NCLEX-PN 3000 QUESTIONS AND CORRECT VERIFIED ANSWERS

NCLEX-PN 3000 QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2parentA2ofA2aA2preschoolerA2withA2chickenpoxA2asksA2theA2nurseA2aboutA2measures
A2toA2makeA2theA2childA2comfortable.A2TheA2nurseA2instructsA2theA2parentA2toA2avoidA2adm
inisteringA2aspirinA2orA2anyA2otherA2productA2thatA2containsA2salicylates.A2WhenA2givenA2t
oA2childrenA2withA2chickenpox,A2aspirinA2hasA2beenA2linkedA2toA2whichA2disorder?
A2
A2


1.A2Guillain-BarréA2syndrome
A2
A2


2.A2RheumaticA2fever
A2
A2


3.A2Reye'sA2syndrome
A2
A2


4.A2ScarletA2feverA2-A2Ans--CorrectA2Answer:A23

RATIONALES:A2ResearchA2showsA2aA2correlationA2betweenA2theA2useA2ofA2aspirinA2durin
gA2chickenpoxA2andA2theA2developmentA2ofA2Reye'sA2syndromeA2(aA2disorderA2characteri
zedA2byA2brainA2andA2liverA2toxicity).A2Therefore,A2theA2nurseA2shouldA2instructA2theA2pare
ntsA2toA2avoidA2administeringA2aspirinA2orA2otherA2productsA2thatA2containA2salicylatesA2an
dA2toA2consultA2theA2physicianA2orA2pharmacistA2beforeA2administeringA2anyA2medicationA2
toA2aA2childA2withA2chickenpox.A2NoA2researchA2hasA2foundA2aA2linkA2betweenA2aspirinA2us
e,A2chickenpox,A2andA2theA2developmentA2ofA2Guillain-
BarréA2syndrome,A2rheumaticA2fever,A2orA2scarletA2fever.

AA2clientA2isA2toA2haveA2anA2epiduralA2blockA2toA2relieveA2laborA2pain.A2TheA2nurseA2anticip
atesA2thatA2theA2anesthesiologistA2willA2injectA2theA2anestheticA2agentA2intoA2the:
A2
A2


1.A2subarachnoidA2space.
A2
A2


2.A2areaA2betweenA2theA2subarachnoidA2spaceA2andA2theA2duraA2mater.
A2
A2

,3.A2areaA2betweenA2theA2duraA2materA2andA2theA2ligamentumA2flavum.
A2
A2


4.A2ligamentumA2flavum.A2-A2Ans--CorrectA2Answer:A23

RATIONALES:A2ForA2anA2epiduralA2block,A2theA2nurseA2shouldA2anticipateA2thatA2theA2an
esthesiologistA2willA2injectA2aA2localA2anestheticA2agentA2intoA2theA2epiduralA2space,A2locat
edA2betweenA2theA2duraA2materA2andA2theA2ligamentumA2flavumA2inA2theA2lumbarA2regionA
2ofA2theA2spinalA2column.A2WhenA2administeringA2aA2spinalA2block,A2theA2anesthesiologist
A2injectsA2theA2anestheticA2agentA2intoA2theA2subarachnoidA2space.A2TheA2ligamentumA2fl
avumA2andA2theA2areaA2betweenA2theA2subarachnoidA2spaceA2andA2theA2duraA2materA2are
A2inappropriateA2injectionA2sites.


TheA2physicianA2prescribesA2penicillinA2potassiumA2oralA2suspensionA256A2mg/kg/
dayA2inA2fourA2dividedA2dosesA2forA2aA2clientA2withA2anorexiaA2nervosaA2whoA2weighsA225A
2kg.A2TheA2medicationA2dispensedA2byA2theA2pharmacyA2containsA2aA2dosageA2strengthA2
ofA2125A2mg/
5A2ml.A2HowA2manyA2millilitersA2ofA2solutionA2shouldA2theA2nurseA2administerA2withA2eachA
2dose?A2-A2Ans--CorrectA2Answer:A214


RATIONALES:A2ToA2determineA2theA2totalA2dailyA2dosage,A2setA2upA2theA2followingA2prop
ortion:
25A2kg/XA2=A21A2kg/56A2mg
XA2=A21,400A2mg.
Next,A2divideA2theA2dailyA2dosageA2byA2fourA2dosesA2toA2determineA2theA2doseA2toA2admin
isterA2everyA26A2hours:
XA2=A21,400A2mg/4A2doses
XA2=A2350A2mg/dose.
TheA2adolescentA2shouldA2receiveA2350A2mgA2everyA26A2hours.
Lastly,A2calculateA2theA2volumeA2toA2giveA2forA2eachA2doseA2byA2settingA2upA2thisA2proporti
on:
X/350A2mgA2=A25A2ml/125A2mg
XA2=A214A2ml.

TheA2nurseA2mustA2irrigateA2aA2gapingA2abdominalA2incisionA2withA2sterileA2normalA2saline
,A2usingA2aA2pistonA2syringe.A2HowA2shouldA2theA2nurseA2proceed?
A2
A2


1.A2IrrigateA2continuouslyA2untilA2theA2solutionA2becomesA2clearA2orA2allA2ofA2theA2solutionA
2hasA2beenA2used.


