NACE Care Of Childbearing Family Exam | Actual Predictor Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ (100% Correct)

NACE Care Of Childbearing Family Exam | Actual Predictor Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ (100% Correct) A newly admitted client becomes restless and confused at night. Which of these nursing measures would be most important to promote the client's safety? a. Putting the client on a bedpan at regular intervals. b. Attaching the call bell to the bed near the client's dominant hand. c. Moving the client to a room with ambulatory patients. d. Keeping a small light on in the client's room. d. Keeping a small light on in the client's room. Keeping a small light on in the patient's room is the most important nursing measure to promote the patient's safety. This will help the patient see the room (safety measure) and orient themselves as to where they are during the night. Moving the patient to a room with ambulatory patients, attaching the call bell to the bed near the patient's dominant hand, or putting the patient on a bedpan at regular intervals would not be the most important nursing measures to promote safety. A nurse identifies all of these nursing diagnoses for a client. Which diagnosis should the nurse give the highest priority? a. Impaired skin integrity. b. Altered nutrition: less than body requirements. c. Impaired tissue perfusion. d. Altered comfort: pain. c. Impaired tissue perfusion. A nurse gives priority to life-threatening conditions which need immediate professional attention (those related to oxygenation, circulation, and breathing). These include respiratory obstruction, severe hemorrhage, or arrest. Nursing action is to remove or prevent the cause of the most immediate life-threatening problem. A client who has weakness of the left arm and leg can walk short distances with a cane and assistance. Which of these techniques should a nurse select to provide the client with appropriate assistance? a. The nurse stands by the client's right side, supporting the right arm, with the cane on the left side. b. The client places the cane on the left side, with the nurse supporting the left side. c. The nurse stands by the client's left side, supporting the right arm, with the cane on the left side. d. The client places the cane on the right side, with the nurse supporting the left side. d. The client places the cane on the right side, with the nurse supporting the left side. The patient should place the cane on the right side, with the nurse supporting the left side. Holding the cane on the unaffected side provides support to the affected lower limb. The other choices (the nurse stands by the patient's right side, supporting the right arm, with the cane on the left side; the nurse stands by the patient's left side, supporting the right arm, with the cane on the left side; or the patient places the cane on the left side, with the nurse supporting the left side) are not techniques a nurse should select in this situation. An 83-year-old client who was recently admitted to a nursing care facility frequently looks vacantly at family members and says, "I don't know where I am." A nurse notes that the client also has a history of getting up several times at night and falling. Based on the information the nurse should give priority to which of these measures? a. Placing a call light within the client's reach. b. Having the client void before they go to bed. c. Reminding the client that this is their new home now. d. Maintaining the bed in a low position. d. Maintaining the bed in a low position. Maintaining the bed in the lowest position and even placing the mattress on the floor will reduce the risk of injury if the patient does fall, and should be a priority measure in the patient's evening care. The other options are applicable but are not the priority. A client has an intravenous infusion in the left forearm. A nurse finds that the solution is infusing at a much slower rate than was established earlier. After verifying that the infusion has NOT infiltrated, the nurse should take which of these actions next? a. Agitate the infusion container. b. Reposition the client's left arm. c. Check the intravenous fluid for sedimentation. d. Have the client open and close the left fist. b. Reposition the client's left arm. Repositioning the patient's arm can often change the position of the catheter enough to regain proper flow. The other measures can be assessed for, and/or tried, but are not the first actions that the nurse should consider. 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? a. Vegetable shortening. b. Corn oil. c. Butter. d. Olive oil. b. Corn oil. Among these choices, corn oil has the highest amount of polyunsaturated fatty acid. Other oils high in polyunsaturated fats are flax seed oil, hemp oil, pumpkin seed oil, safflower oil, sesame oil, soybean oil, and sunflower oil. Olive oil, butter, and vegetable oil are not high in polyunsaturated fatty acids. A client who has a possible fractured wrist goes to the Emergency Department. For which of these rationales should a nurse apply a cold pack to the area? a. Reduce blood flow to the wrist. b. Increase tissue metabolism in the wrist. c. Promote delivery of nutrients to the wrist. d. Reduce blood viscosity in the wrist. a. Reduce blood flow to the wrist. Ice will assist vasoconstriction, and therefore decrease blood flow. Increased blood flow will increase