NACE FINAL & PRACTICE EXAM – LATEST EDITION | COMPLETE & ACTUAL QUESTIONS WITH VERIFIED DETAILED ANSWERS

NACE FINAL & PRACTICE EXAM – LATEST EDITION | COMPLETE & ACTUAL QUESTIONS WITH VERIFIED DETAILED ANSWERS 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 After preparing a liquid cough medication for a client, a nurse asks another nurse to administer the medication. Which of these actions should the second nurse take? -Administer the medication as requested. -Pour a new dose of the medication. -Chart the medication as a missed dose. -Question the medication order. pour a new dose of the medication It is now eight hours since a male client had minor surgery. He expresses a desire to void but is unable to do so. To assist him in passing urine, which of these actions should a nurse take first? -Apply gentle pressure over the bladder region. -Assist the client to a standing position at the bedside. -Insert a straight catheter into the bladder. -Increase the client's fluid intake. Assist the client to a standing position at the bedside. The evening before surgery, a client asks a nurse, "Could you pray with me?" The nurse's reply should be based on which of these understandings about the nurse's role in the client's care? -Meeting the client's need is within the nurse's province if the nurse's faith is the same as the client's. -The nurse should request the chaplain of the client's faith to visit. -Prayer is not a nursing function; the nurse should institute such measures as distraction and relaxation. -The nurse has a responsibility to see that the client's need is met Meeting the client's need is within the nurse's province if the nurse's faith is the same as the client's. When a client has a nasogastric drainage tube connected to suction, a nurse should monitor the client for symptoms of which of these imbalances? -Metabolic alkalosis. -Respiratory alkalosis. -Metabolic acidosis. -Respiratory acidosis. Metabolic alkalosis. When assessing a client's lungs, a nurse should auscultate the lungs by using which of these techniques? -Listen during the inspiratory phase at alternating sites. -Listen to the entire right side before listening to the left side. -Listen to the chest while the patient is supine. -Listen for a full respiratory cycle at each site. Listen for a full respiratory cycle at each site. A 42-year-old client is admitted to a medical unit in acute renal failure. The client is given protein food with a high biological value. A nurse should recognize that the rationale for this diet prescription is to -minimize the amount of nitrogen that must be excreted. -increase the amount of urine produced. -reduce the total amount of caloric intake. -provide maximum vitamins and minerals per gram of protein. minimize the amount of nitrogen that must be excreted. A community-based nurse is conducting nutrition education classes at a senior center. The nurse should instruct the clients to consume a high-fiber diet in order to prevent which of these conditions? -Acute irritable bowel syndrome. -Duodenal ulcer. -Gastritis. -Diverticulosis. Diverticulosis. A nurse is making a home visit to a mother of a 2-month-old baby. The baby has shown signs of failure to thrive. Which of these assessments by the nurse would provide the most useful data? -Ask the mother about her weight gain during pregnancy. -Inquire about the family's eating habits. -Obtain information about the route of the baby's delivery. -Observe the mother feeding the infant. Observe the mother feeding the infant. A nurse is providing dietary instruction to the mother of a child who has a diagnosis of phenylketonuria. Which of these foods should be eliminated from the child's diet? -Foods seasoned with monosodium glutamate. -Foods containing artificial colors. -Foods high in tyramine. -Foods sweetened with aspartame. Foods sweetened with aspartame. An 18-year-old college freshman who has had diabetes mellitus (Type I) for nine years takes isophane (NPH) and insulin injections (regular insulin) in the morning and late afternoon. This client reports not having enough time to get to the cafeteria to eat before the first class. Which of these suggestions should a nurse give the patient? -Delay taking your morning insulin until you have had breakfast. -Keep some hard candy available if you need it during class. -Store food in your room that can be used in your meal plan. -Eat a larger bedtime snack the night before. Store food in your room that can be used in your meal plan. 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.