Download NACE Exam Latest 2024: Detailed Answers and Rationales for 100+ Nursing Questions and more Exams Public Health in PDF only on Docsity! NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 1 / 23 1. A nurse is caring for a client who has not voided for several hours. When percussing the client's bladder to assess for distention, the nurse should expect to hear which of these sounds? -Tympany -Hyperresonance -Dullness -Resonance.: dullness 2. A nurse is preparing to change a client's sterile dressing. Which actions by the nurse, if observed, would contaminate the sterile field? -The nurse opens the sterile dressing tray without touching the inner surface of the wrapper -The nurse removes the indicator tape from a package of sterile 4x4's and opens the first flap with a motion away from the nurse's body -The nurse spills sterile saline on the sterile field -The nurse handles the inside of the sterile gown when putting it on.: The nurse spills sterile saline on the sterile field. 3. A nurse removes an indwelling urethral (Foley) catheter from a client. Six hours later, the nurse notes that the client has not voided. Which of these actions should the nurse take? -Apply pressure to the client's suprapubic area -Obtain an order to recatheterize the client -Run the tap water while the client is on the toilet -Tell the client to call whenever there is the urge to void.: Run the tap water while the client is on the toilet. 4. A client who is jaundiced reports itching. To relieve the itching, which of these measures would be most helpful? -Having the client wear clothing made from synthetic fibers -Giving the client sponge baths with tepid water several times a day -Rubbing the client's skin with diluted alcohol -Exposing the client to the direct rays of the sun.: Giving the client sponge baths with tepid water several times a day. 5. A nurse is assigned to care for a client who has pulmonary tuberculosis and is coughing. Which of these protective devices should the nurse put on before entering the client's room to give an oral medication? -Mask -Gloves -Gown -Eye shield.: mask NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 2 / 23 6. A nurse is instructing a client on how to limit saturated fat intake and increase intake of foods high in polyunsaturated fat. Which of these fats is highest in polyunsaturated fatty acids? -Corn oil -Vegetable shortening -Olive oil -Butter.: corn oil 7. A nurse obtains a tympanic electronic thermometer reading of 97F (36.1C) on a client who is flushed and warm to touch. Which of these actions should the nurse take next? -Return the electronic unit and connect it to the source to recharge the batteries -Report the reading to the nurse-in-charge -Recheck the temperature with another thermometer -Recheck the temperature in a half-hour.: Recheck the temperature with another thermometer 8. A nurse who is caring for a client with a nursing diagnosis of impaired physical mobility repositions the client every two hours. Which of these steps of the nursing process does the nurse demonstrate? -Planning -Assessing -Analyzing -Implementing.: implementing 9. Before nurses obtain information about a client's sexual health status as part of the admission assessment, it would be most important for nurses to assess their own -interviewing techniques -gender role identity -knowledge of sexual reproduction -personal attitudes about sexuality.: personal attitudes about sexuality 10. A nurse is caring for a client whose laboratory reports indicate hyperna- tremia. Which of these measures should be included in this client's plan of care? -Inserting an indwelling catheter -Increasing fluid intake -Elevating the lower extremities -Monitoring respiratory rate.: increasing fluid intake 11. A nurse is teaching a client how to maintain a low-fat diet when dining out in restaurants. During the interview, the client gazes out the window without NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 5 / 23 -Pureed soft diet. -Two grams of sodium, 30 grams of fat.: nothing by mouth 22. Which of these is a major disadvantage of a clear liquid diet? -Fluids allowed are not palatable. -High caloric content results in hyperglycemia. -High fluid intake leads to diarrhea. -Diet is nutritionally inadequate.: Diet is nutritionally inadequate. 23. Which of these diets should a nurse implement for a woman who is recovering from hyperemesis of pregnancy? -High-protein liquids every two hours. -Foods that are high in soluble fiber divided equally throughout the day. -Frequent meals of soft, bland foods. -Frequent small, dry meals, with clear liquids in between.: Frequent small, dry meals, with clear liquids in between. 