NLN NACE Prep Exam with Verified Answers 100% Pass
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Course
NLN NACE
Institution
NLN NACE
NLN NACE Prep Exam with Verified Answers 100% Pass
1. A nurse is caring for a client
that has not voided for sever-
al hours. When percussing the
client's bladder to assess for
distention, the nurse should
expect to hear......
2. A client is receiving intermit-
tent nasogastric tube feed-
...
NLN NACE Prep Exam with Verified Answers 100% Pass
1. A nurse is caring for a client Dullness
that has not voided for sever- This indicates a full bladder
al hours. When percussing the -Tympany means empty
client's bladder to assess for -Hyperrenosance is an abnormal pul-
distention, the nurse should monary sound
expect to hear...... -Renosance is a vibration
2. A client is receiving intermit- Determine absorption of feedings
tent nasogastric tube feed-
ings. A nurse should aspi-
rate the residual stomach con-
tents prior to administering a
scheduled feeding to.....
3. Which medication should be Iron dextran(Imferon) to prevent tissue
delivered using the z-track damage
method?
4. A nurse is to administer med- Check name bands on the clients' arms
ication to 2 clients sitting in
the lounge with several oth-
er clients. What action by the
nurse is appropriate?
5. A client is to be checked for Immediately after the client voids
residual urine. At which time
should the procedure be per-
formed?
6. A nurse is to obtain a residual To assess for urinary retention
urine specimen from an elder-
ly client whose indwelling fo-
ley catheter was just removed.
What is the purpose of a resid-
ual urine specimen?
7. A nurse is caring for a client Cutaneous tissue at the intravenous site is
receiving intravenous thera- swollen
py. What would indicate to the
, nurse that the intravenous in- -the IV catheter should be removed and a
fusion has infiltrated? new site should be restarted
8. Which of the following mea- Keeping the client's environment cool
sures should a nurse include -A client with hyperthyroidism is heat intol-
in the plan of care of a patient erant
with hyperthyroidism? -The client should be encouraged to eat
foods high in calories because they are of-
ten below their ideal weight and have diffi-
culty maintaining a healthy weight
9. A nurse should reinforce the Keep the floor of the client's surroundings
instructions to the family of free of obstacles
a client who has propulsive -Propulsive gait is a stooping, rigid posture
gait related to Parkinsons Dis- with the head and neck bent forward. Steps
ease? tend to become faster and shorter.
-Encourage the client to ambulate as much
as they want in order to maintain activity
level
10. Which of these measures Placing the food on the unaffected side of
should a nurse emphasize the client's mouth
when feeding a client with left -prevents aspiration
side facial paralysis who has
difficulty swallowing?
11. Before assisting a patient who Assess pulse and blood pressure in order
is on day postop OOB for the to assess the client for orthostatic hypoten-
first time, a nurse should take sion
which action?
12. Which of these objectives is Prevent contractures
most important to include in -it will decrease the client's functional abili-
the care of a client with multi- ties
ple sclerosis?
13. A client who is terminally Standard Precautions
ill with AIDS is admitted to
the hospital. What precaution
, should be included in the
client's plan of care?
14. A nurse is caring for a client Keep the system below the level of the
who had a right lower lobec- client's waist
tomy and has a closed wa- -prevents backflow of fluids
ter-sealed chest drainage sys-
tem in place. Which action
should the nurse include as
part of the plan of care?
15. A client who is suspected of "Do you experience heartburn after a large
having a hiatal hernia is ad- meal?"
mitted to the hospital. Which -They need to eat small, frequent meals
question is important for the
nurse to ask?
16. A nurse discovers flames in Rescue the client
a wastebasket in the room of
a client who is a paraplegic.
What action should the nurse
take first?
17. A nurse is caring for a Every 2hours to check circulation
client whose arms are in re- -Manual restraints can decrease circulation
straints. When is it essential
for the nurse to remove the re-
straints?
18. A nurse is instructing an adult The client pulls the ear lobe down and back
client on the correct technique when administering the ear drops
for ear drop instillation. What -Ages 3 and up should be pulled up and
action by the client indicates outward
the need for further teaching?
19. A nurse obtains lab results for Prothrombin time of 32 seconds
a client prior to surgery. What -May be indicative of bleeding/clotting prob-
should the nurse report to the lems
physician? -Normal is 11-15 seconds
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