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NCLEX QUESTIONS PART TWO QUESTIONS WITH COMPLETE SOLUTIONS
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NCLEX QUESTIONS PART TWO QUESTIONS WITH COMPLETE SOLUTIONS
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NCLEX-PN 3000 QUESTIONS WITHCOMPLETE SOLUTIONS
Thesparentsofsaspreschoolerswithschickenpoxsaskssthesnursesaboutsmeasuresstosmakesthes
childscomfortable.sThesnursesinstructssthesparentstosavoidsadministeringsaspirinsorsanysoth
ersproductsthatscontainsssalicylates.sWhensgivenstoschildrenswithschickenpox,saspirinshassb
eenslinkedstoswhichsdisorder?
s
s
1.sGuillain-Barréssyndrome
s
s
2.sRheumaticsfever
s
s
3.sReye'sssyndrome
s
s
4.sScarletsfevers-sans✔✔CorrectsAnswer:s3
RATIONALES:sResearchsshowssascorrelationsbetweensthesusesofsaspirinsduringschickenp
oxsandsthesdevelopmentsofsReye'sssyndromes(asdisorderscharacterizedsbysbrainsandsliverst
oxicity).sTherefore,sthesnursesshouldsinstructsthesparentsstosavoidsadministeringsaspirinsors
othersproductssthatscontainssalicylatessandstosconsultsthesphysiciansorspharmacistsbeforesa
dministeringsanysmedicationstosaschildswithschickenpox.sNosresearchshassfoundsaslinksbetw
eensaspirinsuse,schickenpox,sandsthesdevelopmentsofsGuillain-
Barréssyndrome,srheumaticsfever,sorsscarletsfever.
Asclientsisstoshavesansepiduralsblockstosrelieveslaborspain.sThesnursesanticipatessthatsthesan
esthesiologistswillsinjectsthesanestheticsagentsintosthe:
s
s
1.ssubarachnoidsspace.
s
s
2.sareasbetweensthessubarachnoidsspacesandsthesdurasmater.
s
s
,3.sareasbetweensthesdurasmatersandsthesligamentumsflavum.
s
s
4.sligamentumsflavum.s-sans✔✔CorrectsAnswer:s3
RATIONALES:sForsansepiduralsblock,sthesnursesshouldsanticipatesthatsthesanesthesiologis
tswillsinjectsaslocalsanestheticsagentsintosthesepiduralsspace,slocatedsbetweensthesdurasmate
rsandsthesligamentumsflavumsinstheslumbarsregionsofsthesspinalscolumn.sWhensadministerin
gsasspinalsblock,sthesanesthesiologistsinjectssthesanestheticsagentsintosthessubarachnoidssp
ace.sThesligamentumsflavumsandsthesareasbetweensthessubarachnoidsspacesandsthesduras
matersaresinappropriatesinjectionssites.
Thesphysiciansprescribesspenicillinspotassiumsoralssuspensions56smg/kg/daysinsfoursdivide
dsdosessforsasclientswithsanorexiasnervosaswhosweighss25skg.sThesmedicationsdispensedsb
ysthespharmacyscontainssasdosagesstrengthsofs125smg/5sml.sHowsmanysmilliliterssofssolutio
nsshouldsthesnursesadministerswithseachsdose?s-sans✔✔CorrectsAnswer:s14
RATIONALES:sTosdeterminesthestotalsdailysdosage,ssetsupsthesfollowingsproportion:
25skg/Xs=s1skg/56smg
Xs=s1,400smg.
Next,sdividesthesdailysdosagesbysfoursdosesstosdeterminesthesdosestosadministerseverys6sho
urs:
Xs=s1,400smg/4sdoses
Xs=s350smg/dose.
Thesadolescentsshouldsreceives350smgseverys6shours.
Lastly,scalculatesthesvolumestosgivesforseachsdosesbyssettingsupsthissproportion:
X/350smgs=s5sml/125smg
Xs=s14sml.
