum aand athe aarea abetween athe asubarachnoid aspace aand athe adura
amater aare ainappropriate ainjection asites.
The aphysician aprescribes apenicillin apotassium aoral asuspension a56 amg/kg/day
ain afour adivided adoses afor aa aclient awith aanorexia anervosa awho aweighs a25 akg.
aThe amedication adispensed aby athe apharmacy acontains aa adosage astrength aof
a125 amg/5 aml. aHow amany amilliliters aof asolution ashould athe anurse aadminister
awith aeach adose? a- aCORRECT aANSWER-Correct aAnswer: a14
RATIONALES: aTo adetermine athe atotal adaily adosage, aset aup athe afollowing
aproportion: a25 akg/X a= a1 akg/56 amg
X a= a1,400 amg.
Next, adivide athe adaily adosage aby afour adoses ato adetermine athe adose ato aadminister
aevery a6 ahours:
X a= a1,400 amg/4
adoses aX a= a350
amg/dose.
The aadolescent ashould areceive a350 amg aevery a6 ahours.
Lastly, acalculate athe avolume ato agive afor aeach adose aby asetting aup athis
aproportion: aX/350 amg a= a5 aml/125 amg
X a= a14 aml.
The anurse amust airrigate aa agaping aabdominal aincision awith asterile anormal asaline,
ausing aa apiston asyringe. aHow ashould athe anurse aproceed?
,1. Irrigate acontinuously auntil athe asolution abecomes aclear aor aall aof athe asolution
ahas abeen aused.
2. Moisten athe aarea aaround athe awound awith anormal asaline aafter athe airrigation.
3. Apply aa awet-to-dry adressing ato athe awound aafter athe airrigation.
4. Rapidly ainstill aa astream aof airrigating asolution ainto athe awound. a- aCORRECT
aANSWER- aCorrect aAnswer: a1
RATIONALES: aTo awash aaway atissue adebris aand adrainage aeffectively, athe anurse
ashould airrigate athe awound auntil athe asolution abecomes aclear aor aall aof athe asolution
ahas abeen aused. aAfter athe airrigation, athe anurse ashould adry athe aarea aaround athe
awound; amoistening ait apromotes amicroorganism agrowth aand askin airritation. aWhen
athe aarea ais adry, athe anurse ashould aapply aa asterile adressing, arather athan aawet-to-
dry adressing. aThe anurse aalways ashould ainstill athe airrigating asolution agently; arapid
aor aforceful ainstillation acan adamage atissues.
As aan aadolescent ais areceiving acare, ahe's ainadvertently ainjured awith aa awarm
acompress. aThe anurse acompletes aan aincident areport abased aon athe aknowledge
athat aidentification aof awhich aof athe afollowing ais aa agoal aof athe areport?
1. To areprimand athe ainvolved astaff amembers afor atheir aactions
2. To aidentify athe alearning aneeds aof astaff ato aprevent aincident arecurrences
, 3. To areprimand athe anurse-manager aresponsible afor athe aunit
4. To ahold apeople aaccountable afor atheir aactions a- aCORRECT aANSWER-Correct
aAnswer: a2
RATIONALES: aThe apurpose aof aan aincident areport ais athreefold: ato aidentify aways ato
aprevent aincident arecurrences, ato aidentify apatterns aof acare aproblems, aand ato
aidentify afacts asurrounding aeach aincident. aIncident areports aaren't aused ato ahold
apeople aaccountable afor atheir aactions, ato apunish athose ainvolved ain athe aincident, aor
ato apunish athe anurse-manager aresponsible afor athe aunit.
As aa aclient aprogresses athrough apregnancy, ashe adevelops aconstipation. aWhat ais
athe aprimary acause aof athis aproblem aduring apregnancy?
1. Decreased aappetite
2. Inadequate afluid aintake
3. Prolonged agastric aemptying
4. Reduced aintestinal amotility a- aCORRECT aANSWER-Correct aAnswer: a4
RATIONALES: aDuring apregnancy, ahormonal achanges aand amechanical apressure
areduce amotility ain athe asmall aintestine, aenhancing awater aabsorption aand apromoting
aconstipation. aAlthough adecreased aappetite, ainadequate afluid aintake, aand aprolonged
agastric aemptying amay acontribute ato aconstipation, athey aaren't athe aprimary acause.
An aadolescent awith atype a1 adiabetes amellitus ais aexperiencing aa agrowth aspurt. aWhich
atreatment aapproach awould abe amost aeffective afor athis aclient?
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-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 ause, achickenpox, aand athe adevelopment
aof aGuillain-Barré asyndrome, arheumatic afever, aor ascarlet afever.
A aclient ais ato ahave aan aepidural ablock ato arelieve alabor apain. aThe anurse aanticipates
athat athe aanesthesiologist awill ainject athe aanesthetic aagent ainto athe:
,1. subarachnoid aspace.
2. area abetween athe asubarachnoid aspace aand athe adura amater.
3. area abetween athe adura amater aand athe aligamentum aflavum.
