Free NACE: Foundations of Nursing Questions and Answers

Question 1

What drug is most likely to offer relief right away if an asthmatic patient is having an acute exacerbation with wheezing and dyspnea?

Accepted Answer

albuterol (beta-adrenergic agonist).

Answer

Albuterol, a beta-adrenergic agonist frequently used during the acute stage of asthma, is likely to provide the most immediate relief if a patient with a history of asthma is going through an acute exacerbation with wheezing and dyspnea. This is because this class of medications offers quick bronchodilation. These medications should be avoided in patients who have uncontrolled cardiac dysrhythmias and a high risk of stroke since they have some vasoconstrictive effects.

Question 2

Patients who are gynoid (pear-shaped) obese are more likely to develop

Accepted Answer

varicose veins.

Answer

Gynoid (pear-shaped) obese patients are more likely to develop varicose veins, cellulitis, osteoporosis, and elevated triglycerides. However, compared to android (apple-shaped) obesity, which is linked to diabetes, heart disease, breast and endometrial cancer, gynoid obesity is less dangerous to overall health. The upper arms, buttocks, and thighs are where the majority of the extra weight is carried in gynoid obesity.

Question 3

Which of the following factors raises the chance of pulmonary embolism after surgery?

Accepted Answer

Prolonged immobilization.

Answer

Since prolonged immobility might result in deep vein thrombosis (DVT), it is one of the main risk factors for the development of pulmonary embolus in the postoperative period. When a piece of the thrombus development separates and enters the bloodstream, it can cause DVT, which in turn can cause pulmonary embolism. Patients are urged to move around in bed and ambulate as soon as possible because of this. Age and blood's hypercoagulability, which renders it prone to clotting, are additional risk factors.

Question 4

A patient who had a colectomy for a bowel obstruction is being uncooperative and won't turn over or get out of bed. Which evaluation has precedence?

Accepted Answer

Pain.

Answer

The most frequent cause of inability to move following surgery is pain, thus a patient who has had a colectomy for a bowel blockage and is unwilling to turn, get out of bed, or cooperate should probably first be evaluated for pain. The wound should next be checked, vital signs obtained, and the patient's emotional state should be assessed. The patient could worry that moving will make their discomfort worse or might rip or open their wound.

Question 5

If an Orthodox Jewish patient won't use the call bell or answer the intercom because they won't use electrical appliances on the Sabbath, shouldn't the nurse?

Accepted Answer

provide him with a hand bell or alternate means of calling the nurse.

Answer

The nurse should give an Orthodox Jewish patient who is refusing to use electrical appliances on the Sabbath a hand bell or another alternative method of calling the nurse if he refuses to use the call bell or reply to the intercom. While checking in on the patient every 15 to 30 minutes may not always be practicable, the nurse shouldn't try to persuade the patient to change his or her religious beliefs.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Free NACE: Foundations of Nursing Questions and Answers