24. Which of these factors should a nurse investigate as the most likely etiology of altered nutrition in a client who is receiving radiation therapy for endometrial cancer? -Malabsorption. -Absence of essential enzymes. -Dysphagia. -Loss of appetite: loss of appetite 25. A nurse is reinforcing instructions about breast self-examination with a premenopausal woman. Which of these statements, if made by the client, would indicate that she needs FURTHER instructions? -I will use a circular pattern when feeling for abnormalities of my breasts. -I will examine both of my breasts weekly while showering. -I will look in a mirror for changes in contour of my breasts. -I will gently compress the nipple of my breasts to check for discharge.: I will examine both of my breasts weekly while showering. 26. A nurse is reinforcing teaching with a client who is diagnosed with non-in- sulin- dependent diabetes mellitus. Which of these topics is most important for the nurse to emphasize? -Individualized prescription of diet, exercise, and medication. -Clinical manifestations of non-insulin-dependent diabetes. -Lifestyle modifications to reduce stress. -Personal hygiene measures.: Individualized prescription of diet, exercise, and medication. 27. A nurse should assess a client who has a thyroidectomy for signs of hypocalcemia, which include NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 6 / 23 -gingival hypertrophy. -painful joints. -tetany. -toothaches.: tetany 28. A nurse should expect that a client who has open-angle glaucoma will report -difficulty seeing distant objects. -photophobia. -severe eye pain. -loss of peripheral vision.: loss of peripheral vision 29. A nurse should recognize that a client who has a perineal prostatectomy rather than a transurethral prostatectomy is more likely to develop which of these complications? -Ureteral stenosis. -Impotence. -Renal calculi. -Glomerulonephritis.: impotence (ED) 30. A nurse should teach a client who has diabetes mellitus & their family and friends to recognize early signs of a hypoglycemic reaction, which include -irritability. -fruity breath. -double vision. -hot, dry skin.: irritability 31. A client has an order for 1 gm of medication to be administered intramus- cularly. The medication available is labeled 500 mg/mL. How many milliliters should a nurse administer? -0.5 mL -1.0 mL -2.0 mL -3.5 mL: 2 mL. If 500 mg equals 1 mL, 1000 mg equals 2 mL 32. A client who is receiving continuous bladder irrigation has an intake of 800 mL of intravenous fluid and 2,000 mL of irrigating solution. The urinary drainage bag contains 3,800 mL. The charted output should be -800 mL. -1,000 mL. -1,800 mL. -3,800 mL: 1,800 mL 33. A vial of medication contains 150 mg/2 mL. If a client is to receive 25 mg of the medication intramuscularly, how many milliliters should a nurse NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 7 / 23 administer to them? -0.2 mL -0.3 mL -0.6 mL -1.0 mL: 0.3 mL If 150 mg equals 2 mL, then 75 mg equals 1 mL, so 25 mg would equal 0.3 mL. 34. When caring for a client during the immediate postoperative period after a sub-total thyroidectomy, it is important for a nurse to -ensure that the client remains in a supine position. -encourage the client to speak frequently. -provide the client with oral fluids. -monitor the client's respiratory status.: -monitor the client's respiratory status 35. Which of these actions by a nurse would be best when communicating with a client who has expressive aphasia? -Encourage the client to verbalize thoughts. -Involve the client's family in interpreting the patient's needs. -Ask questions of the client that require an affirmative or negative response. -Attempt to read the client's lip movements.: Ask questions of the client that require an affirmative or negative response. 36. A client who has been on nothing by mouth may now have fluids. Which of these beverages should be offered first? -Skim milk. -Eggnog. -Cream of chicken soup. -Apple juice.: Apple juice 37. A nurse should include which of these measures when caring for a client who has returned from hemodialysis? -Obtaining a post-procedure urine sample from the client. -Increasing the client's intake of fluids. -Placing the client in protective isolation. -Observing the client for signs of shock.: Observing the client for signs of shock 38. A client is receiving intermittent nasogastric tube feedings. A nurse should aspirate the residual stomach contents prior to administering a scheduled feeding for which of these purposes? -To check the pH of the gastrointestinal fluids. -To evaluate the osmolarity of the stomach contents. -To determine absorption of formula in the stomach. -To obtain a specimen of gastric secretion.: To determine absorption of formula in the stomach. