NCLEX-PN QUESTIONS FOR 2024-2025 WITH CORRECT ANSWERS
"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."
"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.
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."
"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."
"An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which treatment
approach would be most effective for this client?
,1. Administering insulin once per day
2. Administering multiple doses of insulin
3. Limiting dietary fat intake
4. Substituting an oral antidiabetic agent for insulin - CORRECT ANSWER: 2
RATIONALES: During an adolescent growth spurt, a regimen of multiple insulin doses achieves
better control of the blood glucose level because it more closely simulates endogenous insulin
release. A single daily dose of insulin wouldn't control this client's blood glucose level as
effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level. An
adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an
oral antidiabetic agent instead of insulin."
"A client is admitted to the health care facility with bowel obstruction secondary to colon cancer.
The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which
step of the nursing process is the nurse performing?
1. Planning
2. Data collection
, 3. Evaluation
4. Implementation - CORRECT ANSWER: 2
RATIONALES: During the data collection step of the nursing process, the nurse obtains the client's
health history, measures vital signs, and performs a physical examination to gather data for use
in formulating the nursing diagnoses. During the planning step, the nurse designs methods to
help resolve client problems and meet client needs. During evaluation, the nurse determines the
effectiveness of nursing interventions in achieving client goals. During implementation, the nurse
takes actions to meet the client's needs."
"The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who
has just had abdominal surgery. When administering this drug, the nurse should use a needle of
which size?
1. 18G
2. 20G
3. 23G
4. 27G - CORRECT ANSWER: 3
"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."
"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.
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."
"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."
"An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which treatment
approach would be most effective for this client?
,1. Administering insulin once per day
2. Administering multiple doses of insulin
3. Limiting dietary fat intake
4. Substituting an oral antidiabetic agent for insulin - CORRECT ANSWER: 2
RATIONALES: During an adolescent growth spurt, a regimen of multiple insulin doses achieves
better control of the blood glucose level because it more closely simulates endogenous insulin
release. A single daily dose of insulin wouldn't control this client's blood glucose level as
effectively. Limiting dietary fat intake wouldn't help the body use glucose at the cellular level. An
adolescent with type 1 diabetes mellitus doesn't produce insulin and therefore can't receive an
oral antidiabetic agent instead of insulin."
"A client is admitted to the health care facility with bowel obstruction secondary to colon cancer.
The nurse obtains a health history, measures vital signs, and auscultates for bowel sounds. Which
step of the nursing process is the nurse performing?
1. Planning
2. Data collection
, 3. Evaluation
4. Implementation - CORRECT ANSWER: 2
RATIONALES: During the data collection step of the nursing process, the nurse obtains the client's
health history, measures vital signs, and performs a physical examination to gather data for use
in formulating the nursing diagnoses. During the planning step, the nurse designs methods to
help resolve client problems and meet client needs. During evaluation, the nurse determines the
effectiveness of nursing interventions in achieving client goals. During implementation, the nurse
takes actions to meet the client's needs."
"The physician prescribes meperidine (Demerol), 1.1 mg/kg I.M., for a 16-month-old child who
has just had abdominal surgery. When administering this drug, the nurse should use a needle of
which size?
1. 18G
2. 20G
3. 23G
4. 27G - CORRECT ANSWER: 3
