NCLEX-PN EXAM NEWEST
QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST
EXAM GRADED A+ WITH
RATIONALES
A 40-year-old client is admitted to the hospital for alcohol abuse for the third
time in the past 9 months. The health care team recommends rehabilitative
treatment for this client. Why was this treatment recommended?
1. It's the only option for controlling alcohol consumption.
2. It helps the client identify a new group of friends.
3. It helps the client understand the effects of alcohol on his body.
Page 1 of 85
,4. It helps the client identify the relationship between his problems and
alcohol consumption. - ✔✔✔ Correct Answer > Correct Answer: 4
RATIONALES: The purpose of rehabilitative treatment in alcoholism is to help
the client identify the relationship between his problems and his alcohol
consumption. Rehabilitative treatment promotes abstinence, not limiting or
controlling consumption. It isn't intended to help the client identify a new group
of friends or understand the effects of alcohol on his body.
A man at a pizza parlor verbally confronts the waiter for lack of attentiveness.
Later, in the back room, the waiter spits on the man's pizza. This is an example
of a behavior typical of which disorder?
1. Obsessive-compulsive
2. Narcissistic
3. Passive-aggressive
Page 2 of 85
,4. Dependent - ✔✔✔ Correct Answer > Correct Answer: 3
RATIONALES: This is an example of a negative attitude and passive-
aggressive behavior in response to demands for adequate performance. People
with this disorder won't confront or discuss issues with others but will go to
great lengths to "get even." Obsessive-compulsive disorder involves rituals or
rules that interfere with normal functioning. A person with a narcissistic
personality has an exaggerated sense of self-worth. A person with a dependent
personality is submissive and frequently apologizes and backs down when
confronted.
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:
1. subarachnoid space.
2. area between the subarachnoid space and the dura mater.
3. area between the dura mater and the ligamentum flavum.
Page 3 of 85
, 4. ligamentum flavum. - ✔✔✔ Correct Answer > 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 > 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.
The nurse must irrigate a gaping abdominal incision with sterile normal saline,
using a piston syringe. How should the nurse proceed?
Page 4 of 85
QUESTIONS AND CORRECT
DETAILED SOLUTIONS LATEST
EXAM GRADED A+ WITH
RATIONALES
A 40-year-old client is admitted to the hospital for alcohol abuse for the third
time in the past 9 months. The health care team recommends rehabilitative
treatment for this client. Why was this treatment recommended?
1. It's the only option for controlling alcohol consumption.
2. It helps the client identify a new group of friends.
3. It helps the client understand the effects of alcohol on his body.
Page 1 of 85
,4. It helps the client identify the relationship between his problems and
alcohol consumption. - ✔✔✔ Correct Answer > Correct Answer: 4
RATIONALES: The purpose of rehabilitative treatment in alcoholism is to help
the client identify the relationship between his problems and his alcohol
consumption. Rehabilitative treatment promotes abstinence, not limiting or
controlling consumption. It isn't intended to help the client identify a new group
of friends or understand the effects of alcohol on his body.
A man at a pizza parlor verbally confronts the waiter for lack of attentiveness.
Later, in the back room, the waiter spits on the man's pizza. This is an example
of a behavior typical of which disorder?
1. Obsessive-compulsive
2. Narcissistic
3. Passive-aggressive
Page 2 of 85
,4. Dependent - ✔✔✔ Correct Answer > Correct Answer: 3
RATIONALES: This is an example of a negative attitude and passive-
aggressive behavior in response to demands for adequate performance. People
with this disorder won't confront or discuss issues with others but will go to
great lengths to "get even." Obsessive-compulsive disorder involves rituals or
rules that interfere with normal functioning. A person with a narcissistic
personality has an exaggerated sense of self-worth. A person with a dependent
personality is submissive and frequently apologizes and backs down when
confronted.
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:
1. subarachnoid space.
2. area between the subarachnoid space and the dura mater.
3. area between the dura mater and the ligamentum flavum.
Page 3 of 85
, 4. ligamentum flavum. - ✔✔✔ Correct Answer > 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 > 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.
The nurse must irrigate a gaping abdominal incision with sterile normal saline,
using a piston syringe. How should the nurse proceed?
Page 4 of 85