Thesnursesmustsirrigatesasgapingsabdominalsincisionswithssterilesnormalssaline,susingsaspist
onssyringe.sHowsshouldsthesnursesproceed?
s
s
1.sIrrigatescontinuouslysuntilsthessolutionsbecomessclearsorsallsofsthessolutionshassbeensuse
d.
s
s
2.sMoistensthesareasaroundstheswoundswithsnormalssalinesaftersthesirrigation.
s
s
3.sApplysaswet-to-drysdressingstostheswoundsaftersthesirrigation.
s
s
,4.sRapidlysinstillsasstreamsofsirrigatingssolutionsintostheswound.s-sans✔✔CorrectsAnswer:s1
RATIONALES:sToswashsawaystissuesdebrissandsdrainageseffectively,sthesnursesshouldsirri
gatestheswoundsuntilsthessolutionsbecomessclearsorsallsofsthessolutionshassbeensused.sAfterst
hesirrigation,sthesnursesshouldsdrysthesareasaroundstheswound;smoisteningsitspromotessmicr
oorganismsgrowthsandsskinsirritation.sWhensthesareasissdry,sthesnursesshouldsapplysassterile
sdressing,srathersthansawet-to-
drysdressing.sThesnursesalwayssshouldsinstillsthesirrigatingssolutionsgently;srapidsorsforcefuls
instillationscansdamagestissues.
Assansadolescentsissreceivingscare,she'ssinadvertentlysinjuredswithsaswarmscompress.sThes
nursescompletessansincidentsreportsbasedsonsthesknowledgesthatsidentificationsofswhichsofst
hesfollowingsissasgoalsofsthesreport?
s
s
1.sTosreprimandsthesinvolvedsstaffsmemberssforstheirsactions
s
s
2.sTosidentifystheslearningsneedssofsstaffstospreventsincidentsrecurrences
s
s
3.sTosreprimandsthesnurse-managersresponsiblesforsthesunit
s
s
4.sTosholdspeoplesaccountablesforstheirsactionss-sans✔✔CorrectsAnswer:s2
RATIONALES:sThespurposesofsansincidentsreportsissthreefold:stosidentifyswaysstospreventsin
cidentsrecurrences,stosidentifyspatternssofscaresproblems,sandstosidentifysfactsssurroundings
eachsincident.sIncidentsreportssaren'tsusedstosholdspeoplesaccountablesforstheirsactions,stos
punishsthosesinvolvedsinsthesincident,sorstospunishsthesnurse-
managersresponsiblesforsthesunit.
Assasclientsprogressessthroughspregnancy,sshesdevelopssconstipation.sWhatsissthesprimary
scausesofsthissproblemsduringspregnancy?
s
s
1.sDecreasedsappetite
s
s
2.sInadequatesfluidsintake
s
s
, 3.sProlongedsgastricsemptying
s
s
4.sReducedsintestinalsmotilitys-sans✔✔CorrectsAnswer:s4
RATIONALES:sDuringspregnancy,shormonalschangessandsmechanicalspressuresreducesm
otilitysinsthessmallsintestine,senhancingswatersabsorptionsandspromotingsconstipation.sAltho
ughsdecreasedsappetite,sinadequatesfluidsintake,sandsprolongedsgastricsemptyingsmayscon
tributestosconstipation,stheysaren'tsthesprimaryscause.
Ansadolescentswithstypes1sdiabetessmellitussissexperiencingsasgrowthsspurt.sWhichstreatme
ntsapproachswouldsbesmostseffectivesforsthissclient?
s
s
1.sAdministeringsinsulinsoncespersday
s
s
2.sAdministeringsmultiplesdosessofsinsulin
s
s
3.sLimitingsdietarysfatsintake
s
s
4.sSubstitutingsansoralsantidiabeticsagentsforsinsulins-sans✔✔CorrectsAnswer:s2
RATIONALES:sDuringsansadolescentsgrowthsspurt,sasregimensofsmultiplesinsulinsdosessac
hievessbetterscontrolsofsthesbloodsglucoseslevelsbecausesitsmorescloselyssimulatessendoge
noussinsulinsrelease.sAssinglesdailysdosesofsinsulinswouldn'tscontrolsthissclient'ssbloodsgluco
seslevelsasseffectively.sLimitingsdietarysfatsintakeswouldn'tshelpsthesbodysusesglucosesatsthes
cellularslevel.sAnsadolescentswithstypes1sdiabetessmellitussdoesn'tsproducesinsulinsandsther
eforescan'tsreceivesansoralsantidiabeticsagentsinsteadsofsinsulin.
Asclientsissadmittedstostheshealthscaresfacilityswithsbowelsobstructionssecondarystoscolonsca
ncer.sThesnursesobtainssashealthshistory,smeasuressvitalssigns,sandsauscultatessforsbowelss
ounds.sWhichsstepsofsthesnursingsprocesssissthesnursesperforming?
s
s
1.sPlanning
s
s
2.sDatascollection
s
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