NACE Exam with 100% Correct Answers 2023

Know where to palpate pulses - Correct answer-Know where to palpate pulses: Apical, Brachial, Dorsalis pedis, left posterior tibial ( on the test they give you an image and tell you where to locate each one) Know where vastus lateralis muscle is located - Correct answer-vastus lateralis muscle Steps for assessing the abdomen - Correct answer-1-inspect; 2-auscultate (listen); 3- Percussion; and 4-palpate(THIS IS THE ORDER WHEN ASSESSING) which do you perform first on the abdomen: - Correct answer-Inspect Know Terms: PC, BID,TID,STAT,QID - Correct answer-pc-after; ac-before; PRN-as needed; stat-immediately, now; BID-twice daily; TID-three times daily; QID-four times daily ( I was only asked about PC) Steps for drawing medication from a glass ampule. - Correct answer-attach filter needle; invert the ampule and insert filter needle inside ampule and draw medication out. Once done, you will change filter needle out with needle you are going to give medication with. Know what petechiae means - Correct answer-small 1-2mm red or purple spots on the skin that is caused by bleeding underneath the skin. What area of the back would you mark to palpate for renal calculi? - Correct answerMid-back where the kidneys are located. Causes severe pain. ( another questions ask you to locate where you would palpate for a kidney infection 1 ounce= - Correct answer-30ml Know clinical manifestations for Osteoarthritis: - Correct answer-muscle weakness; morning joint stiffness; joint pain; poor balance; locomotor restrictions; and fibromyalgia Nurse walks in patient's room and shirt is on fire. What is the priority action for the nurse to do? - Correct answer-Wrap the patient in a blanket-smother the fire to put it out. 1 tsp q 6 hours= - Correct answer-Know 1 tsp q 6 hours = 30ml If patient is taking Coumadin, what lab value will the nurse have to check? - Correct answer-If patient is taking Coumadin, what lab value will the nurse have to check? INR2.8 What part of the nursing process would the nurse come up with a nursing diagnoses? a. Assessment b. Analysis c. Implement d. Evaluation - Correct answer-Analysis 1 liter of fluid at 1100 is going at 125ml/hr. What time will the next bag of fluids be hung? - Correct answer-1900hrs Patient is taking Alendronate for osteoporosis. What diet the patient choose, lets you know they understand what to eat when taking this medication? a. Turnup greens, salmon b. Take first thing in the morning with 6-8 ounces of milk c. Take 30 minutes before other medications and food d. Only take with plain water - Correct answer-Turnip greens, salmon Take 30 minutes before other medication Only take with plain water Patient's order states to give digoxin 0.125mg and what's ordered is digoxin 0.05. How many mg of digoxin will the patient receive? - Correct answer-l/0.05 x 0.125 =2.5 mg Remember orderxdosage Doctor asks the nurse on the elevator how is his patient in room 913 doing? What is the nurses' response? - Correct answer-Let's step off the elevator to discuss this A patient is having a grand mal seizure and is found unconscious. What will the nurse do first? - Correct answer-Protect the patient from injury (loosen neck tie) Hold head in lap if on the floor; then position the patient to provide a patient airway What size gauge needles you would use to give intramuscular injections? - Correct answer-Gauges 22-25 needles (in the muscles) What size gauge needle would you use to give Subcutaneous injections? - Correct answer-Gauges 23-25 needles. Subcutaneous injections are given in fatty tissue over triceps Subjective Data - Correct answer-things a person tells you about that you cannot observe through your senses; symptoms; patient tells you how/what they feel: pain, ex. Patient states he feels dizzy and patient said he fell down the stairs, itching. Objective Data - Correct answer-information that is seen, heard, felt, or smelled by an observer; signs. Examples: bleeding, heart rate, wound appearance, blood pressure, respirations, ambulation description, hives, abdominal distention, vomiting. This is what you observe. A co-worker of a patient who is hospitalized called and asked the diagnosis of the patient in the hospital. What is the nurses response? - Correct answer-You have to contact the hospital's contact person. The nurse was asked by a patient to pray with them. What is the nurses response? - Correct answer-I don't feel comfortable but will find someone else who does feel comfortable praying with you. How long should you wash your hands when soiled? - Correct answer-15 seconds What are the two identifiers used to identify - Correct answer-The patient's name and date of birth. Given 30meq/ml per 20meq/10ml of diluting solution. How much D5W would be added? - Correct answer-10mL/20meq x 30meq/mL=15 would be added What insulins are given via intravenous (IV) route a. Humulin R b. Novolin R c. Regular Insulin - Correct answer-Humilin R A total of 3800ml of fluids have been infused. The infusing rate is 200ml/12hrs. How much fluid have been infused? - Correct answer-1400ml has been infused Steps to walking with a quad cane? (Know all steps.? - Correct answer-Hold the quad cane in the hand opposite your injured or weaker leg (stronger side). Make sure the flat side of the quad cane is closest to your body. Place all four legs of the quad cane on the ground when you move it forward. The cane should be about one step length ahead of you. Keep close to body for support and balance. Step forward with weaker leg. Support your weight with both the quad cane and your injured leg. Step through with your stronger leg. Evisceration - Correct answer-wound separation with protrusion of organs and require immediate attention. Dehiscence - Correct answer-Wound edges are separated and no longer meet. No organs protruding. NG tube placement is verified before administering tube feedings via? - Correct answerNG tube placement is verified before administering tube feeding via :X-ray Heparin administration - Correct answer-Administered via IV or subcutaneous, DO NOT ASPIRATE NEEDLE. Antidote for heparin overdose - Correct answer-The antidote for this is: Protamine SULFATE A patient who is laying down gets up Post Op complains of feeling light headed the nurse suspect. - Correct answer-Orthostatic hypotension Which oxygen saturation requires emergency attention from a MD with a patient who has a diagnosis of Pneumonia?