NCLEX-PN
NGN
Questions
Review
Latest
Update 2025
,The nurse is performing a baseline assessment of a client's skin integrity. Which of the following is a key
assessment parameter?
1. Family history of pressure ulcers
2. Presence of existing pressure ulcers
3. Potential areas of pressure ulcer development
4. Overall risk of developing pressure ulcers
Correct Answer: 4
RATIONALES: When assessing skin integrity, the overall risk potential for developing pressure ulcers
takes priority. Overall risk encompasses existing pressure ulcers as well as potential areas for
development of pressure ulcers. Family history isn't important when assessing skin integrity.
,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.
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
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.
NGN
Questions
Review
Latest
Update 2025
,The nurse is performing a baseline assessment of a client's skin integrity. Which of the following is a key
assessment parameter?
1. Family history of pressure ulcers
2. Presence of existing pressure ulcers
3. Potential areas of pressure ulcer development
4. Overall risk of developing pressure ulcers
Correct Answer: 4
RATIONALES: When assessing skin integrity, the overall risk potential for developing pressure ulcers
takes priority. Overall risk encompasses existing pressure ulcers as well as potential areas for
development of pressure ulcers. Family history isn't important when assessing skin integrity.
,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.
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
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.
