NCLEX-PN 3000 Questions Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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NCLEX-PN 3000 Questions Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Which finding in a neonate suggests hypothermia?
• Bradycardia
• Hyperglycemia
• Metabolic alkalosis

4. Shivering Correct Answer: 1

• 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?

• To reprimand the involved staff members for their actions
• To identify the learning needs of staff to prevent incident recurrences
• To reprimand the nurse-manager responsible for the unit

4. To hold people accountable for their actions Correct Answer: 2

• The parent of a preschooler with chickenpox asks the nurse about measures to

make the child comfortable. The nurse instructs the parent to avoid administering aspirin or any other product that contains salicylates. When given to children with chickenpox, aspirin has been linked to which disorder?

• Guillain-Barré syndrome
• Rheumatic fever
• Reye's syndrome

4. Scarlet fever Correct Answer: 3

• 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?

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• Planning
• Data collection
• Evaluation

4. Implementation Correct Answer: 2

• 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

• 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:

• subarachnoid space.
• area between the subarachnoid space and the dura mater.
• area between the dura mater and the ligamentum flavum.

4. ligamentum flavum.Correct Answer: 3

• 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 nurse must irrigate a gaping abdominal incision with sterile normal saline, using

a piston syringe. How should the nurse proceed?

• Irrigate continuously until the solution becomes clear or all of the solution has been

used.

• Moisten the area around the wound with normal saline after the irrigation.
• Apply a wet-to-dry dressing to the wound after the irrigation.
• Rapidly instill a stream of irrigating solution into the wound.Correct Answer: 1

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• An adolescent with type 1 diabetes mellitus is experiencing a growth spurt. Which

treatment approach would be most effective for this client?

• Administering insulin once per day
• Administering multiple doses of insulin
• Limiting dietary fat intake

4. Substituting an oral antidiabetic agent for insulin Correct Answer: 2

• As a client progresses through pregnancy, she develops constipation. What is the

primary cause of this problem during pregnancy?

• Decreased appetite
• Inadequate fluid intake
• Prolonged gastric emptying

4. Reduced intestinal motility Correct Answer: 4

• Initial client assessment information includes blood pressure 160/110 mm Hg,

pulse 88 beats/minute, respiratory rate 22 breaths/minute, and reflexes +3/+4 with 2 beat clonus. Urine specimen reveals +3 protein, negative sugar and ketones. Based on these findings, the nurse would expect the client to have which complaints?

• Headache, blurred vision, and facial and extremity swelling
• Abdominal pain, urinary frequency, and pedal edema
• Diaphoresis, nystagmus, and dizziness

4. Lethargy, chest pain, and shortness of breath Correct Answer: 1

• The nurse is performing a baseline assessment of a client's skin integrity. Which of

the following is a key assessment parameter?

• Family history of pressure ulcers
• Presence of existing pressure ulcers
• Potential areas of pressure ulcer development

4. Overall risk of developing pressure ulcers Correct Answer: 4

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• The nurse is preparing to boost a client up in bed. She instructs the client to use

the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?

• Friction
• Impaired circulation
• Localized pressure

4. Shearing forces Correct Answer: 4

• A geriatric client with Alzheimer's disease has been living with his grown child's

family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?

• "It's difficult dealing with Dad. It's a thankless job."
• "We had no idea this would be so difficult. It's our cross to bear."
• "Dad really seems to be making progress. We're hoping he'll be able to move back

into his house soon."

• "Dad has presented many challenges. We have alarms on all the outside doors now.

Respite care gives us a break." Correct Answer: 4

• The nurse is assessing an elderly client. When performing the assessment, the

nurse should consider that one normal age-related change is:

• cloudy vision.
• incontinence.
• diminished reflexes.

4. tremors.Correct Answer: 3

• An agitated, confused client arrives in the emergency department. The client's

history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by

ingesting:

• 2 to 5 g of a simple carbohydrate.