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Exam (elaborations)

NACE Foundations of Nursing Exam Practice Test with Approved Answers | Latest 2025/2026 Update| 100% Correct.

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Preview 4 out of 50 pages

NACE Foundations of Nursing Exam Practice Test with Approved Answers | Latest 2025/2026 Update| 100% Correct. NACE Foundations of Nursing Exam Practice Test with Approved Answers | Latest 2025/2026 Update| 100% Correct.

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NACE Foundations of Nursing Exam i,- i,- i,- i,- i,-




Practice Test with Approved Answers | i,- i,- i,- i,- i,- i,-




Latest 2025/2026 Update| 100% Correct.
i,- i,- i,- i,-




A nurse obtains a tympanic electronic thermometer reading of
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97F (36.1C) on a client who is flushed and warm to touch. Which
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of these actions should the nurse take next?
i,- i,- i,- i,- i,- i,- i,-




-Return the electronic unit and connect it to the source to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



recharge the batteries i,- i,-




-Report the reading to the nurse-in-charge
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-Recheck the temperature with another thermometer
i,- i,- i,- i,- i,-




-Recheck the temperature in a half-hour.
i,- i,- i,- i,- i,- i,-i,- i,- Recheck the i,- i,-



temperature with another thermometer i,- i,- i,-




A nurse who is caring for a client with a nursing diagnosis of
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



impaired physical mobility repositions the client every two hours.
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Which of these steps of the nursing process does the nurse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



demonstrate?
-Planning
-Assessing
-Analyzing
-Implementing. i,-i,- i,- implementing

,Before nurses obtain information about a client's sexual health
i,- i,- i,- i,- i,- i,- i,- i,- i,-



status as part of the admission assessment, it would be most
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



important for nurses to assess their own i,- i,- i,- i,- i,- i,-




-interviewing techniques i,-




-gender role identity i,- i,-




-knowledge of sexual reproduction i,- i,- i,-




-personal attitudes about sexuality. i,- i,- i,- i,-i,- i,- personal attitudes about i,- i,- i,-



sexuality


A nurse is caring for a client whose laboratory reports indicate
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



hypernatremia. Which of these measures should be included in i,- i,- i,- i,- i,- i,- i,- i,- i,-



this client's plan of care?
i,- i,- i,- i,-




-Inserting an indwelling catheter i,- i,- i,-




-Increasing fluid intake i,- i,-




-Elevating the lower extremities i,- i,- i,-




-Monitoring respiratory rate. i,- i,- i,-i,- i,- increasing fluid intake i,- i,-




A nurse is teaching a client how to maintain a low-fat diet when
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



dining out in restaurants. During the interview, the client gazes
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out the window without comment or question. The nurse should
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



take which of these actions?
i,- i,- i,- i,-




-Say nothing more until the client makes a verbal response
i,- i,- i,- i,- i,- i,- i,- i,- i,-

,-Use visual aids to get the client's attention
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-Say, "You don't seem very interested in this discussion
i,- i,- i,- i,- i,- i,- i,- i,-




-"Ask, "Why are you behaving in this hostile manner?"
i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- Say i,-



nothing more until the client makes a verbal response
i,- i,- i,- i,- i,- i,- i,- i,-




A nurse prepares to teach a client how to self-administer
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



injections. The nurse has planned to teach the client about the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



medication during this session. The client says repeatedly, "You
i,- i,- i,- i,- i,- i,- i,- i,- i,-



mean I have to stick myself with a needle?" Which of these
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



responses would be most supportive of the learning process?
i,- i,- i,- i,- i,- i,- i,- i,-




-I see that you're upset, but let's start by discussing what the drug
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



can do for you
i,- i,- i,-




-Many people have this same concern, but it won't be as hard as
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



you expect
i,-




-You're bothered by the thought of injecting yourself
i,- i,- i,- i,- i,- i,- i,-




-I wonder if you're reacting to the feelings that people have
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



about illegal drug use.
i,- You're bothered by the thought of i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-



injecting yourself i,-




A client has an order for psyllium hydrophilic mucilloid
i,- i,- i,- i,- i,- i,- i,- i,- i,-



(Metamucil) 1 packet po qd. Which of these actions is essential i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



when a nurse is preparing to administer this medication?
i,- i,- i,- i,- i,- i,- i,- i,-




-Prepare the medication with four ounces of juice
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-Provide special mouth care after medication administration.
i,- i,- i,- i,- i,- i,-

, -Administer the medication after it stops effervescing. i,- i,- i,- i,- i,- i,-




-Monitor bowel sounds before administration.
i,- i,- i,- i,- i,-i,- i,- Monitor i,-



bowel sounds before administration.
i,- i,- i,-




A nurse is caring for a client who has not voided for several hours.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



When percussing the client's bladder to assess for distention, the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nurse should expect to hear which of these sounds?
i,- i,- i,- i,- i,- i,- i,- i,-




-Tympany
-Hyperresonance
-Dullness
-Resonance. i,-i,- i,- dullness


A nurse is preparing to change a client's sterile dressing. Which
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



actions by the nurse, if observed, would contaminate the sterile
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



field?
-The nurse opens the sterile dressing tray without touching the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



inner surface of the wrapper
i,- i,- i,- i,-




-The nurse removes the indicator tape from a package of sterile
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



4x4's and opens the first flap with a motion away from the nurse's
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



body
-The nurse spills sterile saline on the sterile field
i,- i,- i,- i,- i,- i,- i,- i,-




-The nurse handles the inside of the sterile gown when putting it
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



on. The nurse spills sterile saline on the sterile field.
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-

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