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 10 / 23 52. A nurse is caring for a client who had a right lower lobectomy and has a closed (water-sealed) chest drainage system in place. Which of these actions should a nurse include in the plan of care? -Keep the system below the level of the client's waist. -Change the system every 72 hours. -Empty the system every 4 hours. -Clamp the system when ambulating the client.: Keep the system below the level of the client's waist. 53. A nurse identifies all of these nursing diagnoses for a client. Which diag- nosis should the nurse give the highest priority? -Altered comfort: pain. -Altered nutrition: less than body requirements. -Impaired skin integrity. -Impaired tissue perfusion.: Impaired tissue perfusion. 54. A nurse is helping an elderly client who has been on prolonged bed rest to get out of bed for the first time. The client should be encouraged to move slowly in order to prevent -sudden perfusion of the kidneys. -engorgement of the femoral veins. -postural hypotension. -increased cardiac output: postural hypotension. 55. A nurse obtains all of these laboratory results for a client prior to surgery. Which one should the nurse report to the physician? -Hemoglobin level of 11.5 gm/dL. -Prothrombin time of 32 seconds. -Platelet count of 250,000/mm. -White blood cell count of 9,000 cells/mm.: Prothrombin time of 32 seconds. 56. The results of a client's diagnostic tests show a high total cholesterol level. The client asks a nurse, "What should I do to reduce my cholesterol level?" The nurse should suggest that the client decrease the intake of which of these nutrients? -Vegetable fats. -Complex carbohydrates. -Simple sugars. -Animal fats.: animal fats 57. When cleaning a client's dentures, which of these measures should a nurse implement while wearing gloves? -Brushing the dentures in an emesis basin with tepid water. -Soaking the dentures for 20 minutes in a peroxide solution. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 11 / 23 -Applying an abrasive dentifrice to the dentures with a stiff brush. -Rinsing the dentures in the sink using hot tap water.: Brushing the dentures in an emesis basin with tepid water. 58. Which of these communication techniques should a nurse use with a client who frequently misinterprets the nurse's instructions? -Conveying acceptance of the client. -Listening attentively to the client. -Offering reassurance to the client. -Validating information with the client.: Validating information with the client. 59. Which of these nursing actions would be most effective in gaining the confidence of an adult client who is anxious? -Show interest in the client's point of view. -Relate experiences similar to those of the client. -Demonstrate a clear understanding of what the client can do to relieve the problem. -Tell the client about resources that are available.: Show interest in the client's point of view 60. A client who is terminally ill with cirrhosis says to a nurse, "I'm angry at God because he won't give me a new liver." Which of these responses would be most helpful? -"You're angry at God." -"I understand your anger toward God." -"I don't blame you for being angry at God. -"You really need to control your anger toward God.: you're angry at god 61. After preparing a liquid cough medication for a client, a nurse asks another nurse to administer the medication. Which of these actions should the second nurse take? -Administer the medication as requested. -Pour a new dose of the medication. -Chart the medication as a missed dose. -Question the medication order.: pour a new dose of the medication 62. It is now eight hours since a male client had minor surgery. He expresses a desire to void but is unable to do so. To assist him in passing urine, which of these actions should a nurse take first? -Apply gentle pressure over the bladder region. -Assist the client to a standing position at the bedside. -Insert a straight catheter into the bladder. -Increase the client's fluid intake.: Assist the client to a standing position at the bedside. