NLN NACE Prep ACTUAL EXAM TEST
QUESTIONS & ANSWERS (A+ GRADED 100%
VERIFIED) 2025 LATEST!!
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Terms in this set (119)
A nurse is caring for a Dullness
client that has not voided This indicates a full bladder
for several hours. When -Tympany means empty
percussing the client's -Hyperrenosance is an abnormal pulmonary sound
bladder to assess for -Renosance is a vibration
distention, the nurse
should expect to hear......
A client is receiving Determine absorption of feedings
intermittent nasogastric
tube feedings. A nurse
should aspirate the
residual stomach
contents prior to
administering a
scheduled feeding to.....
Which medication should Iron dextran(Imferon) to prevent tissue damage
be delivered using the z-
track method?
A nurse is to administer Check name bands on the clients' arms
medication to 2 clients
sitting in the lounge with
several other clients.
What action by the nurse
is appropriate?
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A client is to be checked Immediately after the client voids
for residual urine. At
which time should the
procedure be
performed?
A nurse is to obtain a To assess for urinary retention
residual urine specimen
from an elderly client
whose indwelling foley
catheter was just
removed. What is the
purpose of a residual
urine specimen?
A nurse is caring for a Cutaneous tissue at the intravenous site is swollen
client receiving -the IV catheter should be removed and a new site
intravenous therapy. What should be restarted
would indicate to the
nurse that the intravenous
infusion has infiltrated?
Keeping the client's environment cool
Which of the following
-A client with hyperthyroidism is heat intolerant
measures should a nurse
-The client should be encouraged to eat foods high
include in the plan of
in calories because they are often below their ideal
care of a patient with
weight and have difficulty maintaining a healthy
hyperthyroidism?
weight
Keep the floor of the client's surroundings free of
A nurse should reinforce obstacles
the instructions to the -Propulsive gait is a stooping, rigid posture with the
family of a client who has head and neck bent forward. Steps tend to become
propulsive gait related to faster and shorter.
Parkinsons Disease? -Encourage the client to ambulate as much as they
want in order to maintain activity level
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Which of these measures Placing the food on the unaffected side of the
should a nurse client's mouth
emphasize when feeding -prevents aspiration
a client with left side
facial paralysis who has
difficulty swallowing?
Before assisting a patient Assess pulse and blood pressure in order to assess
who is on day postop the client for orthostatic hypotension
OOB for the first time, a
nurse should take which
action?
Which of these objectives Prevent contractures
is most important to -it will decrease the client's functional abilities
include in the care of a
client with multiple
sclerosis?
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?
A nurse is caring for a Keep the system below the level of the client's waist
client who had a right -prevents backflow of fluids
lower lobectomy and has
a closed water-sealed
chest drainage system in
place. Which action
should the nurse include
as part of the plan of
care?
A client who is suspected "Do you experience heartburn after a large meal?"
of having a hiatal hernia is -They need to eat small, frequent meals
admitted to the hospital.
Which question is
important for the nurse to
ask?
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