NACE EXAM LATEST 2024 ACTUAL 130 EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
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.
Correct Answer - dullness
In evaluating the recovery of a client following a partial gastrectomy for cancer, which of
these findings should a nurse interpret as indicating appropriate nutritional
rehabilitation?
-A weight gain of one-half to one pound per week.
-A serum glucose of 80 to 100 mg/dL.
-A blood urea nitrogen level less than 8 mg/100 dL.
-A weight gain of two or more pounds per week.
Correct Answer - A weight gain of one-half to one pound per week.
A client has an order for psyllium hydrophilic mucilloid (Metamucil) 1 packet po qd.
Which of these actions is essential when a nurse is preparing to administer this
medication?
-Prepare the medication with four ounces of juice
pg. 1
,-Provide special mouth care after medication administration.
-Administer the medication after it stops effervescing.
-Monitor bowel sounds before administration.
Correct Answer - Monitor bowel sounds before administration.
A client who is three days postoperative is refusing to deep breathe and cough because
of incisional discomfort. Which of these nursing diagnoses should receive priority in this
client's care plan?
-Noncompliance
-Impaired gas exchange.
-Impaired physical mobility.
-Pain.
Correct Answer - pain
While preparing a client for surgery, a nurse discovers that the client does not
understand the surgical procedure. A signed surgical consent is on the chart. Which of
these actions should the nurse take?
-Reassure the client.
-Send the client to surgery.
-Explain the operative procedure.
-Notify the physician
Correct Answer - notify the physician
A 31-year-old client is receiving medical treatment for ulcerative colitis. The treatment
includes antibiotics and prednisone. A nurse should plan to monitor the client for which
of these nutritional consequences of this treatment?
-Hypercalcemia.
-Hyperglycemia.
-Hyponatremia.
-Hypolipidemia.
pg. 2
,Correct Answer - hyperglycemia
After ten months on dialysis, a client undergoes a renal transplant and is receiving
immunosuppressive therapy. Which of these nutritional consequences should a nurse
anticipate?
-A decreased synthesis of bile acids will occur.
-An increased intake of simple carbohydrates will be necessary.
-The client's protein requirements will be significantly higher.
-The client's need for fat-soluble vitamins will be greater.
Correct Answer - The client's protein requirements will be significantly higher.
To evaluate how well a client who is on hemodialysis has adhered to the dietary
regimen, a nurse should take which of these actions prior to each treatment?
-Review the client's food intake since the last treatment.
-Ask the client about fluid intake during the 24 hours prior to treatment.
-Determine the client's blood glucose level.
-Compare the client's present weight to the weight after the last treatment.
Correct Answer - Compare the client's present weight to the weight after the last
treatment.
When an elderly client is having difficulty eating because of poorly fitting dentures,
which of these diets should that client have?
-Full liquid.
-Bland.
-Mechanical soft.
-Pureed.
Correct Answer - mechanical soft
When comparing a pre-term infant to a full-term infant, a nurse should recognize that
the pre-term infant has which of these needs per kilogram of body weight?
pg. 3
, -Less fat and cholesterol.
-More kilocalories and protein.
-More sodium and potassium.
-Less fluid and water-soluble vitamins.
Correct Answer - More kilocalories and protein.
When discussing dietary modifications for a client who was recently diagnosed with a
duodenal ulcer, a nurse should make which of these recommendations?
-Eat a high-protein diet.
-Drink whole milk at each meal.
-Eliminate uncooked vegetables.
-Eliminate the consumption of alcohol.
Correct Answer - Eliminate the consumption of alcohol.
Which of these nutritional goals should a nurse plan for a client who has been
diagnosed with nephrotic syndrome?
-To prevent protein malnutrition.
-To replace serum electrolytes.
-To prevent loss of fatty tissue.
-To provide adequate carbohydrates.
Correct Answer - To prevent protein malnutrition.
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
pg. 4
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