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NCLEX-PN 3000 Questions Exam With Correct Answers 100% Verified(2023/2024)
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NCLEX-PN 3000 QuestionsExam With Correct Answers 100% Verified
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
1/
,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
2/
,normal saline, using a piston syringe. How should the nurse proceed
3/
, 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.: 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.
5. 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
4/
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