A2
A2


2.A2MoistenA2theA2areaA2aroundA2theA2woundA2withA2normalA2salineA2afterA2theA2irrigation.

,A2
A2


3.A2ApplyA2aA2wet-to-dryA2dressingA2toA2theA2woundA2afterA2theA2irrigation.
A2
A2


4.A2RapidlyA2instillA2aA2streamA2ofA2irrigatingA2solutionA2intoA2theA2wound.A2-A2Ans--
CorrectA2Answer:A21

RATIONALES:A2ToA2washA2awayA2tissueA2debrisA2andA2drainageA2effectively,A2theA2nurs
eA2shouldA2irrigateA2theA2woundA2untilA2theA2solutionA2becomesA2clearA2orA2allA2ofA2theA2so
lutionA2hasA2beenA2used.A2AfterA2theA2irrigation,A2theA2nurseA2shouldA2dryA2theA2areaA2aro
undA2theA2wound;A2moisteningA2itA2promotesA2microorganismA2growthA2andA2skinA2irritatio
n.A2WhenA2theA2areaA2isA2dry,A2theA2nurseA2shouldA2applyA2aA2sterileA2dressing,A2ratherA2t
hanA2awet-to-
dryA2dressing.A2TheA2nurseA2alwaysA2shouldA2instillA2theA2irrigatingA2solutionA2gently;A2rap
idA2orA2forcefulA2instillationA2canA2damageA2tissues.

AsA2anA2adolescentA2isA2receivingA2care,A2he'sA2inadvertentlyA2injuredA2withA2aA2warmA2co
mpress.A2TheA2nurseA2completesA2anA2incidentA2reportA2basedA2onA2theA2knowledgeA2tha
tA2identificationA2ofA2whichA2ofA2theA2followingA2isA2aA2goalA2ofA2theA2report?
A2
A2


1.A2ToA2reprimandA2theA2involvedA2staffA2membersA2forA2theirA2actions
A2
A2


2.A2ToA2identifyA2theA2learningA2needsA2ofA2staffA2toA2preventA2incidentA2recurrences
A2
A2


3.A2ToA2reprimandA2theA2nurse-managerA2responsibleA2forA2theA2unit
A2
A2


4.A2ToA2holdA2peopleA2accountableA2forA2theirA2actionsA2-A2Ans--CorrectA2Answer:A22

RATIONALES:A2TheA2purposeA2ofA2anA2incidentA2reportA2isA2threefold:A2toA2identifyA2ways
A2toA2preventA2incidentA2recurrences,A2toA2identifyA2patternsA2ofA2careA2problems,A2andA2t
oA2identifyA2factsA2surroundingA2eachA2incident.A2IncidentA2reportsA2aren'tA2usedA2toA2hold
A2peopleA2accountableA2forA2theirA2actions,A2toA2punishA2thoseA2involvedA2inA2theA2inciden
t,A2orA2toA2punishA2theA2nurse-managerA2responsibleA2forA2theA2unit.

, AsA2aA2clientA2progressesA2throughA2pregnancy,A2sheA2developsA2constipation.A2WhatA2is
A2theA2primaryA2causeA2ofA2thisA2problemA2duringA2pregnancy?
A2
A2


1.A2DecreasedA2appetite
A2
A2


2.A2InadequateA2fluidA2intake
A2
A2


3.A2ProlongedA2gastricA2emptying
A2
A2


4.A2ReducedA2intestinalA2motilityA2-A2Ans--CorrectA2Answer:A24

RATIONALES:A2DuringA2pregnancy,A2hormonalA2changesA2andA2mechanicalA2pressureA2
reduceA2motilityA2inA2theA2smallA2intestine,A2enhancingA2waterA2absorptionA2andA2promoti
ngA2constipation.A2AlthoughA2decreasedA2appetite,A2inadequateA2fluidA2intake,A2andA2prol
ongedA2gastricA2emptyingA2mayA2contributeA2toA2constipation,A2theyA2aren'tA2theA2primary
A2cause.


AnA2adolescentA2withA2typeA21A2diabetesA2mellitusA2isA2experiencingA2aA2growthA2spurt.A2
WhichA2treatmentA2approachA2wouldA2beA2mostA2effectiveA2forA2thisA2client?
A2
A2


1.A2AdministeringA2insulinA2onceA2perA2day
A2
A2


2.A2AdministeringA2multipleA2dosesA2ofA2insulin
A2
A2


3.A2LimitingA2dietaryA2fatA2intake
A2
A2


4.A2SubstitutingA2anA2oralA2antidiabeticA2agentA2forA2insulinA2-A2Ans--CorrectA2Answer:A22

RATIONALES:A2DuringA2anA2adolescentA2growthA2spurt,A2aA2regimenA2ofA2multipleA2insuli
nA2dosesA2achievesA2betterA2controlA2ofA2theA2bloodA2glucoseA2levelA2becauseA2itA2moreA2
closelyA2simulatesA2endogenousA2insulinA2release.A2AA2singleA2dailyA2doseA2ofA2insulinA2w