NACE Care Of Childbearing Family Actual
Exam
NACE Care Of Childbearing Family Exam
1/NACE Care Of Childbearing Family
Predictor Exam With Complete Questions
And Correct Answers with Deatailed
Rationales Graded A+
When planning care for a client, a nurse should recognize that which of these characteristics
would distinguish a pureed soft diet from a mechanical soft diet or a regular soft diet?
a. nutritive value.
b. fiber content.
c. cost.
d. texture.
d. texture.
Texture is the characteristic that distinguishes the diets from each other. Pureed soft diet
consists of pureed foods. A mechanical soft diet consists of regular table food that is soft, moist,
or easy to swallow and chew. A regular soft diet consists of food that can easily be mashed with
the back of a fork - requiring a small amount of chewing.
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?
a. Broccoli.
b. Beets.
c. Avocado.
d. Green peas.
d. Green peas.
Green peas are in the bread/starch exchange list. Green peas are part of the legume family,
which also includes dried beans and lentils. Avocado, beets, and broccoli are vegetables.
A+ TEST BANK 1
, NACE Care Of Childbearing Family Actual
Exam
Which of these dietary modifications should a nurse anticipate for a client who has a diagnosis of
cirrhosis of the liver?
a. Restriction of carbohydrates.
b. Restriction of protein.
c. Supplements of potassium.
d. Supplements of vitamin E.
b. Restriction of protein.
Protein causes toxins to form in the digestive tract, so eating less protein will help decrease the
buildup of toxins in the blood and brain with clients who have a damaged liver, as in liver
cirrhosis. A low-protein diet and agents such as lactulose may help hepatic encephalopathy.
Supplements of vitamin E may not help. Carbohydrates should not be restricted. Supplements of
potassium are not part of dietary modification.
Which of these laboratory findings should indicate to a nurse that a client who has been
diagnosed with acquired immunodeficiency syndrome (AIDS) has a compromised nutritional
status?
a. Decreased eosinophil count.
b. Elevated blood urea nitrogen.
c. Elevated serum glutamic oxaloacetic transaminase.
d. Decreased serum albumin.
d. Decreased serum albumin.
Serum albumin concentration is a common index of nutritional status, where decreased serum
albumin indicates compromised nutritional status. Elevated blood urea nitrogen levels suggest
impaired kidney function. A high level of serum glutamic oxaloacetic transaminase released into
the blood may be a sign of liver or heart damage, cancer, or other diseases. Eosinophils are part
of the white cell count differentials. Decreased eosinophil count may mean decreased ability to
fight allergic reactions.
Which of these laboratory values indicates a decreased risk of cardiovascular disease?
a. A low ratio of cholesterol to lipoprotein.
b. A high ratio of triglycerides to high-density lipoprotein.
c. A high ratio of high-density lipoprotein to low-density lipoprotein.
d. A low ratio of triglycerides to cholesterol.
A+ TEST BANK 2
, NACE Care Of Childbearing Family Actual
Exam
c. A high ratio of high-density lipoprotein to low-density lipoprotein.
High-density lipoprotein is known as "good" cholesterol, as higher amounts of this cholesterol
decrease the risk of cardiovascular disease. Low density lipoprotein is known as "bad"
cholesterol, as high levels of this kind of cholesterol lead to cardiovascular disease. Laboratory
values that show a high ratio of triglycerides to high density lipoproteins, a low ratio of
cholesterol to lipoprotein, and a low ratio of triglycerides to cholesterol should not indicate to a
nurse a decreased risk of cardiovascular disease.
Which of these nutrients should a nurse recognize as the most difficult to digest by a child who
has cystic fibrosis?
a. Simple carbohydrates.
b. Protein.
c. Fat.
d. Complex carbohydrates.
c. Fat.
A child with cystic fibrosis (CF) has the most difficulty digesting fat because they lack the enzyme
in their pancreas to digest it. Since CF is a malabsorption syndrome, the child with CF will also
have some difficulty digesting protein and carbohydrates, but not as much difficulty as with fat
and fat soluble vitamins must be supplemented.
