NACE EXAM Nursing Acceleration Challenge Exam
NACE EXAM NURSING ACCELERATION CHALLENGE EXAM
NEWEST ACTUAL EXAM WITH COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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.
1|Page
, NACE EXAM Nursing Acceleration Challenge Exam
-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.
-Impaired physical mobility.
-Pain.
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
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.
hyperglycemia
2|Page
, NACE EXAM Nursing Acceleration Challenge Exam
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.
The client's protein requirements will be significantly higher.
Assuming that all of these foods are available, which sandwich selection would be
appropriate for a client who is on a bland diet of 50 grams of fat?
-Peanut butter and jelly on whole wheat bread.
-Creamy chicken salad and tomato on rye bread.
-Flaked white tuna and lettuce on white bread.
-Bologna and American cheese with maynonnaise on white bread.
Flaked white tuna and lettuce on white bread
Following a partial gastrectomy, a client loses the ability to synthesize intrinsic
factor. As a result, a nurse should expect that the patient will be unable to absorb
which of these nutrients?
-Vitamin B12.
-Copper.
-Folacin.
-Iron
vitamin b12
When preparing a diet plan for diabetic client, a nurse should recognize that
which of these foods would be found in the bread/starch exchange list?
-Green peas.
-Avocado.
-Broccoli.
-Beets.
3|Page
, NACE EXAM Nursing Acceleration Challenge Exam
green peas
Which if these diet orders should a nurse give initially to a client who has acute
pancreatitis?
-Hydrolyzed protein formula.
-Nothing by mouth.
-Pureed soft diet.
-Two grams of sodium, 30 grams of fat.
nothing by mouth
Which of these is a major disadvantage of a clear liquid diet?
-Fluids allowed are not palatable.
-High caloric content results in hyperglycemia.
-High fluid intake leads to diarrhea.
-Diet is nutritionally inadequate.
Diet is nutritionally inadequate.
Which of these diets should a nurse implement for a woman who is recovering
from hyperemesis of pregnancy?
-High-protein liquids every two hours.
-Foods that are high in soluble fiber divided equally throughout the day.
-Frequent meals of soft, bland foods.
-Frequent small, dry meals, with clear liquids in between.
Frequent small, dry meals, with clear liquids in between.
Which of these factors should a nurse investigate as the most likely etiology of
altered nutrition in a client who is receiving radiation therapy for endometrial
cancer?
-Malabsorption.
-Absence of essential enzymes.
-Dysphagia.
-Loss of appetite
4|Page
NACE EXAM NURSING ACCELERATION CHALLENGE EXAM
NEWEST ACTUAL EXAM WITH COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
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.
1|Page
, NACE EXAM Nursing Acceleration Challenge Exam
-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.
-Impaired physical mobility.
-Pain.
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
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.
hyperglycemia
2|Page
, NACE EXAM Nursing Acceleration Challenge Exam
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.
The client's protein requirements will be significantly higher.
Assuming that all of these foods are available, which sandwich selection would be
appropriate for a client who is on a bland diet of 50 grams of fat?
-Peanut butter and jelly on whole wheat bread.
-Creamy chicken salad and tomato on rye bread.
-Flaked white tuna and lettuce on white bread.
-Bologna and American cheese with maynonnaise on white bread.
Flaked white tuna and lettuce on white bread
Following a partial gastrectomy, a client loses the ability to synthesize intrinsic
factor. As a result, a nurse should expect that the patient will be unable to absorb
which of these nutrients?
-Vitamin B12.
-Copper.
-Folacin.
-Iron
vitamin b12
When preparing a diet plan for diabetic client, a nurse should recognize that
which of these foods would be found in the bread/starch exchange list?
-Green peas.
-Avocado.
-Broccoli.
-Beets.
3|Page
, NACE EXAM Nursing Acceleration Challenge Exam
green peas
Which if these diet orders should a nurse give initially to a client who has acute
pancreatitis?
-Hydrolyzed protein formula.
-Nothing by mouth.
-Pureed soft diet.
-Two grams of sodium, 30 grams of fat.
nothing by mouth
Which of these is a major disadvantage of a clear liquid diet?
-Fluids allowed are not palatable.
-High caloric content results in hyperglycemia.
-High fluid intake leads to diarrhea.
-Diet is nutritionally inadequate.
Diet is nutritionally inadequate.
Which of these diets should a nurse implement for a woman who is recovering
from hyperemesis of pregnancy?
-High-protein liquids every two hours.
-Foods that are high in soluble fiber divided equally throughout the day.
-Frequent meals of soft, bland foods.
-Frequent small, dry meals, with clear liquids in between.
Frequent small, dry meals, with clear liquids in between.
Which of these factors should a nurse investigate as the most likely etiology of
altered nutrition in a client who is receiving radiation therapy for endometrial
cancer?
-Malabsorption.
-Absence of essential enzymes.
-Dysphagia.
-Loss of appetite
4|Page