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 12 / 23 63. The evening before surgery, a client asks a nurse, "Could you pray with me?" The nurse's reply should be based on which of these understandings about the nurse's role in the client's care? -Meeting the client's need is within the nurse's province if the nurse's faith is the same as the client's. -The nurse should request the chaplain of the client's faith to visit. -Prayer is not a nursing function; the nurse should institute such measures as distraction and relaxation. -The nurse has a responsibility to see that the client's need is met: Meeting the client's need is within the nurse's province if the nurse's faith is the same as the client's. 64. When a client has a nasogastric drainage tube connected to suction, a nurse should monitor the client for symptoms of which of these imbalances? -Metabolic alkalosis. -Respiratory alkalosis. -Metabolic acidosis. -Respiratory acidosis.: Metabolic alkalosis. 65. When assessing a client's lungs, a nurse should auscultate the lungs by using which of these techniques? -Listen during the inspiratory phase at alternating sites. -Listen to the entire right side before listening to the left side. -Listen to the chest while the patient is supine. -Listen for a full respiratory cycle at each site.: Listen for a full respiratory cycle at each site. 66. A 42-year-old client is admitted to a medical unit in acute renal failure. The client is given protein food with a high biological value. A nurse should recognize that the rationale for this diet prescription is to -minimize the amount of nitrogen that must be excreted. -increase the amount of urine produced. -reduce the total amount of caloric intake. -provide maximum vitamins and minerals per gram of protein.: minimize the amount of nitrogen that must be excreted. 67. A community-based nurse is conducting nutrition education classes at a senior center. The nurse should instruct the clients to consume a high-fiber diet in order to prevent which of these conditions? -Acute irritable bowel syndrome. -Duodenal ulcer. -Gastritis. -Diverticulosis.: Diverticulosis. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 15 / 23 78. Which of these nutritional goals should a nurse plan for a client who has been diagnosed with nephrotic syndrome? -To prevent protein malnutrition. -To replace serum electrolytes. -To prevent loss of fatty tissue. -To provide adequate carbohydrates.: To prevent protein malnutrition. 79. A nurse is planning age-appropriate health promotion classes for a com- munity. The nurse should recognize that Erikson's stages of growth and de- velopment designate that the task of middle age is -identity vs. role confusion. -intimacy vs. isolation. -generativity vs. stagnation. -integrity vs. despair.: generativity vs. stagnation. 80. A nurse is working with a postoperative client after throat surgery who has been reluctant to drink fluids due to pain. Which of these findings should the nurse recognize as the best indication that the client's hydration status has improved? -The patient's urine specific gravity is 1.025. -The patient's skin appears shinier. -The patient no longer reports feelings of thirst. -The patient no longer reports episodes of pain.: The patient's urine specific gravity is 1.025. 81. A nurse should observe a client who is in sickle cell crisis for which of these symptoms? -Nausea and vomiting. -Fatigue and pain not relieved by rest. -Bleeding and dizziness. -Immobility and bruising, especially over the lower extremities.: fatigue and pain 82. A nurse teaches a client who has been newly diagnosed with insulin-de- pendent diabetes mellitus about blood glucose monitoring. Which of these statements would indicate to the nurse that the client has a correct under- standing of the teaching? -I will check my blood sugar if I feel lightheaded. -I will check my blood sugar after I exercise. -I will check my blood sugar only when I am unable to eat. -I will check my blood sugar before each meal and at bedtime.: I will check my blood sugar before each meal and at bedtime. (typically check blood sugar 4 times a day) NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 16 / 23 83. A client who is taking furosemide (Lasix) complains of feeling weak and tired and having no appetite. A nurse should recognize that these symptoms are most likely related to which of these conditions? -Hypocalcemia. -Hypernatremia. -Hypokalemia. -Hyperchloremia.: Hypokalemia. 