1
NLN NACE ACTUAL STUDY GUIDE
EXAM REVIEW
A nurse is caring for a Dullness
client that has not This indicates a full bladder
voided for several -Tympany means empty
-Hyperrenosance is an abnormal pulmonary sound
hours.
-Renosance is a vibration
When percussing the
client's bladder to
assess for 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.....
,2
Which medication Iron dextran(Imferon) to prevent tissue damage
should be delivered
using the z-track
method?
A nurse is to Check name bands on the clients' arms
administer
medication to 2 clients
sitting in the lounge
with several other
clients. What action by
the nurse is
appropriate?
A client is to be Immediately after the client voids
checked 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?
, 3
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
intravenous therapy. site should be restarted
What would indicate
to the nurse that the
intravenous infusion
has infiltrated?
Which of the following Keeping the client's environment cool
-A client with hyperthyroidism is heat intolerant
measures should a
-The client should be encouraged to eat foods
nurse include in the
high in calories because they are often
plan of care of a
below their ideal weight and have difficulty
patient with
hyperthyroidism? maintaining a healthy weight
A nurse should Keep the floor of the client's surroundings free of
obstacles
reinforce the
-Propulsive gait is a stooping, rigid posture
instructions to the
with the head and neck bent forward. Steps
family of a client who
tend to become faster and shorter.
has propulsive gait
-Encourage the client to ambulate as much as
related to Parkinsons
they want in order to maintain activity level
Disease?
Which of these Placing the food on the unaffected side of the client's
measures should a mouth
-prevents aspiration
nurse emphasize
when feeding a
client with left side
facial paralysis who
has difficulty
swallowing?
NLN NACE ACTUAL STUDY GUIDE
EXAM REVIEW
A nurse is caring for a Dullness
client that has not This indicates a full bladder
voided for several -Tympany means empty
-Hyperrenosance is an abnormal pulmonary sound
hours.
-Renosance is a vibration
When percussing the
client's bladder to
assess for 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.....
,2
Which medication Iron dextran(Imferon) to prevent tissue damage
should be delivered
using the z-track
method?
A nurse is to Check name bands on the clients' arms
administer
medication to 2 clients
sitting in the lounge
with several other
clients. What action by
the nurse is
appropriate?
A client is to be Immediately after the client voids
checked 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?
, 3
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
intravenous therapy. site should be restarted
What would indicate
to the nurse that the
intravenous infusion
has infiltrated?
Which of the following Keeping the client's environment cool
-A client with hyperthyroidism is heat intolerant
measures should a
-The client should be encouraged to eat foods
nurse include in the
high in calories because they are often
plan of care of a
below their ideal weight and have difficulty
patient with
hyperthyroidism? maintaining a healthy weight
A nurse should Keep the floor of the client's surroundings free of
obstacles
reinforce the
-Propulsive gait is a stooping, rigid posture
instructions to the
with the head and neck bent forward. Steps
family of a client who
tend to become faster and shorter.
has propulsive gait
-Encourage the client to ambulate as much as
related to Parkinsons
they want in order to maintain activity level
Disease?
Which of these Placing the food on the unaffected side of the client's
measures should a mouth
-prevents aspiration
nurse emphasize
when feeding a
client with left side
facial paralysis who
has difficulty
swallowing?
