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2024 NCLEX PN EXAM 1 SPRING QTR VERIFIED QUESTIONS AND ANSWERS WITH RATIONALE GRADED A+
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2024 NCLEX PN EXAM 1 SPRING QTR VERIFIED QUESTIONS AND ANSWERS WITH RATIONALE GRADED A+
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2024 NCLEX PN EXAM 12024 NCLEX PN EXAM 1 SPRING QTR VERIFIED
QUESTIONS AND ANSWERS WITH RATIONALE
GRADED 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
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:
,2024 NCLEX PN EXAM 1
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.
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?
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.
,2024 NCLEX PN EXAM 1
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.
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
, 2024 NCLEX PN EXAM 1
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
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
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