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NLN NACE PREP ACTUAL EXAM LATEST |! |! |! |! |! |!
UPDATE 2025-2026 QUESTIONS AND |! |! |! |!
ANSWERS CORRECTLY VERIFIED ALREADY |! |! |! |!
GRADED A+ |!
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A nurse is caring for a client that has not voided for several hours. When percussing
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the client's bladder to assess for distention, the nurse should expect to hear......
|! |! |! |! |! |! |! |! |! |! |! |!
Dullness
This indicates a full bladder
|! |! |! |!
-Tympany means empty |! |!
-Hyperrenosance is an abnormal pulmonary sound |! |! |! |! |!
-Renosance is a vibration |! |! |!
A client is receiving intermittent nasogastric tube feedings. A nurse should aspirate
|! |! |! |! |! |! |! |! |! |! |! |!
the residual stomach contents prior to administering a scheduled feeding to.....
|! |! |! |! |! |! |! |! |! |!
Determine absorption of feedings |! |! |!
Which medication should be delivered using the z-track method?
|! |! |! |! |! |! |! |!
Iron dextran(Imferon) to prevent tissue damage
|! |! |! |! |!
A nurse is to administer medication to 2 clients sitting in the lounge with several
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
,other clients. What action by the nurse is appropriate?
|! |! |! |! |! |! |! |!
Check name bands on the clients' arms
|! |! |! |! |! |!
A client is to be checked for residual urine. At which time should the procedure be
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
performed?
Immediately after the client voids |! |! |! |!
A nurse is to obtain a residual urine specimen from an elderly client whose
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
indwelling foley catheter was just removed. What is the purpose of a residual urine
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
specimen?
To assess for urinary retention
|! |! |! |!
A nurse is caring for a client receiving intravenous therapy. What would indicate to
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
the nurse that the intravenous infusion has infiltrated?
|! |! |! |! |! |! |!
Cutaneous tissue at the intravenous site is swollen |! |! |! |! |! |! |!
-the IV catheter should be removed and a new site should be restarted
|! |! |! |! |! |! |! |! |! |! |! |!
Which of the following measures should a nurse include in the plan of care of a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
patient with hyperthyroidism? |! |!
Keeping the client's environment cool |! |! |! |!
-A client with hyperthyroidism is heat intolerant
|! |! |! |! |! |!
,-The client should be encouraged to eat foods high in calories because they are
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
often below their ideal weight and have difficulty maintaining a healthy weight
|! |! |! |! |! |! |! |! |! |! |!
A nurse should reinforce the instructions to the family of a client who has
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
propulsive gait related to Parkinsons Disease? |! |! |! |! |!
Keep the floor of the client's surroundings free of obstacles
|! |! |! |! |! |! |! |! |!
-Propulsive gait is a stooping, rigid posture with the head and neck bent forward.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Steps tend to become faster and shorter.
|! |! |! |! |! |!
-Encourage the client to ambulate as much as they want in order to maintain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
activity level |!
Which of these measures should a nurse emphasize when feeding a client with left
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
side facial paralysis who has difficulty swallowing?
|! |! |! |! |! |!
Placing the food on the unaffected side of the client's mouth
|! |! |! |! |! |! |! |! |! |!
-prevents aspiration |!
Before assisting a patient who is on day postop OOB for the first time, a nurse should
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
take which action?
|! |! |!
Assess pulse and blood pressure in order to assess the client for orthostatic
|! |! |! |! |! |! |! |! |! |! |! |! |!
hypotension
, Which of these objectives is most important to include in the care of a client with
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
multiple sclerosis? |!
Prevent contractures |!
-it will decrease the client's functional abilities
|! |! |! |! |! |!
A client who is terminally ill with AIDS is admitted to the hospital. What precaution
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
should be included in the client's plan of care?
|! |! |! |! |! |! |! |!
Standard Precautions |!
A nurse is caring for a client who had a right lower lobectomy and has a closed
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
water-sealed chest drainage system in place. Which action should the nurse include
|! |! |! |! |! |! |! |! |! |! |! |!
as part of the plan of care?
|! |! |! |! |! |!
Keep the system below the level of the client's waist
|! |! |! |! |! |! |! |! |!
-prevents backflow of fluids |! |! |!
A client who is suspected of having a hiatal hernia is admitted to the hospital. Which
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
question is important for the nurse to ask?
|! |! |! |! |! |! |! |!
"Do you experience heartburn after a large meal?"
|! |! |! |! |! |! |!
-They need to eat small, frequent meals
|! |! |! |! |! |!
|! |! |! |! |! |!
