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NACE FINAL EXAM AND PRACTICE EXAM
NEWEST 2024-2025 ACTUAL EXAM
COMPLETE ALL 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
NACE FINAL EXAM
Which of these nursing measures is appropriate during an asthmatic attack?
- Minimizing environmental stress.
- Teaching the client to deep breathe and cough.
- Having the client use a pillow to splint the chest.
- Maintaining the client in a semi-Fowler's position. -
ANSWER- a. Minimizing environmental stress.
Rationale; During an asthmatic attack, a nurse should minimize environmental stress. Environmental stress will increase dyspnea. Teaching the client to deep breathe and cough, or using a pillow to splint the client's chest are not effective nursing 1 / 4
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methods during an asthmatic attack. Allow client to assume position of comfort & don't insist on semi-Fowler's position.
An elderly client fell and sustained head trauma. A nurse is monitoring this client for signs of increased intracranial pressure. Which of these signs would provide the earliest indication that the client's intracranial pressure has increased?
- Change in the level of consciousness.
- Drop in blood pressure.
- Decrease in temperature.
- Difficulty breathing. - ANSWER- a. Change in the level of
consciousness.
Rationale; One of the earliest signs of increased intracranial pressure following head trauma is a change in the level of consciousness. Clients with increasing intracranial pressure will experience an increase in blood pressure. A decrease in temperature and difficulty breathing are not early signs of increased intracranial pressure.
A client who is suspected of having a hiatal hernia is admitted to the hospital. It is important for a nurse to ask the client which of these questions? 2 / 4
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- "Do you experience heartburn after a large meal?"
- "Do you experience loose stools after eating?"
- "Do you have gastric pain before meals?"
- "Do you have difficulty swallowing when eating?" -
ANSWER- a. "Do you experience heartburn after a large meal?"
Rationale; Clients with hiatal hernia often experience heartburn after large meals. They need to eat small, frequent meals. Clients with hiatal hernia do not experience loose stools after eating, gastric pain before meals, or difficulty swallowing.
A nurse is caring for a client who has right-sided congestive heart failure. Which of these measures should be included in the plan of care?
- Maintaining a semi-Fowler's position.
- Forcing fluids.
- Increasing physical activity.
- Providing nutritional supplements. - ANSWER- a.
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Maintaining a semi-Fowler's position.
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Rationale; A client with congestive heart failure should be placed in semi-Fowler's position. This position reduces cardiac workload and promotes the client's ability to breathe. Fluids and physical activity should be restricted for a client with congestive heart failure. There is no need for nutritional supplements.
A newly admitted client becomes restless and confused at night.Which of these nursing measures would be most important to promote the client's safety?
- Putting the client on a bedpan at regular intervals.
- Attaching the call bell to the bed near the client's dominant
- Moving the client to a room with ambulatory patients.
- Keeping a small light on in the client's room. - ANSWER- d.
hand.
Keeping a small light on in the client's room.
Rationale; Keeping a small light on in the patient's room is the most important nursing measure to promote the patient's safety.This will help the patient see the room (safety measure) and orient themselves as to where they are during the night. Moving the patient to a room with ambulatory patients, attaching the call bell to the bed near the patient's dominant hand, or putting the patient on a bedpan at regular intervals would not be the most important nursing measures to promote safety.
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