NACE FINAL EXAM AND PRACTICE
EXAM 2025/2026 QUESTIONS WITH
VERIFIED ANSWERS 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.
A client who is three days postoperative is refusing to deep breathe and cough
because of incisional discomfort. Which of these nursing diagnoses should
receive priority in this client's care plan?
-Noncompliance
-Impaired gas exchange.
-Impaired physical mobility.
-Pain.
pain
While preparing a client for surgery, a nurse discovers that the client does not
understand the surgical procedure. A signed surgical consent is on the chart.
Which of these actions should the nurse take?
-Reassure the client.
-Send the client to surgery.
-Explain the operative procedure.
-Notify the physician
notify the physician
A 31-year-old client is receiving medical treatment for ulcerative colitis. The
treatment includes antibiotics and prednisone. A nurse should plan to monitor
the client for which of these nutritional consequences of this treatment?
-Hypercalcemia.
EXAM 2025/2026 QUESTIONS WITH
VERIFIED ANSWERS 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.
A client who is three days postoperative is refusing to deep breathe and cough
because of incisional discomfort. Which of these nursing diagnoses should
receive priority in this client's care plan?
-Noncompliance
-Impaired gas exchange.
-Impaired physical mobility.
-Pain.
pain
While preparing a client for surgery, a nurse discovers that the client does not
understand the surgical procedure. A signed surgical consent is on the chart.
Which of these actions should the nurse take?
-Reassure the client.
-Send the client to surgery.
-Explain the operative procedure.
-Notify the physician
notify the physician
A 31-year-old client is receiving medical treatment for ulcerative colitis. The
treatment includes antibiotics and prednisone. A nurse should plan to monitor
the client for which of these nutritional consequences of this treatment?
-Hypercalcemia.
