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Exam (elaborations)

UPDATED NLN NACE PREP EXAM 2024 WITH 100% ACCURATE ANSWERS

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UPDATED NLN NACE PREP EXAM 2024 WITH 100% ACCURATE ANSWERS

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  • September 7, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • UPDATED NLN NACE
  • UPDATED NLN NACE
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PRETTYGRADES81
UPDATED NLN NACE PREP EXAM 2024
WITH 100% ACCURATE ANSWERS ENT
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,UPDATED NLN NACE PREP EXAM 2024
WITH 100% ACCURATE ANSWERS
Accurate blood pressure monitoring - correct answersUse the same arm each time

- varies up to 10 mm Hg in each arm

- provides consistency



Fluid volume deficit - correct answersDiminished skin turgid, decreased urine output, and fever



Mineral oil laxative - correct answersDecreases absorption of Vitamin A,D,E, and K which are fat soluble
vitamins that dissolve in the oil and pass out of the body without being absorbed



A nurse is caring for a client that has not voided for several hours. When percussing the client's bladder
to assess for distention, the nurse should expect to hear...... - correct answersDullness

This indicates a full bladder

-Tympany means empty

-Hyperrenosance is an abnormal pulmonary sound

-Renosance is a vibration



A client is receiving intermittent nasogastric tube feedings. A nurse should aspirate the residual stomach
contents prior to administering a scheduled feeding to..... - correct answersDetermine absorption of
feedings



Which medication should be delivered using the z-track method? - correct answersIron
dextran(Imferon) to prevent tissue damage



A nurse is to administer medication to 2 clients sitting in the lounge with several other clients. What
action by the nurse is appropriate? - correct answersCheck name bands on the clients' arms

, A client is to be checked for residual urine. At which time should the procedure be performed? - correct
answersImmediately after the client voids



A nurse is to obtain a residual urine specimen from an elderly client whose indwelling foley catheter was
just removed. What is the purpose of a residual urine specimen? - correct answersTo assess for urinary
retention



A nurse is caring for a client receiving intravenous therapy. What would indicate to the nurse that the
intravenous infusion has infiltrated? - correct answersCutaneous tissue at the intravenous site is swollen

-the IV catheter should be removed and a new site should be restarted



Which of the following measures should a nurse include in the plan of care of a patient with
hyperthyroidism? - correct answersKeeping the client's environment cool

-A client with hyperthyroidism is heat intolerant

-The client should be encouraged to eat foods high in calories because they are often below their ideal
weight and have difficulty maintaining a healthy weight



A nurse should reinforce the instructions to the family of a client who has propulsive gait related to
Parkinsons Disease? - correct answersKeep the floor of the client's surroundings free of obstacles

-Propulsive gait is a stooping, rigid posture with the head and neck bent forward. Steps tend to become
faster and shorter.

-Encourage the client to ambulate as much as they want in order to maintain activity level



Which of these measures should a nurse emphasize when feeding a client with left side facial paralysis
who has difficulty swallowing? - correct answersPlacing the food on the unaffected side of the client's
mouth

-prevents aspiration



Before assisting a patient who is on day postop OOB for the first time, a nurse should take which action?
- correct answersAssess pulse and blood pressure in order to assess the client for orthostatic
hypotension

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