NACE Basic Care and Comfort 5

Question 1

A nurse is caring for a client on bed rest after surgery. Which action BEST prevents venous thromboembolism (VTE)?

Accepted Answer

Apply sequential compression devices (SCDs) as ordered

Answer

Sequential compression devices promote venous return and are a primary mechanical intervention to prevent VTE in immobile clients.

Question 2

A nurse is caring for a client who is visually impaired. Which approach is MOST appropriate when assisting with ambulation?

Accepted Answer

Allow the client to hold the nurse's elbow and walk slightly behind

Answer

The sighted-guide technique has the client hold the guide's elbow and walk a half-step behind, providing safe and dignified navigation.

Question 3

A nurse is assessing a client's nutritional status. Which finding is the BEST indicator of chronic protein-calorie malnutrition?

Accepted Answer

Serum albumin level of 2.8 g/dL

Answer

Serum albumin reflects protein stores over 2–3 weeks and a level below 3.5 g/dL indicates chronic malnutrition.

Question 4

A nurse is inserting a urinary catheter in a female client. After cleansing the urinary meatus, the catheter accidentally touches the labia. What is the CORRECT action?

Accepted Answer

Discard the catheter and obtain a new sterile catheter

Answer

Any contact with a non-sterile surface contaminates the catheter, requiring a new sterile catheter to prevent urinary tract infection.

Question 5

A client with a new colostomy expresses embarrassment about odor. Which nurse response is MOST therapeutic?

Accepted Answer

Teach the client about dietary modifications and odor-control pouches

Answer

Educating the client about diet and odor-control products empowers self-management and addresses the concern directly.

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

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

NACE Basic Care and Comfort 5