84. Which of these actions should a nurse take first while a person is having a tonic- clonic seizure in the hallway? -Call a code. -Check the person's pupillary response. -Position the person on their left side. -Protecting the person's head.: Protecting the person's head. 85. Which of these measures should be included in the care plan for a post- operative client who has a Hemovac (low pressure suction system) in place? -Irrigating the tubing q 4h. -Emptying the device at least q 8h. -Ensuring gravity drainage with level of cannister below patient waist. -Pinning the tubing to the bed.: Emptying the device at least q 8h. 86. Which of these nursing interventions is appropriate for a client during the immediate period following a cardiac catheterization? -Keep the head of the bed in high-Fowler's position for six hours. -Monitor insertion site for bleeding and hematoma. -Perform range-of-motion exercises every hour. -Maintain NPO status until bowel sounds return.: Monitor insertion site for bleed- ing and hematoma. 87. On the third postoperative day, a client who had a colon resection reports gas pain. Which of these measures would be most effective in relieving this discomfort? -Placing the client in a prone position. -Having the client drink a carbonated beverage. -Instructing the client to bear down. -Inserting a lubricated rectal tube into the client's rectum.: Inserting a lubricated rectal tube into the client's rectum. 88. An elderly client falls and sustains a left hip fracture. The client is initially placed in skin traction (Buck's extension) for which of these purposes? -To reduce the fracture. -To approximate the edges of the fracture. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 17 / 23 -To prevent edema around the fracture. -To immobilize the fractured extremity.: To immobilize the fractured extremity. 89. When a client is hospitalized for pneumonia, a nurse should plan to in- crease fluid intake for which of these primary purposes? -Maintain renal function. -Improve cardiac output. -Promote bowel function. -Improve airway clearance.: Improve airway clearance. 90. Which of these problems should a nurse monitor for in a client who is diagnosed with Parkinson's disease and has difficulty swallowing? -Gastritis. -Gingivitis. -Aspiration. -Sore throat.: aspiration 91. A client asks a nurse how a decubitus ulcer will heal. The nurse's response should include an explanation of which of these physiological factors? -Negative nitrogen balance. -Adequate tissue perfusion. -Aerobic metabolism. -Vitamin E absorption.: Adequate tissue perfusion 92. A nurse is monitoring an immediate postoperative client for bleeding. Which of these findings would indicate that the client is in the early stage of hypovolemic shock? -The client has a large urinary output. -The client has a rapid pulse rate. -The client has slow, labored breathing. -The client has an elevated temperature.: The client has a rapid pulse rate. 93. 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? -"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?": "Do you experience heart- burn after a large meal?" 94. A nurse has instructed a client about how to perform a sterile dressing change. The client would demonstrate understanding of asepsis by taking which of these actions first? -Putting on a mask. -Donning sterile gloves. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 20 / 23 105. After discussing a client's weight-reduction dietary plan, a nurse finds the client eating candy that a visitor brought. Which of these approaches should the nurse take? -Tell the client's visitors not to bring candy. -Remove the candy because it is not allowed on the client's diet. -Remind the client that as an adult, he/she should demonstrate the self-control necessary to improve health. -Recognize that the client is ultimately responsible for making their own decisions.: Recognize that the client is ultimately responsible for making their own decisions. 