NACE PN to RN Mock Exam 2026 | Trusted Questions &
Answers
1. The nurse is administering Dilantin (phenytoin) for a patient with generalized
tonic-clonic seizures given IV. The nurse should administer the medication:
through a small vein
rapidly with an IV push
slowly over 2-3 minutes
with IV dextrose
2. Describe the significance of regular mammograms for women over the age
of 40 in cancer prevention.
Mammograms are not recommended for women under 40.
Mammograms are primarily used to diagnose other health conditions.
Mammograms are only necessary if there is a family history of breast
cancer.
Regular mammograms help in early detection of breast cancer,
which can lead to better treatment outcomes.
3. Why is suppression not considered a goal for clients with social phobia?
Suppression encourages open communication about feelings.
Suppression is a widely accepted therapeutic technique for anxiety.
Suppression does not address the underlying anxiety and can lead
to increased stress.
Suppression helps in managing fear effectively in social situations.
,4. A parent brings their child to the clinic with clear nasal discharge and
sneezing. What would be the most appropriate initial recommendation for
management?
Prescribe antibiotics immediately.
Advise the parent to use a humidifier only.
Consider allergy testing and recommend antihistamines.
Suggest over-the-counter decongestants without further evaluation.
5. In a scenario where a patient experiences a hemolytic reaction during a
blood transfusion, what is the first action a nurse should take?
Stop the transfusion immediately
Continue the transfusion at a slower rate
Notify the physician after the transfusion is completed
Administer antihistamines
6. If a mother experiences complications after a Caesarean section, how might
this affect her hospital discharge timeline?
She will be discharged earlier than usual.
It will not affect her discharge timeline.
She will be discharged on the same day regardless of complications.
It may extend her hospital stay beyond the typical 3 to 4 days.
7. What is the recommended solution for diluting phenytoin (Dilantin)?
Sterile water
Lactated Ringer's solution
, Dextrose 5% in water
Normal saline
8. Which of the following best describes the normal excretion of potassium by
the kidneys?
30 to 50 mmol daily
40 to 60 mmol daily
20 to 40 mmol daily
80 to 100 mmol daily
9. The objective of a worksite health promotion program is to encourage
employees to stop smoking. For those employees who are not thinking about
quitting, which types of health education strategies might encourage them to
consider quitting?
Increasing awareness of harmful effects of smoking.
Providing nicotine patches to ease the craving.
Setting up a support group to reduce risk of relapse.
Identifying triggers that might encourage smoking.
10. In your own words, describe how the sixth provision of the Code of Ethics
for Nurses impacts the quality of health care.
The sixth provision focuses solely on patient advocacy without
considering the work environment.
The sixth provision emphasizes the nurse's role in creating and
maintaining a supportive work environment that enhances the
quality of care provided to patients.
The sixth provision does not relate to the quality of health care.
, The sixth provision is primarily about the nurse's individual
accountability in practice.
11. A patient is admitted to the healthcare facility with a diagnosis of a bleeding
gastric ulcer. The patient's stools are expected to be:
bright red.
coffee ground-like.
clay colored.
black and tarry.
12. In a clinical setting, if a patient is identified as 'gravida 3', what does this
indicate about her pregnancy history?
She has given birth to three children.
She is currently pregnant with her third child.
She has been pregnant three times.
She has never been pregnant.
13. Describe the significance of measuring creatine kinase levels in the context
of myocardial infarction.
Measuring creatine kinase levels helps to identify muscle damage,
particularly in the heart, indicating a myocardial infarction.
Creatine kinase levels are irrelevant in the diagnosis of heart
conditions.
Creatine kinase is primarily used to monitor liver function.
Creatine kinase levels are used to assess kidney function in patients.
Answers
1. The nurse is administering Dilantin (phenytoin) for a patient with generalized
tonic-clonic seizures given IV. The nurse should administer the medication:
through a small vein
rapidly with an IV push
slowly over 2-3 minutes
with IV dextrose
2. Describe the significance of regular mammograms for women over the age
of 40 in cancer prevention.
Mammograms are not recommended for women under 40.
Mammograms are primarily used to diagnose other health conditions.
Mammograms are only necessary if there is a family history of breast
cancer.
Regular mammograms help in early detection of breast cancer,
which can lead to better treatment outcomes.
3. Why is suppression not considered a goal for clients with social phobia?
Suppression encourages open communication about feelings.
Suppression is a widely accepted therapeutic technique for anxiety.
Suppression does not address the underlying anxiety and can lead
to increased stress.
Suppression helps in managing fear effectively in social situations.
,4. A parent brings their child to the clinic with clear nasal discharge and
sneezing. What would be the most appropriate initial recommendation for
management?
Prescribe antibiotics immediately.
Advise the parent to use a humidifier only.
Consider allergy testing and recommend antihistamines.
Suggest over-the-counter decongestants without further evaluation.
5. In a scenario where a patient experiences a hemolytic reaction during a
blood transfusion, what is the first action a nurse should take?
Stop the transfusion immediately
Continue the transfusion at a slower rate
Notify the physician after the transfusion is completed
Administer antihistamines
6. If a mother experiences complications after a Caesarean section, how might
this affect her hospital discharge timeline?
She will be discharged earlier than usual.
It will not affect her discharge timeline.
She will be discharged on the same day regardless of complications.
It may extend her hospital stay beyond the typical 3 to 4 days.
7. What is the recommended solution for diluting phenytoin (Dilantin)?
Sterile water
Lactated Ringer's solution
, Dextrose 5% in water
Normal saline
8. Which of the following best describes the normal excretion of potassium by
the kidneys?
30 to 50 mmol daily
40 to 60 mmol daily
20 to 40 mmol daily
80 to 100 mmol daily
9. The objective of a worksite health promotion program is to encourage
employees to stop smoking. For those employees who are not thinking about
quitting, which types of health education strategies might encourage them to
consider quitting?
Increasing awareness of harmful effects of smoking.
Providing nicotine patches to ease the craving.
Setting up a support group to reduce risk of relapse.
Identifying triggers that might encourage smoking.
10. In your own words, describe how the sixth provision of the Code of Ethics
for Nurses impacts the quality of health care.
The sixth provision focuses solely on patient advocacy without
considering the work environment.
The sixth provision emphasizes the nurse's role in creating and
maintaining a supportive work environment that enhances the
quality of care provided to patients.
The sixth provision does not relate to the quality of health care.
, The sixth provision is primarily about the nurse's individual
accountability in practice.
11. A patient is admitted to the healthcare facility with a diagnosis of a bleeding
gastric ulcer. The patient's stools are expected to be:
bright red.
coffee ground-like.
clay colored.
black and tarry.
12. In a clinical setting, if a patient is identified as 'gravida 3', what does this
indicate about her pregnancy history?
She has given birth to three children.
She is currently pregnant with her third child.
She has been pregnant three times.
She has never been pregnant.
13. Describe the significance of measuring creatine kinase levels in the context
of myocardial infarction.
Measuring creatine kinase levels helps to identify muscle damage,
particularly in the heart, indicating a myocardial infarction.
Creatine kinase levels are irrelevant in the diagnosis of heart
conditions.
Creatine kinase is primarily used to monitor liver function.
Creatine kinase levels are used to assess kidney function in patients.
