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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

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

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