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Exam (elaborations)

NLN NACE Exam Questions with Verified Correct Answers

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NLN NACE Exam Questions with Verified Correct Answers

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NLN NACE Exam Questions with Verified
Correct Answers
A nurse is teaching a female patient ways to avoid further recurrences of cystitis should

recommend that the patient...

A.) Take baths rather than showers

B.) Wear silk underwear

C.) Douche daily

D.) Cleanse the perineum from front to back

D.) Cleanse the perineum from front to back

-Wiping from front to back prevents the introduction of bacteria from the GI tract into the

urethra.

A nurse should recognize that a patient in acute renal failure is receiving hemodialysis

for which of these purposes?

A.) To improve kidney function

B.) To increase urinary output

C.) To remove nitrogenous waste

D.) To enhance glomerular filtration

C.) To remove nitrogenous waste

-Dialysis is a substitute for kidney function, therefore kidney function is not improved,

glomerular filtration is not increased and urinary output is not increased.

A nurse is caring for a pt. who had a CVA resulting in right sided weakness and

expressive aphasia. The patient has a nursing Dx of self-care deficit. Which of these

actions should the nurse take first?

A.) Determine which ADL's the pt. can perform

, B.) Request that the pt. family assist with ADL's

C.) Ask the pt. to tell staff how to assist with ADL's

D.) Consult with a PT about ADL's

A.) Determine which ADL's the pt. can perform

A nurse should explain to a patient that early stages of colorectal cancer include rectal

bleeding and ________

A.) Food intolerances

B.) Increased flatulence

C.) Severe ABD pain

D.) Change in bowel habits

D.) Change in bowel habits

-Left-sided colorectal lesions typically cause constipation alternating with diarrhea, making a

change in bowel habits the correct answer.

A pt. has a disposable water-seal chest draining system (Pluer-Evac) attached to low

suction. Which of these observations should indicate to the nurse that the Pleur-Evac is

functioning correctly?

A.) Lack of air bubbles in the suction chamber

B.) Fluctuation of fluid with each respiration

C.) Absence of fluid in the air seal chamber

D.) Serosanguinous drainage around the chest tube

B.) Fluctuation of fluid with each respiration

-Fluctuation with each respiration called "tidaling" indicates that the chest tube is not blocked

Which of these blood gas alterations should a nurse expect to identify in a patient who is

hyperventilating?

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