swelling and pain in the affected area. A client has an order for a transdermal nitroglycerin (Nitro-Dur) patch q 6h. Which of these actions should a nurse include when applying a new patch? a. Rotate the application site. b. Locate the point of maximal impulse. c. Count the pulse for a full minute. d. Leave the previous patches in place. a. Rotate the application site. The patch should be placed in a different position after the old one is removed. The medication can be absorbed through the skin at any location. A one minute pulse would be obtained prior to administering digoxin (Lanoxin). A client has received instructions from a nurse about physical preparation for surgery. The teaching has been effective if the client can identify that the purpose of having nothing by mouth for six to eight hours prior to surgery is to a. enhance the administration of anesthesia preoperatively. b. regulate intraoperative fluid status. c. reduce the risk of intraoperative vomiting. d. decrease postoperative peristalsis. c. reduce the risk of intraoperative vomiting. Maintaining an NPO status preoperatively is recommended so that the stomach is empty and the risk of vomiting is reduced. Other measures would be taken for enhancing administration of anesthesia, regulating fluids, or decreasing postoperative peristalsis for abdominal surgeries. A client who appears cachectic is scheduled for emergency surgery. A preoperative nutritional assessment should be performed by a nurse for which of these reasons? a. A malnourished client is prone to postoperative infection. b. Poor nutrition predisposes a client to respiratory complications. c. Poor nutrition increases the risk of postoperative hemorrhage in a client. d. A malnourished client has increased metabolic needs. a. A malnourished client is prone to postoperative infection. All the answers could be potential risks for a patient who is malnourished, but the most probable and problematic is infection. After discussing a client's weight-reduction dietary plan, a nurse finds the client eating candy that a visitor brought. Which of these approaches should the nurse take? a. Tell the client's visitors not to bring candy. b. Remove the candy because it is not allowed on the client's diet. c. Remind the client that as an adult, he/she should demonstrate the self-control necessary to improve health. d. Recognize that the client is ultimately responsible for making their own decisions. d. Recognize that the client is ultimately responsible for making their own decisions. By the time of discharge, the patient should demonstrate techniques that compensate for the visual change. Knowing how to compensate for their impairment will maintain the patient's safety. Obtaining approval for the plan of care is not specific to a visually-impaired patient. A nurse should not compensate for the patient's deficit, as the goal should be to increase the patient's independence. The patient may or may not be able to carry out more activities based on other issues and diagnoses. A client has a diagnosis of iron-deficiency anemia. Which of these foods should a nurse recommend the client eat to enhance iron absorption of a food? a. Corn. b. Celery. c. Green beans. d. Broccoli. d. Broccoli. Among the food choices, broccoli should be recommended to enhance iron absorption because broccoli contains the highest amount of vitamin C. Vitamin C-rich foods improve iron absorption. Green beans, corn, and celery are not rich in vitamin C. A client who has dumping syndrome should be instructed to limit intake of which of these food substances? a. Starch. b. Artificial sweeteners. c. Protein. d. Simple sugars. d. Simple sugars. Foods high in simple sugars should be avoided because they pass through your stomach quickly and may cause diarrhea and cramping. Starches, protein, and artificial sweeteners do not need to be limited. A client who has chronic obstructive pulmonary disease (COPD) uses oxygen. A nurse should recognize that which of these measures would be a safety hazard to the client? 1. Having plants or cut flowers in the room. 2.Wearing clothing made of 100 percent cotton. 3.Using humidified oxygen. 4.Using oxygen at six liters per minute. Using oxygen at six liters per minute. A client develops a neurogenic bladder as a result of a spinal cord injury. To initiate a bladder training program for the client a nurse should plan which of these actions? 1. Restrict fluids throughout the day. 2. Compress the abdomen before each voiding. 3. Pour water over the perineum. 4. Observe for patterns of incontinence. Observe for patterns of incontinence. A client who has a history of glaucoma has all of the following orders in preparation for abdominal surgery. Which order should a nurse question? 1. Meperidine (Demerol) hydrochloride 75 mg IM on call. 2. Teach deep breathing and coughing exercises. 3.Soap suds enemas until clear. 4. Atropine sulfate 0.4 mg IM on call. Atropine sulfate 0.4 mg IM on call. Which of these nursing measures is appropriate during an asthmatic attack? 1. Minimizing environmental stress. 2. Teaching the client to deep breathe and cough. 3. Having the client use a pillow to splint the chest. 4. Maintaining the client in a semi-Fowler's position. Minimizing environmental stress. When giving an intramuscular injection to a client, a nurse should identify the landmarks carefully for which of these purposes? 1. To avoid striking large blood vessels and nerves.