106. An 84-year-old client is admitted to the hospital with a temperature of 100.8 F (38.2 C), dry oral mucous membranes, and urine specific gravity of 1.035. Which of these nursing diagnoses should be given priority? -Urinary retention. -Ineffective thermoregulation. -Fluid volume deficit. -Impaired skin integrity.: fluid volume deficit 107. To assess a person with dark skin for signs of cyanosis, a nurse should look at the client's -ankles. -conjunctiva. -wrists. -earlobes.: conjunctiva 108. While auscultating a client's lungs, a nurse hears a high-pitched musical sound over the bronchi on both inspiration and expiration, with the sound loudest on expiration. How should the nurse describe the auscultated sound? -Wheezing, pronounced on expiration. -Crackles bilaterally. -Bronchial rhonchi. -Inspiratory and expiratory rales.: Wheezing, pronounced on expiration 109. A nurse is instructing a client who has been diagnosed with diabetes mellitus about food exchanges. The client says that she is unable to eat "the greasy meat" served in the cafeteria. Which of these foods, assuming that they are available, would be an acceptable substitute for her meat exchange? -Bagels and cream cheese. -Baked potato and sour cream. -Macaroni and cheese. -Spaghetti and tomato sauce.: mac n cheese NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 21 / 23 110. A nurse should monitor a client who is receiving long-term antibiotic therapy for which of these nutritional consequences? -Inhibition of intestinal synthesis of vitamin K. -Acceleration of the excretion of niacin. -Binding of ascorbic acid. -Reduction of the absorption of folacin.: Inhibition of intestinal synthesis of vita- min K. 111. A nurse should monitor the blood glucose levels of a client who is receiving total parenteral nutrition for which of these reasons? -The increased blood volume leads to a drop in serum glucose. -The glucose content of the solution may lead to hyperglycemia. -The pancreas fails to function adequately in the absence of gastric stimula- tion. -The peripheral tissues develop an increased resistance to insulin.: The glu- cose content of the solution may lead to hyperglycemia. 112. The assessment of a client who has a diagnosis of stomach cancer reveals protein and calorie malnutrition. Considering the diagnosis and nu- tritional status, a nurse should plan to use which of these nutritional interven- tions to improve the client's nutritional status after surgery? -Total parenteral nutrition via a central line. -High-density formula via gastrostomy feedings. -Vitamin-enriched, high-protein liquid via oral feeding. -Elemental formula via nasogastric tube.: Total parenteral nutrition via a central line. 113. The laboratory test results of a 30-year-old client reveal the following values: Total cholesterol 200 mg/dL Triglycerides 85 mg/dL; LDL Cholesterol 185 mg/dL; HDL Cholesterol 45 mg/dL. The above findings suggest an excess of which of these types of cholesterol? -HDL cholesterol. -Total cholesterol. -LDL cholesterol. -Triglycerides.: LDL cholesterol 114. Which of these dietary modifications should a nurse anticipate for a client who has a diagnosis of cirrhosis of the liver? -Restriction of carbohydrates. -Supplements of potassium. -Supplements of vitamin E. -Restriction of protein.: Restriction of protein. NACE EXAM LATEST 2024 ACTUAL EXAM 100+ QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 22 / 23 115. Which of these dietary modifications should a nurse initiate to help increase the oral intake of a client who has dysphagia? -Low-residue foods. -Thickened liquids -Bland foods. -Clear liquids.: thickened liquids 116. Which of these food selections, if made by a client on a 500 mg-sodium diet, should indicate to a nurse the need for ADDITIONAL instruction? -One raw apple. -One tablespoon of corn oil. -One cup of milk. -One half cup of boiled rice.: One cup of milk. 117. Which of these laboratory findings should indicate to a nurse that a client who has been diagnosed with acquired immunodeficiency syndrome (AIDS) has a compromised nutritional status? -Decreased eosinophil count. -Elevated serum glutamic oxaloacetic transaminase. -Elevated blood urea nitrogen. -Decreased serum albumin.: Decreased serum albumin. 118. Which of these nutrients should a nurse recognize as the most difficult to digest by a child who has cystic fibrosis? -Complex carbohydrates. -Protein. -Fat. -Simple carbohydrates.: fat 119. A nurse in an acute care setting finds a client who has a history of heart disease lying on the floor. The client does not respond to verbal stimuli. The next action that the nurse should take is to -establish an airway. -call the physician. -check the blood pressure. -begin external cardiac compression.: establish an airway. 120. A nurse is planning care for a client who is hospitalized for treatment of acute pulmonary edema. To which of these measures should the nurse assign priority? -Interpreting serum electrolyte levels. -Measuring urinary output. -Monitoring respiratory status. -Providing a low sodium diet.: Monitoring respiratory status.