If the things are big reactors for the impulse drive, then placing them close to the actual rocketlike parts of the preexisting impulse drive is probably very sensible.
Whether the exhausts of an impulse power system would be used in a rocketlike manner even if impulse drive itself worked on subspace coils... It's not unheard of, in terms of real world analogies. Several propeller aircraft piston engines were built so that their exhaust gases added to the overall thrust - almost negligibly, to be sure, but there was no reason not to twist their tailpipes so that this little advantage could be gained. Many (although not all) turboprops follow suit in using the exhaust of the turbine in a propulsive manner even though the propeller is the thing.
IMHO, it's quite possible that Starfleet engineers decided to make some use of the exhaust gases from the impulse engine tailpipe in some starship designs, but not in all of them.
OTOH, if the Bussard scoops in front of the nacelles are really there for the purpose of collecting interstellar gas (although this has never been indicated onscreen), then we know Starfleet has the means of twisting the flowpaths of gas in vacuum without visible means; otherwise, said gas couldn't reach the often obscured 'scoops. It then more or less follows that an impulse engine could belch out a rocketlike jet from any arbitrary location, in any arbitrary direction, and this invisible tech (forcefields, I guess) would then manipulate the jet to create proper Newtonian thrust in the desired direction.
Timo Saloniemi