NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 45 pages. Originally published on StudyMerit.
See the first 3 pages exactly as they appear in the document.
NGN RN ATI LEADERSHIP PROCTORED EXAM (3 VERS IONS ) 2019 - 2024 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) (70 Q & A) 1. A nurse in the emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first? a. A toddler who has a 2 cm ( 0.79 in) head laceration oozing dark red blood b. An adolescent client who has an injured ankle and reports a pain level of 8 on a scale from 0 to 10 c. A n older adult client who has dyspnea and a respiratory rate of 26/min d. An adult client who has large ecchymosis on both legs 2. A home health nurse finds piles of newspapers in the hallway of a client’s home. The nurse explains the need to discard the newspapers for safety reasons. The client agrees to move the newspapers into the living room. Which of the following conflict resolution strategies has the nurse used? a. Collaborating b. Smoothing c. Accommodating d. Compromising 3. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to an assistive personnel? a. Advising a client on self - administration of acetaminophen b. Informing a family of a client’s progress in physical therapy c. Teaching a client to perform a finger - stick for testing blood glucose levels d. Performing post mortem care prior to transferring the client to the morgue 4. A nurse is providing discharge teaching to a client following a total knee arthroplasty. Which of the following information should the nurse include (SATA) a. Advance directives information b. Contact information for the phy sical therapist c. Medication guidelines information d. Insurance information e. Information about follow - up care 5. A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from respite services. When the client’s partner asks how this service can help, which of the following responses by the nurse is appropriate? a. “This service offers psychological interventions during and after your wife’s illness.” b. “The clinicians help reduce the severity of your wife’s physical problems.” c. “This service delivers meals and supplies to reduce your errands away from home.” d. “It makes it possible for you to have some time away from caring for your wife.” 6. A nurse is teaching a client how to use a finger - stick glucometer at home. Which of the following instructions should the nurse include? a. Warm the hands prior to piercing the skin. b. Cap the lancet prior to putting it in the trash. - never recap c. Elevate the arm for 1 min before taking the blood sample. - has to be down so gravity can assist to milk the blood out . d. Obtain the blood sample from the finger pads. 7. A nurse is assessing a client who had a recent stroke. Which of the following findings should indicate the need for referral to an occupational therapist ? a. Receptive aphasia→ unable to understand language in its written or spoken form b. Facial drooping→ speech therapist c. Memory loss
d. Unilateral neglect – is one of the disabling features of stroke, and is defined as a failure to attend to the side opposite a brain lesion. 8. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event? a. A network for communication between staff members and families b. A mental health specialist on the response team c. A sufficient supply of personal protective equipment d. A system for tracking client information 9. A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department ? a. Rotavirus b. Pertussis c. Respiratory syncytial virus d. Group B streptococcal disease
10. A charge nurse is teaching a newly licensed nurse about proper cleaning of equipment used for a client who has Clostridium difficile . Which of the following solutions should the nurse recommend to clean the equipment? a. Chlorine bleach b. Triclosan c. Chlorhexidine d. Isopropyl alcohol 11. A nurse is completing discharge teaching with a client who is being treated for tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? a. “I need to take my prescribed medication for 3 months.” b. “I should have a sputum culture done every 2 to 4 weeks.” c. “I need to have a TB skin test done once per year.” d. “I should wear a mask while around my family.” 12. An older adult client is awaiting surgery for a fractured right hip . The nurse should recognize that which of the following can be delegated to an assistive personnel ? a. Checking the pulses of the client’s right foot b. Recording the client’s vital signs c. Turning the client d. Determining the client’s pain level 13. A charge nurse in the newborn nursery is delegating tasks to an assistive personnel (AP). Which of the following is an appropriate task for the AP? a. Inspect the skin of a newborn who is receiving phototherapy. – Assess b. Answer the parents’ questions about newborn circumcision. - Teaching c. Show a new mother how to change the newborn’s diaper. - Teaching d. Obtain the weight of a newborn that is receiving formula 14. A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. “A provider can write a prescription for restraints ‘as needed’.” b. “I need to tie the restraint to the part of the bed frame that moves.” c. “I should tie the restraints using a square knot.” d. “ I will remove a client’s restraints every 4 hours.” 15. An infection control nurse is planning an education program for a group of newly licensed nurses. Which of the following infections should the nurse include when discussing illnesses requiring droplet precautions? a. Mumps b. Rubeola c. Varicella d. Rotavirus 16. A nurse is caring for a client who has cancer. The client and her partner are asking the nurse about hospice are. Which of the following statements by the nurse is appropriate? a. “Hospice care will prolong the life expectancy of clients who are terminally ill.” b. “ Hospice care is a multidisciplinary program for clients who are terminally ill.” c. “Hospice care is helpful for clients at various stages of chronic illness.” d. “Hospital access is no longer available for clients who are in hospice care.” 17. A nurse is planning care for a client who has Addison’s disease. Which of the following tasks should the nurse plan to delegate to an assistive personnel? a. Decide how often to measure vital signs. b. Explain to the client about a 24 - hr urine specimen collection. c. Determine the client’s muscle strength prior to ambulation. d. Remind the client to change positions slowly.
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