NACE Care Of Childbearing Family Actual Exam | Exam With Complete Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ | Guaranteed Pass.

NACE Care Of Childbearing Family Actual Exam | Exam With Complete Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ | Guaranteed Pass. Which of these measures is most important for a nurse to include in the plan of care for a client who has Parkinson's disease? Providing a cool environment for the client. Encouraging the client to breathe deeply and cough. Limiting physical activity for the client. Increasing the amount of fiber in the client's diet. – Correct Answer :It is important to increase the amount of fiber in the diet of a client with Parkinson's disease to prevent constipation. The environment of a client with Parkinson's disease should be warm. It is not necessary to encourage a client with Parkinson's disease to cough and deep breathe, but should be encouraged to perform physical activity. A client who is on bed rest with an indwelling urinary catheter has had no urinary drainage for the past four hours. Which of these actions should a nurse take first? Force fluids. Elevate the client's legs. Palpate the client's suprapubic area. Ensure the drainage bag is below the level of the bed. – Correct Answer :Urine from a Foley catheter drains by gravity, and thus the drainage bag needs to be below the level of the bed. Forcing fluids, elevating the client's legs, and palpating the client's suprapubic area are not the first actions a nurse should take for this client. Which of these problems should a nurse monitor for in a client who is diagnosed with Parkinson's disease and has difficulty swallowing? Gastritis. Gingivitis. Aspiration. Sore throat. – Correct Answer :A client with Parkinson's disease who has difficulty swallowing is at increased risk of aspiration. Gastritis, gingivitis, and sore throat are not caused by a client having difficulty swallowing When planning care for elderly clients in long-term care facilities a nurse should give highest priority for which of these measures? Ensuring that they consume at least one liter of fluids daily. Maintaining a safe environment. Securing assistance from family members. Identifying sensory problems and making appropriate referral. – Correct Answer :Maintaining a safe environment is always a priority for elderly clients. Although all the options are important they are not the highest priority. A nurse is to administer an oral medication to a client who just vomited. Which of these actions should the nurse take? Withhold the medication and inform the health care provider. Give the client a carbonated beverage 30 minutes prior to administering the medication. Crush the medication and administer in applesauce. Ask the pharmacy for the medication to be administered by another route. – Correct Answer :If a client has just vomited, a nurse should withhold the medication and inform the HCP. Giving the client a carbonated beverage 30 minutes prior to the administration of the medication may cause increased vomiting. Crushing the medication is not appropriate as the client could still vomit up the applesauce. The physician must order a change in the route of the medication. A 76-year-old male client who is newly diagnosed with prostate cancer is weighing his options to undergo chemotherapy or radiation as his treatment. Which ethical principle is the client utilizing in making his decision? Confidentiality. Justice. Autonomy. Beneficence. – Correct Answer :A patient who is making a decision about a treatment regimen is exercising the ethical principle of autonomy. Autonomy is the personal freedom, self-determination, and right to make one's own decisions. Beneficence or nonmaleficence are actions that promote good and attempts to do things that benefit others and do no harm. Confidentiality is the social contract guaranteeing one's privacy. Justice is treating people fairly and equally as to benefits, resources, and burdens. A nurse caring for a postoperative client should keep the knee gatch of the bed low while the client is in supine position to avoid which of these conditions from developing? Respiratory restrictions. Pressure on the popliteal space. Abduction of the hip. Foot drop. – Correct Answer :The popliteal space is the underside of the knee. Raising the knee gatch would place pressure on the popliteal space. A nurse notes a temperature of 100F (32.2C), dry oral mucous membranes, and urine specific gravity of 1.035 in an 84-year-old client admitted to the hospital. Which of these nursing diagnoses should be the priority? Fluid volume deficit. Impaired skin integrity. Urinary retention. Ineffective thermoregulation. – Correct Answer :These are symptoms of dehydration. Therefore the nurse should address the diagnosis of fluid volume deficit. Normal single urine specific gravity ranges from 1.002 to 1.030. A 24-hour specimen of normal urine should be between 1.015 and 1.025. Once the patient is hydrated, the patient's symptoms of urinary retention, ineffective thermoregulation and impaired skin integrity should not persist. A nurse should make an incident report for which of these events? A client tells the nurse that he would not want to live if he were to become unconscious and have to depend on a respirator. A nurse contaminates and discards two catheters when catheterizing a client. A nurse who has never had back pain before feels a twinge of back pain when moving a client up in bed. A nurse finds a visitor saying a prayer with a client who has been admitted for an appendectomy. - Correct Answer :If a nurse who has never had back pain before feels a twinge of back pain when moving a patient up in bed, the nurse should make an incident report. Incident reporting is a process in which occurrences that are inconsistent with routine facility operation or patient care are documented. Incident reports are generated for four types of medical errors: near misses, adverse events, intentional unsafe acts, and sentinel events. These events may affect any person on the premises, including patients, employees, physicians, visitors, students, or volunteers. The other options (a patient tells the nurse that he would not want to live if he were to become unconscious and have to depend on a respirator, a nurse finds a visitor praying with a patient who has been admitted for an appendectomy, and a nurse contaminates and discards two catheters when catheterizing a patient) are events that a nurse would not create an incident report for.