NCLEX certification NCLEX-RN relevant questions NCLEX-RN Free download NCLEX-RN well

NCSBN is dedicated to developing psychometrically sound and legally defensible nurse licensure and certification examinations consistent with current practice. These exams include the NCLEX-RN and NCLEX-PN Examinations, National Nurse Aide Assessment Program (NNAAP) and the Medication Aide Certification Examination (MACE).

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Exam Code: NCLEX-RN
Exam Name: National Council Licensure Examination(NCLEX-RN)
One year free update, No help, Full refund!
NCLEX-RN Free download Total Q&A: 865 Questions and Answers
Last Update: 12-27,2016

NCLEX-RN Papers Detail: NCLEX-RN Free download

NO.1 A client has been taking lithium 300 mg po bid for the past two weeks. This morning her
lithium level was 1 mEq/L. The nurse should:
A. Administer the morning lithium dose as scheduled
B. Notify the physician immediately
C. Hold the morning lithium dose and continue to observe the client
D. Obtain an order for benztropine (Cogentin)
Answer: A

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Explanation:
(A) There is no need to phone the physician because the lithium level is within therapeutic range and
because there are no indications of toxicity present. (B) There is no reason to withhold the lithium
because the blood level is within therapeutic range. Also, it is necessary to give the medication as
scheduled to maintain adequate blood levels. (C) The lab results indicate that the client's lithium level
is within therapeutic range (0.2-1.4 mEq/L), so the medication should be given as ordered. (D)
Benztropine is an antiparkinsonism drug frequently given to counteractextrapyramidal symptoms
associated with the administration of antipsychotic drugs (not lithium).

NO.2 In client teaching, the nurse should emphasize that fetal damage occurs more frequently with
ingestion of drugs during:
A. First trimester
B. Every trimester
C. Third trimester
D. Second trimester
Answer: A

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Explanation:
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this
period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete
by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire
pregnancy.

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