Nursing Acceleration Challenge Exam (NACE), Complete Final Exam Set (Questions & Verified Answers), Rated A+,When providing nursing care to a client, the nurse provides family-centered nursing care. What is the best rati
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Nursing Acceleration Challenge Exam (NACE), Complete Final Exam Set (Questions & Verified Answers), Rated A+,When providing nursing care to a client, the nurse provides family-centered nursing care. What is the best rationale for this nursing action?
A. The nurse does not want the client to feel lonely.
B. The client will be more compliant with medical instructions.
C. The family will be more willing to listen to instructions.
D. Illness in one family member can affect the other family members. - D
A client on digitalis has a lab report of potassium 3.0 mEq/L. The nurse would instruct the client to eat which of these foods?
A. Asparagus.
B. Cantaloupe.
C. Blackberries.
D. Cucumbers.
E. Cucumbers.
Show correct answer and explanation - B
The unlicensed assistive personnel (UAP) is feeding a client with dysphagia.
What action would cause the nurse to intervene?
A. Offering thickened liquids.
B. Placing client in upright position.
C. Providing large, frequent bites.
D. Allowing ample time between choices. - C
Warfarin sodium (Coumadin) is ordered for a client. The client asks the nurse about dietary restrictions while taking this medication. Which of the following foods should be limited?
A. Wheat bread and butter.
B. Mangoes and tomatoes.
C. Spinach and salads.
D. Aged cheeses and wine - C
A client is diagnosed with hearing loss. Which nursing intervention will best facilitate communication with the client?
A. Use exaggerated mouth and hand movements when speaking.
B. Face the client while speaking and ask them to verify understanding.
C. Stand in front of a light when speaking to the client and touch them to be sure they know where you are.
D. Obtain an interpreter for sign language. - B
A client has undergone a surgical procedure and develops a weak, rapid pulse. Which intervention should the nurse recommend to provider during their SBAR communication?
A. Anticholinergic.
B. Urinary catheter placement.
C. Beta blocker.
D. Intravenous fluid bolus.
Show correct answer and explanation - D
Which is the most appropriate order to remove (doff) personal protective equipment (PPE)?
A. Remove gown, gloves, wash hands, remove mask, and goggles.
B. Discard gloves, gown, face shield, mask, and wash hands.
C. Remove gloves, wash hands, remove face shield, gown, mask, and wash hands again.
D. Discard gloves, wash hands, remove gown, face shield, and mask. - C
A nurse is developing a plan of care for a client diagnosed with constipation.
Which nursing interventions should be included in planning? (Select all that apply).
A. Encourage high-fiber food choices.
B. Increase fluid intake to 2,000 mL per day.
C. Encourage ambulation several times per day.
D. Administer antacids as necessary per bowel management program. - A B C
A client states "I don't want to have surgery." Which of the following is a therapeutic response to the client?
A. "Surgery is your only choice. You need this operation.”
B. "Whether or not you have the surgery is your choice. What is your understanding of the situation?".
C. "I hear you.
D. I wouldn't want surgery either. - B
A nurse is out in public when an individual suddenly falls to the ground with a generalized tonic- clonic (grand mal) seizure.
Which action should the nurse take first?
A. Place a stick in the person's mouth to prevent biting of the tongue and call for assistance.
B. Completely record time of the person's seizure and save for paramedics
C. Restrain the limbs to prevent injury while providing as much privacy for the person as possible.
D. Loosen the individual's necktie after placing the person in the recovery position. - D
A health care provider prescribes guaifenesin with dextromethorphan 1 tablespoon every 6 hours for a client who has a nonproductive cough.
How many milliliters should a nurse administer for each dose?
A. 10 mL.
B. 5 mL.
C. 15 ml.
D. 30 ml.
Show correct ans - D
Which technique is the proper method to administer otic drops to an adult client?
A. Straighten the auditory canal by pulling it down and toward the front.
B. Gently pull the auricle up and back before instilling the drops.
C. Ask the client to lower the head and take a deep breath during the instillation.
D. Don sterile glove and gently insert one finger in the canal to promote the flow of the drops. - B
Question 13:
Which statement best documents the situation when a client becomes extremely agitated after receiving a sedative?
A. An idiosyncratic drug effect.
B. A toxic drug effect.
C. An allergic drug response.
D. An unexpected drug interaction. - A
Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?
A. Offering the client a bedpan every three hours.
B. Keeping an emesis basin near the bedside.
C. Providing oral care every four hours.
D. Changing the bed linens frequently. – D
Which intervention should the nurse include while caring for a client who has been diaphoretic for the past six hours?
A. Offering the client a bedpan every three hours.
B. Keeping an emesis basin near the bedside.
C. Providing oral care every four hours.
D. Changing the bed linens frequently. - D
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