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Foundations of Nursing Exam NACE NEW VERSION LATEST UPDATE WITH ACCURATE ANSWERS GUARANTEED PASS BEST STUDYING MATERIAL WITH 100 QUESTIONS$24.99
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Foundations of Nursing Exam NACE NEW
VERSION LATEST UPDATE 2024-2025 WITH
ACCURATE ANSWERS GUARANTEED PASS BEST
STUDYING MATERIAL WITH 100 QUESTIONS
The nurse is planning care for a group of stable patients. Which task will the nurse assign to the
nursing assistive personnel?
a. Measuring capillary blood glucose level
b. Measuring nasoenteric tube for insertion
c. Measuring pH in gastrointestinal aspirate
d. Measuring the patient's risk for aspiration
- ANSWERS-144. ANS: A
The skill of measuring blood glucose level after skin puncture (capillary puncture) can be
delegated to nursing assistive personnel when the patient's condition is stable. The other skills
cannot be delegated. A nurse must measure a nasoenteric tube for insertion, pH in
gastrointestinal aspirate, and patient's risk for aspiration.
. When planning care for an adolescent who plays sports, which modification should the nurse
include in the care plan?
a. Increasing carbohydrates to 55% to 60% of total intake
b. Providing vitamin and mineral supplements
c. Decreasing protein intake to 0.75 g/kg/day
d. Limiting water before and after exercise
- ANSWERS-ANS: A
Sports and regular moderate to intense exercise necessitate dietary modification to meet
increased energy needs for adolescents. Carbohydrates, both simple and complex, are the main
source of energy, providing 55% to 60% of total daily kilocalories. Protein needs increase to 1 to
1.5 g/kg/day. Fat needs do not increase. Adequate hydration is very important. Adolescents
need to ingest water before and after exercise to prevent dehydration, especially in hot, humid
,environments. Vitamin and mineral supplements are not required, but intake of iron-rich foods
is required to prevent anemia.
. In providing prenatal care to a pregnant patient, what does the nurse teach the expectant
mother?
a. Calcium intake is especially important in the first trimester.
b. Protein intake needs to decrease to preserve kidney function.
c. Folic acid is needed to help prevent birth defects and anemia.
d. Extra vitamins and minerals should be taken as much as possible.
- ANSWERS-ANS: C
Folic acid intake is particularly important for DNA synthesis and growth of red blood cells.
Inadequate intake may lead to fetal neural tube defects, anencephaly, or maternal
megaloblastic anemia. Protein intake throughout pregnancy needs to increase to 60 g daily.
Calcium intake is especially critical in the third trimester, when fetal bones mineralize. Prenatal
care usually includes vitamin and mineral supplementation to ensure daily intakes; however,
pregnant women should not take additional supplements beyond prescribed amounts.
. A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube
placement?
a. X-ray
b. pH testing
c. Auscultation
d. Aspiration of contents
- ANSWERS-ANS: A
At present, the most reliable method for verification of placement of small-bore feeding tubes
is x-ray examination. Aspiration of contents and pH testing are not infallible. The nurse would
need a more precise indicator to help differentiate the source of tube feeding aspirate.
Auscultation is no longer considered a reliable method for verification of tube placement
because a tube inadvertently placed in the lungs, pharynx, or esophagus transmits sound
similar to that of air entering the stomach.
, The nurse is concerned about pulmonary aspiration when providing care to the patient with an
intermittent tube feeding. Which action is the priority?
a. Observe the color of gastric contents.
b. Verify tube placement before feeding.
c. Add blue food coloring to the enteral formula.
d. Run the formula over 12 hours to decrease overload
. - ANSWERS-ANS: B
A major cause of pulmonary aspiration is regurgitation of formula. The nurse needs to first
verify tube placement and elevate the head of the bed 30 to 45 degrees during feedings and for
2 hours afterward. While observing the color of gastric contents is a component, it is not the
priority component; pH is the primary component. The addition of blue food coloring to enteral
formula to assist with detection of aspirate is no longer used. Do not hang formula longer than
4 to 8 hours. Formula becomes a medium for bacterial growth after that length of time.
. The patient is to receive multiple medications via the nasogastric tube. The nurse is concerned
that the tube may become clogged. Which action is best for the nurse to take?
a. Instill nonliquid medications without diluting.
b. Irrigate the tube with 60 mL of water after all medications are given.
c. Mix all medications together to decrease the number of administrations.
d. Check with the pharmacy for availability of the liquid forms of medications.
- ANSWERS-ANS: D
Use liquid medications when available to prevent tube occlusion. Irrigate with 30 mL of water
before and after each medication per tube. Completely dissolve crushed medications in liquid if
liquid medication is not available. Read pharmacological information on compatibility of drugs
and formula before mixing medications.
. The patient has just been started on an enteral feeding and has developed diarrhea after
being on the feeding for 2 hours. What does the nurse suspect is the most likely cause of the
diarrhea?
a. Antibiotic therapy
b. Clostridium difficile
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