NACE practice exam
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1. A client who has been on noth- d. Apple juice.
ing by mouth may now have
fluids. Which of these bever- Following NPO, the client should be offered clear liquids.
ages should be offered first? Among these options, apple juice should be offered first. Skim
milk, eggnog, and cream of chicken soup are considered full
a. Skim milk. liquids and can be offered after the client has demonstrated
b. Eggnog. tolerance of a clear liquid diet.
c. Cream of chicken soup.
d. Apple juice.
2. A client who has chronic ob- d. Using oxygen at six liters per minute
structive pulmonary disease
(COPD) uses oxygen. A nurse Clients who have COPD should maintain low-flow oxygen rates.
should recognize that which of These clients have hypoxia and hypercarbia. Increasing their
these measures would be a oxygen levels can cause a loss of the respiratory drive and
safety hazard to the client? lead to respiratory arrest. Having plants in the room, wearing
clothing made of 100% cotton, or using humidified oxygen
a. Having plants or cut flowers would not be safety hazards to a client who has COPD.
in the room.
b. Wearing clothing made of
100 percent cotton.
c. Using humidified oxygen.
d. Using oxygen at six liters per
minute
3. A client who is on bed rest with d. Ensure the drainage bag is below the level of the bed.
an indwelling urinary catheter
has had no urinary drainage Urine from a Foley catheter drains by gravity, and thus the
for the past four hours. Which drainage bag needs to be below the level of the bed. Forcing
of these actions should a nurse fluids, elevating the client's legs, and palpating the client's
take first? suprapubic area are not the first actions a nurse should take
for this client.
, NACE practice exam
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a. Force fluids.
b. Elevate the client's legs.
c. Palpate the client's suprapu-
bic area.
d. Ensure the drainage bag is
below the level of the bed.
4. A nurse should recognize that d. Stress fractures.
an elderly client who has a his-
tory of osteoporosis is at great- Elderly clients with osteoporosis often develop stress fractures.
est risk for developing which of An elderly client with a history of osteoporosis is not at an
these complications? increased risk for bone cancer, impotence or sciatica.
a. Bone cancer.
b. Impotence.
c. Sciatica.
d. Stress fractures.
5. When a client is hospitalized d. Improve airway clearance.
for pneumonia, a nurse should
plan to increase fluid intake for The primary purpose of increasing fluid intake for a client
which of these primary pur- hospitalized for pneumonia is to improve airway clearance by
poses? liquefying secretions so the client can cough and expectorate.
A client's renal function, cardiac output, and bowel function are
a. Maintain renal function. not affected by pneumonia.
b. Improve cardiac output.
c. Promote bowel function.
d. Improve airway clearance.
6. A nursing home client has c. Walk with the client around the unit.
been confined to a geriatric
chair for two hours. Which After being confined to a geriatric chair for two hours, the
of these measures should a nurse should walk around the unit with the client. This will
, NACE practice exam
Study online at https://quizlet.com/_exvdkf
nurse take at this time? reduce pressure on the client's skin and promote circulation
and lung expansion. Giving the client a bed bath, sitting and
a. Give the client a bed bath. talking with the client or encouraging the client to socialize with
b. Sit and talk with the client for the roommate would not promote the client's circulation. It is
ten minutes. more important to move the client.
c. Walk with the client around
the unit.
d. Encourage the client to so-
cialize with the roommate.
7. A client in a long-term care fa- c. "Move the walker and then step into it."
cility is learning to use a walk-
er. Which of these instructions The client should be instructed to move the walker and step
should a nurse reinforce to the into it for safety and balance. The walker should be used each
client? time the client ambulates. Stepping and moving the walker
simultaneously, or gliding the walker along the floor with each
a. "Use the walker as needed step, may lead to falls.
for balance."
b. "Step and move the walker
simultaneously."
c. "Move the walker and then
step into it."
d. "Glide the walker along the
floor with each step."
8. For which of these reasons b. The peak action of the drug will occur while the client is
should a nurse administer a di- awake.
uretic to a client early in the
morning? A diuretic should be administered to a client in the morning
so the peak action of the drug (diuresis and increased urine
a. Any toxic effects of the drug output) will occur while the client is awake. Toxic effects, the
will be readily recognized. client's mobility, and required fluid intake are not affected by
b. The peak action of the drug what time the drug is taken.
