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NACE EXAM LATEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder to ass$25.49
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NACE EXAM LATEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder to ass
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Course
NACE EXA
Institution
NACE EXA
NACE EXAM LATEST 2024 ACTUAL EXAM 130
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder
to assess for distention, the nurse should expect to...
NACE EXAM LATEST 2024 ACTUAL EXAM 130
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder
to assess for distention, the nurse should expect to hear which of these sounds?
-Tympany
-Hyperresonance
-Dullness
-Resonance.
Dullness
A nurse is preparing to change a client's sterile dressing. Which actions by the nurse, if observed, would
contaminate the sterile field?
-The nurse opens the sterile dressing tray without touching the inner surface of the wrapper
-The nurse removes the indicator tape from a package of sterile 4x4's and opens the first flap with a
motion away from the nurse's body
-The nurse spills sterile saline on the sterile field
-The nurse handles the inside of the sterile gown when putting it on.
The nurse spills sterile saline on the sterile field.
A nurse removes an indwelling urethral (Foley) catheter from a client. Six hours later, the nurse notes
that the client has not voided. Which of these actions should the nurse take?
-Apply pressure to the client's suprapubic area
-Obtain an order to recatheterize the client
-Run the tap water while the client is on the toilet
-Tell the client to call whenever there is the urge to void.
Run the tap water while the client is on the toilet.
A client who is jaundiced reports itching. To relieve the itching, which of these measures would be most
helpful?
-Having the client wear clothing made from synthetic fibers
-Giving the client sponge baths with tepid water several times a day
-Rubbing the client's skin with diluted alcohol
-Exposing the client to the direct rays of the sun.
Giving the client sponge baths with tepid water several times a day.
,A nurse is assigned to care for a client who has pulmonary tuberculosis and is coughing. Which of these
protective devices should the nurse put on before entering the client's room to give an oral medication?
-Mask
-Gloves
-Gown
-Eye shield.
Mask
A nurse is instructing a client on how to limit saturated fat intake and increase intake of foods high in
polyunsaturated fat. Which of these fats is highest in polyunsaturated fatty acids?
-Corn oil
-Vegetable shortening
-Olive oil
-Butter.
corn oil
A nurse obtains a tympanic electronic thermometer reading of 97F (36.1C) on a client who is flushed and
warm to touch. Which of these actions should the nurse take next?
-Return the electronic unit and connect it to the source to recharge the batteries
-Report the reading to the nurse-in-charge
-Recheck the temperature with another thermometer
-Recheck the temperature in a half-hour.
Recheck the temperature with another thermometer
A nurse who is caring for a client with a nursing diagnosis of impaired physical mobility repositions the
client every two hours. Which of these steps of the nursing process does the nurse demonstrate?
-Planning
-Assessing
-Analyzing
-Implementing.
Implementing
Before nurses obtain information about a client's sexual health status as part of the admission
assessment, it would be most important for nurses to assess their own
-interviewing techniques
-gender role identity
, -knowledge of sexual reproduction
-personal attitudes about sexuality.
personal attitudes about sexuality
A nurse is caring for a client whose laboratory reports indicate hypernatremia. Which of these measures
should be included in this client's plan of care?
-Inserting an indwelling catheter
-Increasing fluid intake
-Elevating the lower extremities
-Monitoring respiratory rate.
increasing fluid intake
A nurse is teaching a client how to maintain a low-fat diet when dining out in restaurants. During the
interview, the client gazes out the window without comment or question. The nurse should take which
of these actions?
-Say nothing more until the client makes a verbal response
-Use visual aids to get the client's attention
-Say, "You don't seem very interested in this discussion
-"Ask, "Why are you behaving in this hostile manner?"
Say nothing more until the client makes a verbal response
A nurse prepares to teach a client how to self-administer injections. The nurse has planned to teach the
client about the medication during this session. The client says repeatedly, "You mean I have to stick
myself with a needle?" Which of these responses would be most supportive of the learning process?
-I see that you're upset, but let's start by discussing what the drug can do for you
-Many people have this same concern, but it won't be as hard as you expect
-You're bothered by the thought of injecting yourself
-I wonder if you're reacting to the feelings that people have about illegal drug use.
You're bothered by the thought of injecting yourself
A client has an order for psyllium hydrophilic mucilloid (Metamucil) 1 packet po qd. Which of these
actions is essential when a nurse is preparing to administer this medication?
-Prepare the medication with four ounces of juice
-Provide special mouth care after medication administration.
-Administer the medication after it stops effervescing.
-Monitor bowel sounds before administration.
Monitor bowel sounds before administration.
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