NACE PN TO RN COMPREHENSIVE TEST
PAPER 2026 FULL SOLUTION STUDY
GUIDE
● A client is brought to the emergency department and the physician
determines he has gastrointestinal (GI) bleeding. In planning for his
care, which of the following would be first priority? Answer: The
Correct answer is: assessment of vital signs Vital sign assessment would
be the priority nursing intervention. This would provide an indication of
the amount of blood loss that has occurred and also provide a baseline
by which to monitor the progress of treatment. The other answers (b, c,
and d) are important but not priority actions.
● When providing instructions to the adolescent regarding physical
development of her body, the RN should do all of the following
EXCEPT Answer: Correct Answer: Discuss the importance of avoiding
social events in order to stay out of trouble.
Socialization is very important to teenagers and is a normal part of their
development. The other answers (b, c, and d) are all accurate instructions
and discussions for the adolescent regarding development.
● The nurse is developing discharge plans for a 65-year-old client. The
discharge plans indicate the client will be discharged home with home
health nursing care. The nurse provides the home health agency with
details regarding the needs of the patient. The nurse made which of the
following to the home health agency? Answer: Correct answer: A
,referral. A referral is recommending home care services or giving
information to an home care service regarding the client and the client's
needs. Typically the sources of referral to a home care agency are family
members, nurses, physicians, social workers, discharge planners or
therapists.
● Which of the following is the normal serum electrolyte level for
magnesium? Answer: Correct answer: 1.6 to 2.4 mEq/L
● The school nurse is approached by a mother who explains that her
kindergarten child is constantly scratching the perianal area and that the
area is irritated. The RN understands that she should instruct the mother
to obtain a rectal specimen by a tape test and that the mother should
obtain the specimen when? Answer: The Correct answer is: in the
morning, when the child awakens Visualization of pinworms by means
of a tape test is necessary for the diagnosis. Transparent tape is lightly
touched to the anus and then applied to a slide for microscopic
examination. The best specimen is obtained as the child awakens, before
toileting or bathing.
● A 20-year-old patient is admitted to the hospital with respiratory
failure. He's intubated, given oxygen, and is coughing with copious
secretions in his lungs. What should be done first? Answer: Correct
Answer: Suction the lungs
The first priority is to make sure the client's airways are clear and that he
can breathe. The other choices can be addressed after ensuring the client
can breathe.
, ● A high school student is referred to the school nurse for suspected
substance abuse. Following the nurse's assessment and intervention,
what would be the MOST desirable outcome? Answer: Correct Answer:
The student accepts a referral to a substance abuse counselor. All of the
outcomes stated are desirable; however, the best outcome is that the
student would agree to seek the assistance of a professional substance
abuse counselor.
● The RN is preparing an intravenous infusion of phenytoin (Dilantin)
as prescribed by the physician for the client with seizures. Which of the
following solutions will the nurse use to dilute this medication? Answer:
Normal saline (0.9%) solution. Phenytoin (Dilantin) should be
administered by injection into a large vein by intermittent intravenous
infusion. Normal saline (0.9%) solution is the preferred solution.
Dextrose should be avoided because of medication precipitation.
● Which of the following terms corresponds with the phrase: a woman
that is pregnant? Answer: Gravida
Gravida is another word for pregnancy. Spermatogonia refers to male
sperm cells. Placenta previa is when the placenta is too close to the
cervix.
● A healthy first time pregnant client asks the nurse, "How long will I
stay in the hospital after my baby is born." The client is scheduled for a
Caesarean section. The nurse understands the average timeframe for the
hospital stay for a Caesarean section is what? Answer: Correct Answer:
PAPER 2026 FULL SOLUTION STUDY
GUIDE
● A client is brought to the emergency department and the physician
determines he has gastrointestinal (GI) bleeding. In planning for his
care, which of the following would be first priority? Answer: The
Correct answer is: assessment of vital signs Vital sign assessment would
be the priority nursing intervention. This would provide an indication of
the amount of blood loss that has occurred and also provide a baseline
by which to monitor the progress of treatment. The other answers (b, c,
and d) are important but not priority actions.
● When providing instructions to the adolescent regarding physical
development of her body, the RN should do all of the following
EXCEPT Answer: Correct Answer: Discuss the importance of avoiding
social events in order to stay out of trouble.
Socialization is very important to teenagers and is a normal part of their
development. The other answers (b, c, and d) are all accurate instructions
and discussions for the adolescent regarding development.
● The nurse is developing discharge plans for a 65-year-old client. The
discharge plans indicate the client will be discharged home with home
health nursing care. The nurse provides the home health agency with
details regarding the needs of the patient. The nurse made which of the
following to the home health agency? Answer: Correct answer: A
,referral. A referral is recommending home care services or giving
information to an home care service regarding the client and the client's
needs. Typically the sources of referral to a home care agency are family
members, nurses, physicians, social workers, discharge planners or
therapists.
● Which of the following is the normal serum electrolyte level for
magnesium? Answer: Correct answer: 1.6 to 2.4 mEq/L
● The school nurse is approached by a mother who explains that her
kindergarten child is constantly scratching the perianal area and that the
area is irritated. The RN understands that she should instruct the mother
to obtain a rectal specimen by a tape test and that the mother should
obtain the specimen when? Answer: The Correct answer is: in the
morning, when the child awakens Visualization of pinworms by means
of a tape test is necessary for the diagnosis. Transparent tape is lightly
touched to the anus and then applied to a slide for microscopic
examination. The best specimen is obtained as the child awakens, before
toileting or bathing.
● A 20-year-old patient is admitted to the hospital with respiratory
failure. He's intubated, given oxygen, and is coughing with copious
secretions in his lungs. What should be done first? Answer: Correct
Answer: Suction the lungs
The first priority is to make sure the client's airways are clear and that he
can breathe. The other choices can be addressed after ensuring the client
can breathe.
, ● A high school student is referred to the school nurse for suspected
substance abuse. Following the nurse's assessment and intervention,
what would be the MOST desirable outcome? Answer: Correct Answer:
The student accepts a referral to a substance abuse counselor. All of the
outcomes stated are desirable; however, the best outcome is that the
student would agree to seek the assistance of a professional substance
abuse counselor.
● The RN is preparing an intravenous infusion of phenytoin (Dilantin)
as prescribed by the physician for the client with seizures. Which of the
following solutions will the nurse use to dilute this medication? Answer:
Normal saline (0.9%) solution. Phenytoin (Dilantin) should be
administered by injection into a large vein by intermittent intravenous
infusion. Normal saline (0.9%) solution is the preferred solution.
Dextrose should be avoided because of medication precipitation.
● Which of the following terms corresponds with the phrase: a woman
that is pregnant? Answer: Gravida
Gravida is another word for pregnancy. Spermatogonia refers to male
sperm cells. Placenta previa is when the placenta is too close to the
cervix.
● A healthy first time pregnant client asks the nurse, "How long will I
stay in the hospital after my baby is born." The client is scheduled for a
Caesarean section. The nurse understands the average timeframe for the
hospital stay for a Caesarean section is what? Answer: Correct Answer:
