NACE FOUNDATIONS OF NURSING QUESTIONS AND ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains
Physiological Needs and Basic Care Comfort
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Pathophysiology and Pharmacology
Reduction of Risk Potential
Communication and Documentation
Legal, Ethical, and Professional Standards
Nursing Process and Clinical Decision-Making
Special Populations: Gerontology and End-of-Life Care
Introduction
This comprehensive assessment evaluates the foundational nursing knowledge, clinical reasoning, and professional
competencies required for the NACE Foundations of Nursing examination. The test assesses the candidate's ability
to provide safe, compassionate, and effective basic nursing care across diverse healthcare settings. Using a rigorous
multiple-choice and scenario-based format, this examination challenges the learner to apply the nursing process,
prioritize patient needs, and implement evidence-based interventions for patients with common health conditions.
Success requires proficiency in critical thinking, therapeutic communication, patient safety principles, and ethical
,decision-making, ensuring readiness to deliver competent entry-level nursing care under the supervision of a
registered nurse or as part of an interdisciplinary team.
SECTION ONE: Questions 1–100
Question 1
A nursing assistant is caring for a patient who is on strict bed rest following a spinal cord injury. Which action is
the most effective intervention to prevent the development of a pressure injury on the patient's sacrum?
A. Massaging the patient's sacral area with lotion every 2 hours.
B. Repositioning the patient at least every 2 hours and using a pressure-redistributing support surface.
C. Keeping the head of the bed elevated at 45 degrees at all times.
D. Applying a heat lamp to the sacral area to dry any moisture.
🟢 Correct Answer:
B
🔴 RATIONALE:
Pressure injuries develop when sustained pressure impairs capillary blood flow to the skin and underlying
tissues, most frequently over bony prominences like the sacrum. The cornerstone of prevention is the relief of
pressure through frequent, scheduled repositioning (at minimum every 2 hours) to allow tissue reperfusion.
Massaging bony prominences is contraindicated as it can damage fragile capillary beds and cause deep tissue
injury. Keeping the head of bed elevated above 30 degrees increases shearing force on the sacrum.
Question 2
When performing hand hygiene with an alcohol-based hand rub, the nursing assistant should rub the product
over all surfaces of the hands until they are dry. What is the minimum recommended time for this process?
A. 5 seconds
,B. 15 to 20 seconds
C. 60 seconds
D. 3 minutes
🟢 Correct Answer:
B
🔴 RATIONALE:
The Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) recommend that
when using an alcohol-based hand rub, the product should be applied to the palm of one hand and rubbed
over all surfaces of the hands and fingers until the hands are completely dry, a process that should take
approximately 15 to 20 seconds. This contact time is necessary for the alcohol to effectively denature the
proteins of transient microorganisms. A full minute is the standard for surgical hand antisepsis with an
antimicrobial soap.
Question 3
A patient is receiving oxygen therapy via a nasal cannula at 4 L/min. What is the most important safety
precaution that the nursing assistant must enforce?
A. Ensure the patient's door is closed for privacy.
B. Keep a "No Smoking" sign posted on the patient's door and ensure no open flames or electrical sparks are
present in the room.
C. Tape the nasal cannula securely to the patient's face.
D. Encourage the patient to ambulate independently around the unit with a portable tank.
🟢 Correct Answer:
B
🔴 RATIONALE:
Oxygen supports combustion, meaning materials will ignite and burn much more easily, vigorously, and quickly
, in an oxygen-enriched environment. A small spark from a static discharge, an electric razor, or a flame from a
lighter can cause a catastrophic fire. The absolute rule is no smoking and no open flames near oxygen delivery
systems. The door should not be closed as it restricts nursing observation and access in case of an emergency.
Question 4
A patient who is receiving intravenous fluids reports pain, redness, and swelling at the IV insertion site. The
nursing assistant's priority action is to:
A. Apply a warm compress and elevate the limb.
B. Increase the flow rate of the IV to push the fluid through the vein.
C. Immediately report the findings to the licensed nurse and stop the infusion if trained and permitted.
D. Document the findings and continue to monitor.
🟢 Correct Answer:
C
🔴 RATIONALE:
Pain, redness, and swelling at an IV site are classic signs of infiltration (fluid leaking into the surrounding tissue)
or phlebitis (inflammation of the vein). Both conditions can cause serious tissue damage, especially if the
infusing fluid is a vesicant. The priority is to stop the infusion immediately to prevent further tissue injury and
immediately notify the supervising nurse. The nursing assistant must know the scope of practice regarding IV
lines and the critical importance of reporting these signs without delay.
Question 5
When using a mechanical lift to transfer an obese, non-weight-bearing patient from the bed to a chair, what is
the most critical safety check to perform before lifting the patient?
A. Check the patient's identification bracelet.
B. Ensure the sling is the correct size and is free of tears or fraying, and the lift's weight capacity exceeds the
patient's weight.
SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+...
Core Domains
Physiological Needs and Basic Care Comfort
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Basic Pathophysiology and Pharmacology
Reduction of Risk Potential
Communication and Documentation
Legal, Ethical, and Professional Standards
Nursing Process and Clinical Decision-Making
Special Populations: Gerontology and End-of-Life Care
Introduction
This comprehensive assessment evaluates the foundational nursing knowledge, clinical reasoning, and professional
competencies required for the NACE Foundations of Nursing examination. The test assesses the candidate's ability
to provide safe, compassionate, and effective basic nursing care across diverse healthcare settings. Using a rigorous
multiple-choice and scenario-based format, this examination challenges the learner to apply the nursing process,
prioritize patient needs, and implement evidence-based interventions for patients with common health conditions.
Success requires proficiency in critical thinking, therapeutic communication, patient safety principles, and ethical
,decision-making, ensuring readiness to deliver competent entry-level nursing care under the supervision of a
registered nurse or as part of an interdisciplinary team.
SECTION ONE: Questions 1–100
Question 1
A nursing assistant is caring for a patient who is on strict bed rest following a spinal cord injury. Which action is
the most effective intervention to prevent the development of a pressure injury on the patient's sacrum?
A. Massaging the patient's sacral area with lotion every 2 hours.
B. Repositioning the patient at least every 2 hours and using a pressure-redistributing support surface.
C. Keeping the head of the bed elevated at 45 degrees at all times.
D. Applying a heat lamp to the sacral area to dry any moisture.
🟢 Correct Answer:
B
🔴 RATIONALE:
Pressure injuries develop when sustained pressure impairs capillary blood flow to the skin and underlying
tissues, most frequently over bony prominences like the sacrum. The cornerstone of prevention is the relief of
pressure through frequent, scheduled repositioning (at minimum every 2 hours) to allow tissue reperfusion.
Massaging bony prominences is contraindicated as it can damage fragile capillary beds and cause deep tissue
injury. Keeping the head of bed elevated above 30 degrees increases shearing force on the sacrum.
Question 2
When performing hand hygiene with an alcohol-based hand rub, the nursing assistant should rub the product
over all surfaces of the hands until they are dry. What is the minimum recommended time for this process?
A. 5 seconds
,B. 15 to 20 seconds
C. 60 seconds
D. 3 minutes
🟢 Correct Answer:
B
🔴 RATIONALE:
The Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) recommend that
when using an alcohol-based hand rub, the product should be applied to the palm of one hand and rubbed
over all surfaces of the hands and fingers until the hands are completely dry, a process that should take
approximately 15 to 20 seconds. This contact time is necessary for the alcohol to effectively denature the
proteins of transient microorganisms. A full minute is the standard for surgical hand antisepsis with an
antimicrobial soap.
Question 3
A patient is receiving oxygen therapy via a nasal cannula at 4 L/min. What is the most important safety
precaution that the nursing assistant must enforce?
A. Ensure the patient's door is closed for privacy.
B. Keep a "No Smoking" sign posted on the patient's door and ensure no open flames or electrical sparks are
present in the room.
C. Tape the nasal cannula securely to the patient's face.
D. Encourage the patient to ambulate independently around the unit with a portable tank.
🟢 Correct Answer:
B
🔴 RATIONALE:
Oxygen supports combustion, meaning materials will ignite and burn much more easily, vigorously, and quickly
, in an oxygen-enriched environment. A small spark from a static discharge, an electric razor, or a flame from a
lighter can cause a catastrophic fire. The absolute rule is no smoking and no open flames near oxygen delivery
systems. The door should not be closed as it restricts nursing observation and access in case of an emergency.
Question 4
A patient who is receiving intravenous fluids reports pain, redness, and swelling at the IV insertion site. The
nursing assistant's priority action is to:
A. Apply a warm compress and elevate the limb.
B. Increase the flow rate of the IV to push the fluid through the vein.
C. Immediately report the findings to the licensed nurse and stop the infusion if trained and permitted.
D. Document the findings and continue to monitor.
🟢 Correct Answer:
C
🔴 RATIONALE:
Pain, redness, and swelling at an IV site are classic signs of infiltration (fluid leaking into the surrounding tissue)
or phlebitis (inflammation of the vein). Both conditions can cause serious tissue damage, especially if the
infusing fluid is a vesicant. The priority is to stop the infusion immediately to prevent further tissue injury and
immediately notify the supervising nurse. The nursing assistant must know the scope of practice regarding IV
lines and the critical importance of reporting these signs without delay.
Question 5
When using a mechanical lift to transfer an obese, non-weight-bearing patient from the bed to a chair, what is
the most critical safety check to perform before lifting the patient?
A. Check the patient's identification bracelet.
B. Ensure the sling is the correct size and is free of tears or fraying, and the lift's weight capacity exceeds the
patient's weight.
