Exam (elaborations)
NCLEX-PN 3000 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NCLEX-PN 3000 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-PN 3000 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
TheKparentKofKaKpreschoolerKwithKchickenpoxKasksKtheKnurseKaboutKmeasuresKtoKmakeKtheKchildKcomforta
ble.KTheKnurseKinstructsKtheKparentKtoKavoidKadministeringKaspirinKorKanyKotherKproductKthatKcontainsKsalic
ylates.KWhenKgivenKtoKchildrenKwithKchickenpox,KaspirinKhasKbeenKlinkedKtoKwhichKdisorder?
K
K
1.KGuillain-BarréKsyndrome
K
K
2.KRheumaticKfever
K
K
3.KReye'sKsyndrome
K
K
4.KScarletKfeverK-KANSWERKCorrectKAnswer:K3
RATIONALES:KResearchKshowsKaKcorrelationKbetweenKtheKuseKofKaspirinKduringKchickenpoxKandKtheKdevelo
pmentKofKReye'sKsyndromeK(aKdisorderKcharacterizedKbyKbrainKandKliverKtoxicity).KTherefore,KtheKnurseKsho
uldKinstructKtheKparentsKtoKavoidKadministeringKaspirinKorKotherKproductsKthatKcontainKsalicylatesKandKtoKc
onsultKtheKphysicianKorKpharmacistKbeforeKadministeringKanyKmedicationKtoKaKchildKwithKchickenpox.KNoKr
esearchKhasKfoundKaKlinkKbetweenKaspirinKuse,Kchickenpox,KandKtheKdevelopmentKofKGuillain-
BarréKsyndrome,KrheumaticKfever,KorKscarletKfever.
AKclientKisKtoKhaveKanKepiduralKblockKtoKrelieveKlaborKpain.KTheKnurseKanticipatesKthatKtheKanesthesiologistK
willKinjectKtheKanestheticKagentKintoKthe:
,K
K
1.KsubarachnoidKspace.
K
K
2.KareaKbetweenKtheKsubarachnoidKspaceKandKtheKduraKmater.
K
K
3.KareaKbetweenKtheKduraKmaterKandKtheKligamentumKflavum.
K
K
4.KligamentumKflavum.K-KANSWERKCorrectKAnswer:K3
RATIONALES:KForKanKepiduralKblock,KtheKnurseKshouldKanticipateKthatKtheKanesthesiologistKwillKinjectKaKloc
alKanestheticKagentKintoKtheKepiduralKspace,KlocatedKbetweenKtheKduraKmaterKandKtheKligamentumKflavum
KinKtheKlumbarKregionKofKtheKspinalKcolumn.KWhenKadministeringKaKspinalKblock,KtheKanesthesiologistKinjec
tsKtheKanestheticKagentKintoKtheKsubarachnoidKspace.KTheKligamentumKflavumKandKtheKareaKbetweenKtheKs
ubarachnoidKspaceKandKtheKduraKmaterKareKinappropriateKinjectionKsites.
TheKphysicianKprescribesKpenicillinKpotassiumKoralKsuspensionK56Kmg/kg/dayKinKfourKdividedKdosesKforKaKcl
ientKwithKanorexiaKnervosaKwhoKweighsK25Kkg.KTheKmedicationKdispensedKbyKtheKpharmacyKcontainsKaKdos
ageKstrengthKofK125Kmg/5Kml.KHowKmanyKmillilitersKofKsolutionKshouldKtheKnurseKadministerKwithKeachKdos
e?K-KANSWERKCorrectKAnswer:K14
RATIONALES:KToKdetermineKtheKtotalKdailyKdosage,KsetKupKtheKfollowingKproportion:
25Kkg/XK=K1Kkg/56Kmg
XK=K1,400Kmg.
,Next,KdivideKtheKdailyKdosageKbyKfourKdosesKtoKdetermineKtheKdoseKtoKadministerKeveryK6Khours:
XK=K1,400Kmg/4Kdoses
XK=K350Kmg/dose.
TheKadolescentKshouldKreceiveK350KmgKeveryK6Khours.
Lastly,KcalculateKtheKvolumeKtoKgiveKforKeachKdoseKbyKsettingKupKthisKproportion:
X/350KmgK=K5Kml/125Kmg
XK=K14Kml.
TheKnurseKmustKirrigateKaKgapingKabdominalKincisionKwithKsterileKnormalKsaline,KusingKaKpistonKsyringe.KHo
wKshouldKtheKnurseKproceed?
K
K
1.KIrrigateKcontinuouslyKuntilKtheKsolutionKbecomesKclearKorKallKofKtheKsolutionKhasKbeenKused.
K
K
2.KMoistenKtheKareaKaroundKtheKwoundKwithKnormalKsalineKafterKtheKirrigation.
K
K
3.KApplyKaKwet-to-dryKdressingKtoKtheKwoundKafterKtheKirrigation.
K
K
4.KRapidlyKinstillKaKstreamKofKirrigatingKsolutionKintoKtheKwound.K-KANSWERKCorrectKAnswer:K1
RATIONALES:KToKwashKawayKtissueKdebrisKandKdrainageKeffectively,KtheKnurseKshouldKirrigateKtheKwoundKu
ntilKtheKsolutionKbecomesKclearKorKallKofKtheKsolutionKhasKbeenKused.KAfterKtheKirrigation,KtheKnurseKshould
KdryKtheKareaKaroundKtheKwound;KmoisteningKitKpromotesKmicroorganismKgrowthKandKskinKirritation.KWhe
, nKtheKareaKisKdry,KtheKnurseKshouldKapplyKaKsterileKdressing,KratherKthanKawet-to-
dryKdressing.KTheKnurseKalwaysKshouldKinstillKtheKirrigatingKsolutionKgently;KrapidKorKforcefulKinstillationKca
nKdamageKtissues.
AsKanKadolescentKisKreceivingKcare,Khe'sKinadvertentlyKinjuredKwithKaKwarmKcompress.KTheKnurseKcomplete
sKanKincidentKreportKbasedKonKtheKknowledgeKthatKidentificationKofKwhichKofKtheKfollowingKisKaKgoalKofKtheK
report?
K
K
1.KToKreprimandKtheKinvolvedKstaffKmembersKforKtheirKactions
K
K
2.KToKidentifyKtheKlearningKneedsKofKstaffKtoKpreventKincidentKrecurrences
K
K
3.KToKreprimandKtheKnurse-managerKresponsibleKforKtheKunit
K
K
4.KToKholdKpeopleKaccountableKforKtheirKactionsK-KANSWERKCorrectKAnswer:K2
RATIONALES:KTheKpurposeKofKanKincidentKreportKisKthreefold:KtoKidentifyKwaysKtoKpreventKincidentKrecurre
nces,KtoKidentifyKpatternsKofKcareKproblems,KandKtoKidentifyKfactsKsurroundingKeachKincident.KIncidentKrep
ortsKaren'tKusedKtoKholdKpeopleKaccountableKforKtheirKactions,KtoKpunishKthoseKinvolvedKinKtheKincident,Kor
KtoKpunishKtheKnurse-managerKresponsibleKforKtheKunit.
AsKaKclientKprogressesKthroughKpregnancy,KsheKdevelopsKconstipation.KWhatKisKtheKprimaryKcauseKofKthisKp
roblemKduringKpregnancy?
K