NLN NACE PREP ACTUAL EXAM LATEST |! |! |! |! |! |!
UPDATE 2025-2026 QUESTIONS AND |! |! |! |!
ANSWERS CORRECTLY VERIFIED ALREADY |! |! |! |!
GRADED A+ |!
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
|! |! |! |! |! |!
A nurse is caring for a client that has not voided for several hours. When percussing
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
the client's bladder to assess for distention, the nurse should expect to hear......
|! |! |! |! |! |! |! |! |! |! |! |!
Dullness
This indicates a full bladder
|! |! |! |!
-Tympany means empty |! |!
-Hyperrenosance is an abnormal pulmonary sound |! |! |! |! |!
-Renosance is a vibration |! |! |!
A client is receiving intermittent nasogastric tube feedings. A nurse should aspirate
|! |! |! |! |! |! |! |! |! |! |! |!
the residual stomach contents prior to administering a scheduled feeding to.....
|! |! |! |! |! |! |! |! |! |!
Determine absorption of feedings |! |! |!
Which medication should be delivered using the z-track method?
|! |! |! |! |! |! |! |!
Iron dextran(Imferon) to prevent tissue damage
|! |! |! |! |!
A nurse is to administer medication to 2 clients sitting in the lounge with several
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
,other clients. What action by the nurse is appropriate?
|! |! |! |! |! |! |! |!
Check name bands on the clients' arms
|! |! |! |! |! |!
A client is to be checked for residual urine. At which time should the procedure be
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
performed?
Immediately after the client voids |! |! |! |!
A nurse is to obtain a residual urine specimen from an elderly client whose
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
indwelling foley catheter was just removed. What is the purpose of a residual urine
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
specimen?
To assess for urinary retention
|! |! |! |!
A nurse is caring for a client receiving intravenous therapy. What would indicate to
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
the nurse that the intravenous infusion has infiltrated?
|! |! |! |! |! |! |!
Cutaneous tissue at the intravenous site is swollen |! |! |! |! |! |! |!
-the IV catheter should be removed and a new site should be restarted
|! |! |! |! |! |! |! |! |! |! |! |!
Which of the following measures should a nurse include in the plan of care of a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
patient with hyperthyroidism? |! |!
Keeping the client's environment cool |! |! |! |!
-A client with hyperthyroidism is heat intolerant
|! |! |! |! |! |!
,-The client should be encouraged to eat foods high in calories because they are
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
often below their ideal weight and have difficulty maintaining a healthy weight
|! |! |! |! |! |! |! |! |! |! |!
A nurse should reinforce the instructions to the family of a client who has
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
propulsive gait related to Parkinsons Disease? |! |! |! |! |!
Keep the floor of the client's surroundings free of obstacles
|! |! |! |! |! |! |! |! |!
-Propulsive gait is a stooping, rigid posture with the head and neck bent forward.
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
Steps tend to become faster and shorter.
|! |! |! |! |! |!
-Encourage the client to ambulate as much as they want in order to maintain
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
activity level |!
Which of these measures should a nurse emphasize when feeding a client with left
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
side facial paralysis who has difficulty swallowing?
|! |! |! |! |! |!
Placing the food on the unaffected side of the client's mouth
|! |! |! |! |! |! |! |! |! |!
-prevents aspiration |!
Before assisting a patient who is on day postop OOB for the first time, a nurse should
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
take which action?
|! |! |!
Assess pulse and blood pressure in order to assess the client for orthostatic
|! |! |! |! |! |! |! |! |! |! |! |! |!
hypotension
, Which of these objectives is most important to include in the care of a client with
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
multiple sclerosis? |!
Prevent contractures |!
-it will decrease the client's functional abilities
|! |! |! |! |! |!
A client who is terminally ill with AIDS is admitted to the hospital. What precaution
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
should be included in the client's plan of care?
|! |! |! |! |! |! |! |!
Standard Precautions |!
A nurse is caring for a client who had a right lower lobectomy and has a closed
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
water-sealed chest drainage system in place. Which action should the nurse include
|! |! |! |! |! |! |! |! |! |! |! |!
as part of the plan of care?
|! |! |! |! |! |!
Keep the system below the level of the client's waist
|! |! |! |! |! |! |! |! |!
-prevents backflow of fluids |! |! |!
A client who is suspected of having a hiatal hernia is admitted to the hospital. Which
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
question is important for the nurse to ask?
|! |! |! |! |! |! |! |!
"Do you experience heartburn after a large meal?"
|! |! |! |! |! |! |!
-They need to eat small, frequent meals
|! |! |! |! |! |!
