NACE EXAM STUDY GUIDE QUESTIONS AND ANSWERS TOP RATED 2024

A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder to assess for distention, the nurse should expect to hear which of these sounds? -Tympany -Hyperresonance -Dullness -Resonance. dullness A nurse is preparing to change a client's sterile dressing. Which actions by the nurse, if observed, would contaminate the sterile field? -The nurse opens the sterile dressing tray without touching the inner surface of the wrapper -The nurse removes the indicator tape from a package of sterile 4x4's and opens the first flap with a motion away from the nurse's body -The nurse spills sterile saline on the sterile field -The nurse handles the inside of the sterile gown when putting it on. The nurse spills sterile saline on the sterile field. A nurse removes an indwelling urethral (Foley) catheter from a client. Six hours later, the nurse notes that the client has not voided. Which of these actions should the nurse take? -Apply pressure to the client's suprapubic area -Obtain an order to recatheterize the client -Run the tap water while the client is on the toilet -Tell the client to call whenever there is the urge to void. Run the tap water while the client is on the toilet. A client who is jaundiced reports itching. To relieve the itching, which of these measures would be most helpful? -Having the client wear clothing made from synthetic fibers -Giving the client sponge baths with tepid water several times a day -Rubbing the client's skin with diluted alcohol -Exposing the client to the direct rays of the sun. Giving the client sponge baths with tepid water several times a day. A nurse is assigned to care for a client who has pulmonary tuberculosis and is coughing. Which of these protective devices should the nurse put on before entering the client's room to give an oral medication? -Mask -Gloves -Gown -Eye shield. mask A nurse is instructing a client on how to limit saturated fat intake and increase intake of foods high in polyunsaturated fat. Which of these fats is highest in polyunsaturated fatty acids? -Corn oil -Vegetable shortening -Olive oil -Butter. corn oil A nurse obtains a tympanic electronic thermometer reading of 97F (36.1C) on a client who is flushed and warm to touch. Which of these actions should the nurse take next? -Return the electronic unit and connect it to the source to recharge the batteries -Report the reading to the nurse-in-charge -Recheck the temperature with another thermometer -Recheck the temperature in a half-hour. Recheck the temperature with another thermometer A nurse who is caring for a client with a nursing diagnosis of impaired physical mobility repositions the client every two hours. Which of these steps of the nursing process does the nurse demonstrate? -Planning -Assessing -Analyzing -Implementing. implementing