Study online at https://quizlet.com/_exvdkf
1. A client who has been on noth- d. Apple juice.
ing by mouth may now have
fluids. Which of these bever- Following NPO, the client should be offered clear liquids.
ages should be offered first? Among these options, apple juice should be offered first. Skim
milk, eggnog, and cream of chicken soup are considered full
a. Skim milk. liquids and can be offered after the client has demonstrated
b. Eggnog. tolerance of a clear liquid diet.
c. Cream of chicken soup.
d. Apple juice.
2. A client who has chronic ob- d. Using oxygen at six liters per minute
structive pulmonary disease
(COPD) uses oxygen. A nurse Clients who have COPD should maintain low-flow oxygen rates.
should recognize that which of These clients have hypoxia and hypercarbia. Increasing their
these measures would be a oxygen levels can cause a loss of the respiratory drive and
safety hazard to the client? lead to respiratory arrest. Having plants in the room, wearing
clothing made of 100% cotton, or using humidified oxygen
a. Having plants or cut flowers would not be safety hazards to a client who has COPD.
in the room.
b. Wearing clothing made of
100 percent cotton.
c. Using humidified oxygen.
d. Using oxygen at six liters per
minute
3. A client who is on bed rest with d. Ensure the drainage bag is below the level of the bed.
an indwelling urinary catheter
has had no urinary drainage Urine from a Foley catheter drains by gravity, and thus the
for the past four hours. Which drainage bag needs to be below the level of the bed. Forcing
of these actions should a nurse fluids, elevating the client's legs, and palpating the client's
take first? suprapubic area are not the first actions a nurse should take
for this client.
, NACE practice exam
Study online at https://quizlet.com/_exvdkf
a. Force fluids.
b. Elevate the client's legs.
c. Palpate the client's suprapu-
bic area.
d. Ensure the drainage bag is
below the level of the bed.
4. A nurse should recognize that d. Stress fractures.
an elderly client who has a his-
tory of osteoporosis is at great- Elderly clients with osteoporosis often develop stress fractures.
est risk for developing which of An elderly client with a history of osteoporosis is not at an
these complications? increased risk for bone cancer, impotence or sciatica.
a. Bone cancer.
b. Impotence.
c. Sciatica.
d. Stress fractures.
5. When a client is hospitalized d. Improve airway clearance.
for pneumonia, a nurse should
plan to increase fluid intake for The primary purpose of increasing fluid intake for a client
which of these primary pur- hospitalized for pneumonia is to improve airway clearance by
poses? liquefying secretions so the client can cough and expectorate.
A client's renal function, cardiac output, and bowel function are
a. Maintain renal function. not affected by pneumonia.
b. Improve cardiac output.
c. Promote bowel function.
d. Improve airway clearance.
6. A nursing home client has c. Walk with the client around the unit.
been confined to a geriatric
chair for two hours. Which After being confined to a geriatric chair for two hours, the
of these measures should a nurse should walk around the unit with the client. This will
, NACE practice exam
Study online at https://quizlet.com/_exvdkf
nurse take at this time? reduce pressure on the client's skin and promote circulation
and lung expansion. Giving the client a bed bath, sitting and
a. Give the client a bed bath. talking with the client or encouraging the client to socialize with
b. Sit and talk with the client for the roommate would not promote the client's circulation. It is
ten minutes. more important to move the client.
c. Walk with the client around
the unit.
d. Encourage the client to so-
cialize with the roommate.
7. A client in a long-term care fa- c. "Move the walker and then step into it."
cility is learning to use a walk-
er. Which of these instructions The client should be instructed to move the walker and step
should a nurse reinforce to the into it for safety and balance. The walker should be used each
client? time the client ambulates. Stepping and moving the walker
simultaneously, or gliding the walker along the floor with each
a. "Use the walker as needed step, may lead to falls.
for balance."
b. "Step and move the walker
simultaneously."
c. "Move the walker and then
step into it."
d. "Glide the walker along the
floor with each step."
8. For which of these reasons b. The peak action of the drug will occur while the client is
should a nurse administer a di- awake.
uretic to a client early in the
morning? A diuretic should be administered to a client in the morning
so the peak action of the drug (diuresis and increased urine
a. Any toxic effects of the drug output) will occur while the client is awake. Toxic effects, the
will be readily recognized. client's mobility, and required fluid intake are not affected by
b. The peak action of the drug what time the drug is taken.
