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Exam Code: NCLEX-RN

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

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

Last Update: 2016-10-20

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NO.1 A female client has just died. Her family is requesting that all nursing staff leave the room. The
family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the
room, requesting that only family members be present. The nurse assigned to the client should
perform the appropriate nursing action, which might include:
A. Tell the family that they may conduct their ceremony in the client's room; however, the nurse
must attend.
B. Inform the family that it is the hospital's policy not to conduct religious ceremonies in client rooms
.
C. Respect the client's family's wishes.
D. Refuse to leave the room because the client's body is entrusted in the nurse's care until it can be
brought to the morgue.
Answer: C

NCLEX-RN Training Materials   NCLEX-RN original questions   
Explanation:
(A) It is rare that a hospital has a specific policy addressing this particular issue. If the statement is
true, the nurse should show evidence of the policy to the family and suggest alternatives, such as the
hospital chapel. (B) Refusal to leave the room demonstrates a lack of understanding related to the
family's need to grieve in their own manner. (C) The nurse should leave the room and allow the
family privacy in their grief. (D) The family's wish to conduct a religious ceremony in the client's room
is part of the grief process. The request is based on specific cultural and religious differences dictating
social customs.

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. Hold the morning lithium dose and continue to observe the client
B. Obtain an order for benztropine (Cogentin)
C. Administer the morning lithium dose as scheduled
D. Notify the physician immediately
Answer: C

NCLEX-RN Exam Tests   
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).