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Exam Code: NCLEX-RN

Exam Name: National Council Licensure Examination(NCLEX-RN)

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NCLEX-RN Exam Tests Total Q&A: 865 Questions and Answers

Last Update: 2016-10-23

NCLEX-RN Exam Questions Detail: NCLEX-RN Exam Tests

 

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NO.1 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h
via nasogastric tube. The rationale for this therapy is to:
A. Decrease ammonia formation
B. Acidify the small bowel
C. Promote diuresis
D. Prevent systemic infection
Answer: A

NCLEX-RN braindump   
Explanation:
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic
coma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the
liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break
down protein into ammonia. (D) Lactulose is administered to create an acid environment in the
bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and
excreted.

NO.2 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. Notify the physician immediately
B. Obtain an order for benztropine (Cogentin)
C. Administer the morning lithium dose as scheduled
D. Hold the morning lithium dose and continue to observe the client
Answer: C
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).