A nurse is assisting an 80-year-old client in planning nutritious meals at a reasonable cost. Which
of these statements regarding dietary guidelines should the nurse make?
a. Include more meat and poultry in your diet and your food dollar will go farther.
b. If you are not hungry, skip a meal and drink a nutritional shake instead.
c. Eat plenty of foods that are high in carbohydrates because those food sources are especially
affordable.
d. Consume fewer calories and smaller portions than you did as a young adult.
d. Consume fewer calories and smaller portions than you did as a young adult.
An 80-year-old patient should consume fewer calories than he/she did as a young adult. In the
elderly, fewer calories are required due to loss of lean body mass and a decrease in the basal
metabolic rate.
A+ TEST BANK 3
, NACE Care Of Childbearing Family Actual
Exam
A nurse is caring for a client who has sustained serious head trauma. Which of these assessment
findings should the nurse report immediately?
a. Brisk pupil reaction to light.
b. Serous discharge from the ear.
c. Purposeful movement of the arms.
d. Excessive tearing of both eyes.
b. Serous discharge from the ear.
Serous discharge from the ear is an indicator of a basilar skull fracture. Unequal or dilated pupils,
not brisk pupillary reactions, are an indicator of a head injury. Purposeful movement of the arms
is a normal finding. Excessive tearing of the eyes is not associated with head trauma.
A nurse is caring for a client who is diagnosed with cancer and is receiving chemotherapy. The
nurse should recognize that the client's family members are providing psychosocial support if
they
a. transport the client to scheduled treatments.
b. ask the nurse how long the treatments will continue.
c. talk with the client during treatments.
d. tell the nurse that they feel overwhelmed.
c. talk with the client during treatments.
From the options given, talking with the client during treatments is the most direct observation
of support.
A client who has been on nothing by mouth may now have fluids. Which of these beverages
should be offered first?
a. Skim milk.
b. Eggnog.
c. Cream of chicken soup.
d. Apple juice.
d. Apple juice.
Following NPO, the client should be offered clear liquids. Among these options, apple juice
A+ TEST BANK 4
Exam
NACE Care Of Childbearing Family Exam
1/NACE Care Of Childbearing Family
Predictor Exam With Complete Questions
And Correct Answers with Deatailed
Rationales Graded A+
When planning care for a client, a nurse should recognize that which of these characteristics
would distinguish a pureed soft diet from a mechanical soft diet or a regular soft diet?
a. nutritive value.
b. fiber content.
c. cost.
d. texture.
d. texture.
Texture is the characteristic that distinguishes the diets from each other. Pureed soft diet
consists of pureed foods. A mechanical soft diet consists of regular table food that is soft, moist,
or easy to swallow and chew. A regular soft diet consists of food that can easily be mashed with
the back of a fork - requiring a small amount of chewing.
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?
a. Broccoli.
b. Beets.
c. Avocado.
d. Green peas.
d. Green peas.
Green peas are in the bread/starch exchange list. Green peas are part of the legume family,
which also includes dried beans and lentils. Avocado, beets, and broccoli are vegetables.
A+ TEST BANK 1
, NACE Care Of Childbearing Family Actual
Exam
Which of these dietary modifications should a nurse anticipate for a client who has a diagnosis of
cirrhosis of the liver?
a. Restriction of carbohydrates.
b. Restriction of protein.
c. Supplements of potassium.
d. Supplements of vitamin E.
b. Restriction of protein.
Protein causes toxins to form in the digestive tract, so eating less protein will help decrease the
buildup of toxins in the blood and brain with clients who have a damaged liver, as in liver
cirrhosis. A low-protein diet and agents such as lactulose may help hepatic encephalopathy.
Supplements of vitamin E may not help. Carbohydrates should not be restricted. Supplements of
potassium are not part of dietary modification.
Which of these laboratory findings should indicate to a nurse that a client who has been
diagnosed with acquired immunodeficiency syndrome (AIDS) has a compromised nutritional
status?
a. Decreased eosinophil count.
b. Elevated blood urea nitrogen.
c. Elevated serum glutamic oxaloacetic transaminase.
d. Decreased serum albumin.
d. Decreased serum albumin.
