NACE EXAM LATEST ACTUAL 130 EXAM

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NACE EXAM LATEST ACTUAL 130 EXAM

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) ALREADY

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.Correct Answer - dullness

In evaluating the recovery of a client following a partial gastrectomy for cancer, which of these findings should a nurse interpret as indicating appropriate nutritional rehabilitation?-A weight gain of one-half to one pound per week.-A serum glucose of 80 to 100 mg/dL.-A blood urea nitrogen level less than 8 mg/100 dL.-A weight gain of two or more pounds per week.Correct Answer - A weight gain of one-half to one pound per week.

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 1 / 4

pg. 2 -Provide special mouth care after medication administration.-Administer the medication after it stops effervescing.-Monitor bowel sounds before administration.Correct Answer - 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.Correct Answer - 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 Correct Answer - 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.-Hyperglycemia.-Hyponatremia.-Hypolipidemia. 2 / 4

pg. 3 Correct Answer - hyperglycemia

After ten months on dialysis, a client undergoes a renal transplant and is receiving immunosuppressive therapy. Which of these nutritional consequences should a nurse anticipate?-A decreased synthesis of bile acids will occur.-An increased intake of simple carbohydrates will be necessary.-The client's protein requirements will be significantly higher.-The client's need for fat-soluble vitamins will be greater.Correct Answer - The client's protein requirements will be significantly higher.

To evaluate how well a client who is on hemodialysis has adhered to the dietary regimen, a nurse should take which of these actions prior to each treatment?-Review the client's food intake since the last treatment.-Ask the client about fluid intake during the 24 hours prior to treatment.-Determine the client's blood glucose level.-Compare the client's present weight to the weight after the last treatment.Correct Answer - Compare the client's present weight to the weight after the last treatment.

When an elderly client is having difficulty eating because of poorly fitting dentures, which of these diets should that client have?-Full liquid.-Bland.-Mechanical soft.-Pureed.Correct Answer - mechanical soft

When comparing a pre-term infant to a full-term infant, a nurse should recognize that the pre-term infant has which of these needs per kilogram of body weight? 3 / 4

pg. 4 -Less fat and cholesterol.-More kilocalories and protein.-More sodium and potassium.-Less fluid and water-soluble vitamins.Correct Answer - More kilocalories and protein.

When discussing dietary modifications for a client who was recently diagnosed with a duodenal ulcer, a nurse should make which of these recommendations?-Eat a high-protein diet.-Drink whole milk at each meal.-Eliminate uncooked vegetables.-Eliminate the consumption of alcohol.Correct Answer - Eliminate the consumption of alcohol.

Which of these nutritional goals should a nurse plan for a client who has been diagnosed with nephrotic syndrome?-To prevent protein malnutrition.-To replace serum electrolytes.-To prevent loss of fatty tissue.-To provide adequate carbohydrates.Correct Answer - To prevent protein malnutrition.

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

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