NACE EXAM
with Correct
Answers
petel petish [Date] [Course title]
,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. - Correct Answer: 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. - Correct
Answer: 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. - Correct Answer:
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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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
with Correct
Answers
petel petish [Date] [Course title]
,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. - Correct Answer: 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. - Correct
Answer: 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. - Correct Answer:
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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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. - Correct Answer: 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