Serum albumin concentration is a common index of nutritional status, where decreased serum
albumin indicates compromised nutritional status. Elevated blood urea nitrogen levels suggest
impaired kidney function. A high level of serum glutamic oxaloacetic transaminase released into
the blood may be a sign of liver or heart damage, cancer, or other diseases. Eosinophils are part
of the white cell count differentials. Decreased eosinophil count may mean decreased ability to
fight allergic reactions.
Which of these laboratory values indicates a decreased risk of cardiovascular disease?
a. A low ratio of cholesterol to lipoprotein.
b. A high ratio of triglycerides to high-density lipoprotein.
c. A high ratio of high-density lipoprotein to low-density lipoprotein.
d. A low ratio of triglycerides to cholesterol.
A+ TEST BANK 2
, NACE Care Of Childbearing Family Actual
Exam
c. A high ratio of high-density lipoprotein to low-density lipoprotein.
High-density lipoprotein is known as "good" cholesterol, as higher amounts of this cholesterol
decrease the risk of cardiovascular disease. Low density lipoprotein is known as "bad"
cholesterol, as high levels of this kind of cholesterol lead to cardiovascular disease. Laboratory
values that show a high ratio of triglycerides to high density lipoproteins, a low ratio of
cholesterol to lipoprotein, and a low ratio of triglycerides to cholesterol should not indicate to a
nurse a decreased risk of cardiovascular disease.
Which of these nutrients should a nurse recognize as the most difficult to digest by a child who
has cystic fibrosis?
a. Simple carbohydrates.
b. Protein.
c. Fat.
d. Complex carbohydrates.
c. Fat.
A child with cystic fibrosis (CF) has the most difficulty digesting fat because they lack the enzyme
in their pancreas to digest it. Since CF is a malabsorption syndrome, the child with CF will also
have some difficulty digesting protein and carbohydrates, but not as much difficulty as with fat
and fat soluble vitamins must be supplemented.
A nurse is assisting an 80-year-old client in planning nutritious meals at a reasonable cost. Which
of these statements regarding dietary guidelines should the nurse make?
a. Include more meat and poultry in your diet and your food dollar will go farther.
b. If you are not hungry, skip a meal and drink a nutritional shake instead.
c. Eat plenty of foods that are high in carbohydrates because those food sources are especially
affordable.
d. Consume fewer calories and smaller portions than you did as a young adult.
d. Consume fewer calories and smaller portions than you did as a young adult.
An 80-year-old patient should consume fewer calories than he/she did as a young adult. In the
elderly, fewer calories are required due to loss of lean body mass and a decrease in the basal
metabolic rate.
A+ TEST BANK 3
, NACE Care Of Childbearing Family Actual
Exam
A nurse is caring for a client who has sustained serious head trauma. Which of these assessment
findings should the nurse report immediately?
a. Brisk pupil reaction to light.
b. Serous discharge from the ear.
c. Purposeful movement of the arms.
d. Excessive tearing of both eyes.
b. Serous discharge from the ear.
Serous discharge from the ear is an indicator of a basilar skull fracture. Unequal or dilated pupils,
not brisk pupillary reactions, are an indicator of a head injury. Purposeful movement of the arms
is a normal finding. Excessive tearing of the eyes is not associated with head trauma.
A nurse is caring for a client who is diagnosed with cancer and is receiving chemotherapy. The
nurse should recognize that the client's family members are providing psychosocial support if
they
a. transport the client to scheduled treatments.
b. ask the nurse how long the treatments will continue.
c. talk with the client during treatments.
d. tell the nurse that they feel overwhelmed.
c. talk with the client during treatments.
From the options given, talking with the client during treatments is the most direct observation
of support.
A client who has been on nothing by mouth may now have fluids. Which of these beverages
should be offered first?
a. Skim milk.
b. Eggnog.
c. Cream of chicken soup.
d. Apple juice.
d. Apple juice.
Following NPO, the client should be offered clear liquids. Among these options, apple juice
A+ TEST BANK 4