4. ligamentum aflavum. a- aCORRECT aANSWER-Correct aAnswer: a3
RATIONALES: aFor aan aepidural ablock, athe anurse ashould aanticipate athat athe
aanesthesiologist awill ainject aa alocal aanesthetic aagent ainto athe aepidural aspace,
alocated abetween athe adura amater aand athe aligamentum aflavum ain athe alumbar
aregion aof athe aspinal acolumn. aWhen aadministering aa aspinal ablock, athe
aanesthesiologist ainjects athe aanesthetic aagent ainto athe asubarachnoid aspace. aThe
aligamentum aflavum aand athe aarea abetween athe asubarachnoid aspace aand athe adura
amater aare ainappropriate ainjection asites.
The aphysician aprescribes apenicillin apotassium aoral asuspension a56 amg/kg/day
ain afour adivided adoses afor aa aclient awith aanorexia anervosa awho aweighs a25 akg.
aThe amedication adispensed aby athe apharmacy acontains aa adosage astrength aof
a125 amg/5 aml. aHow amany amilliliters aof asolution ashould athe anurse aadminister
awith aeach adose? a- aCORRECT aANSWER-Correct aAnswer: a14
RATIONALES: aTo adetermine athe atotal adaily adosage, aset aup athe afollowing
aproportion: a25 akg/X a= a1 akg/56 amg
X a= a1,400 amg.
Next, adivide athe adaily adosage aby afour adoses ato adetermine athe adose ato aadminister
aevery a6 ahours:
X a= a1,400 amg/4
adoses aX a= a350
amg/dose.
The aadolescent ashould areceive a350 amg aevery a6 ahours.
Lastly, acalculate athe avolume ato agive afor aeach adose aby asetting aup athis
aproportion: aX/350 amg a= a5 aml/125 amg
X a= a14 aml.
The anurse amust airrigate aa agaping aabdominal aincision awith asterile anormal asaline,
ausing aa apiston asyringe. aHow ashould athe anurse aproceed?
,1. Irrigate acontinuously auntil athe asolution abecomes aclear aor aall aof athe asolution
ahas abeen aused.
2. Moisten athe aarea aaround athe awound awith anormal asaline aafter athe airrigation.
3. Apply aa awet-to-dry adressing ato athe awound aafter athe airrigation.
4. Rapidly ainstill aa astream aof airrigating asolution ainto athe awound. a- aCORRECT
aANSWER- aCorrect aAnswer: a1
RATIONALES: aTo awash aaway atissue adebris aand adrainage aeffectively, athe anurse
ashould airrigate athe awound auntil athe asolution abecomes aclear aor aall aof athe asolution
ahas abeen aused. aAfter athe airrigation, athe anurse ashould adry athe aarea aaround athe
awound; amoistening ait apromotes amicroorganism agrowth aand askin airritation. aWhen
athe aarea ais adry, athe anurse ashould aapply aa asterile adressing, arather athan aawet-to-
dry adressing. aThe anurse aalways ashould ainstill athe airrigating asolution agently; arapid
aor aforceful ainstillation acan adamage atissues.
As aan aadolescent ais areceiving acare, ahe's ainadvertently ainjured awith aa awarm
acompress. aThe anurse acompletes aan aincident areport abased aon athe aknowledge
athat aidentification aof awhich aof athe afollowing ais aa agoal aof athe areport?
1. To areprimand athe ainvolved astaff amembers afor atheir aactions
2. To aidentify athe alearning aneeds aof astaff ato aprevent aincident arecurrences
, 3. To areprimand athe anurse-manager aresponsible afor athe aunit
4. To ahold apeople aaccountable afor atheir aactions a- aCORRECT aANSWER-Correct
aAnswer: a2
RATIONALES: aThe apurpose aof aan aincident areport ais athreefold: ato aidentify aways ato
aprevent aincident arecurrences, ato aidentify apatterns aof acare aproblems, aand ato
aidentify afacts asurrounding aeach aincident. aIncident areports aaren't aused ato ahold
apeople aaccountable afor atheir aactions, ato apunish athose ainvolved ain athe aincident, aor
ato apunish athe anurse-manager aresponsible afor athe aunit.
As aa aclient aprogresses athrough apregnancy, ashe adevelops aconstipation. aWhat ais
athe aprimary acause aof athis aproblem aduring apregnancy?
1. Decreased aappetite
2. Inadequate afluid aintake
3. Prolonged agastric aemptying
4. Reduced aintestinal amotility a- aCORRECT aANSWER-Correct aAnswer: a4
RATIONALES: aDuring apregnancy, ahormonal achanges aand amechanical apressure
areduce amotility ain athe asmall aintestine, aenhancing awater aabsorption aand apromoting
aconstipation. aAlthough adecreased aappetite, ainadequate afluid aintake, aand aprolonged
agastric aemptying amay acontribute ato aconstipation, athey aaren't athe aprimary acause.
An aadolescent awith atype a1 adiabetes amellitus ais aexperiencing aa agrowth aspurt. aWhich
atreatment aapproach awould abe amost aeffective afor athis aclient?
