NACE EXAM LATEST ACTUAL EXAM 130

NACE EXAM LATEST ACTUAL EXAM 130

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

A nurse is reinforcing instructions about breast self-examination with a premenopausal woman. Which of these statements, if made by the client, would indicate that she needs FURTHER instructions?-I will use a circular pattern when feeling for abnormalities of my breasts.-I will examine both of my breasts weekly while showering.-I will look in a mirror for changes in contour of my breasts.-I will gently compress the nipple of my breasts to check for discharge. - ANSWER- I will examine both of my breasts weekly while showering.

A nurse is reinforcing teaching with a client who is diagnosed with noninsulin-dependent diabetes mellitus. Which of these topics is most important for the nurse to emphasize?-Individualized prescription of diet, exercise, and medication.-Clinical manifestations of non-insulin-dependent diabetes.-Lifestyle modifications to reduce stress.-Personal hygiene measures. - ANSWER- Individualized prescription of diet, exercise, and medication.

A nurse should assess a client who has a thyroidectomy for signs of hypocalcemia, which include -gingival hypertrophy.-painful joints.

-tetany.-toothaches. - ANSWER- tetany

A nurse should expect that a client who has open-angle glaucoma will report -difficulty seeing distant objects.-photophobia.-severe eye pain.-loss of peripheral vision. - ANSWER- loss of peripheral vision

A nurse should recognize that a client who has a perineal prostatectomy rather than a transurethral prostatectomy is more likely to develop which of these complications?-Ureteral stenosis.-Impotence.-Renal calculi.-Glomerulonephritis. - ANSWER- impotence (ED)

A nurse should teach a client who has diabetes mellitus & their family and friends to recognize early signs of a hypoglycemic reaction, which include -irritability.-fruity breath.-double vision.-hot, dry skin. - ANSWER- irritability

A client has an order for 1 gm of medication to be administered intramuscularly. The medication available is labeled 500 mg/mL. How many milliliters should a nurse administer?-0.5 mL -1.0 mL -2.0 mL -3.5 mL - ANSWER- 2 mL. If 500 mg equals 1 mL, 1000 mg equals 2 mL

A client who is receiving continuous bladder irrigation has an intake of 800 mL of intravenous fluid and 2,000 mL of irrigating solution. The urinary drainage bag contains 3,800 mL. The charted output should be - 800 mL.-1,000 mL.-1,800 mL.-3,800 mL - ANSWER- 1,800 mL

A vial of medication contains 150 mg/2 mL. If a client is to receive 25 mg of the medication intramuscularly, how many milliliters should a nurse administer to them?-0.2 mL -0.3 mL -0.6 mL -1.0 mL - ANSWER- 0.3 mL If 150 mg equals 2 mL, then 75 mg equals 1 mL, so 25 mg would equal 0.3 mL.

When caring for a client during the immediate postoperative period after a sub-total thyroidectomy, it is important for a nurse to -ensure that the client remains in a supine position.-encourage the client to speak frequently.-provide the client with oral fluids.-monitor the client's respiratory status. - ANSWER- -monitor the client's respiratory status

Which of these actions by a nurse would be best when communicating with a client who has expressive aphasia?-Encourage the client to verbalize thoughts.-Involve the client's family in interpreting the patient's needs.-Ask questions of the client that require an affirmative or negative response.-Attempt to read the client's lip movements. - ANSWER- Ask questions of the client that require an affirmative or negative response.

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.Tympany.