NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which sign might the nurse see in a client with a high ammonia level?
Correct Answer: A
Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 2 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
When reviewing the immunization schedule for a 12-month-old, the nurse would expect that the infant had been previously immunized against:
Question 3 of 5
Pertussis, tetanus, polio, and measles.
Correct Answer: B
Rationale: The recommended immunization schedule for infants includes administration of the combined diphtheria, pertussis, and tetanus vaccine and the trivalent oral polio virus at ages 2, 4, and 6 months.
Extract:
Question 4 of 5
The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:
Correct Answer: C
Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.
Question 5 of 5
Which sign might the nurse see in a client with a high ammonia level?
Correct Answer: A
Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential