NACE PN-to-RN Final Certification Exam
Question and correct answers (verified
answers 100%) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with shortness of breath. What is the priority nursing action?
A. Assess oxygen saturation
B. Obtain a health history
C. Administer oral fluids
D. Document findings
Correct Answer: A. Assess oxygen saturation
Rationale: Airway and breathing are priorities. Assessing oxygen saturation provides immediate
information about the client's respiratory status.
2. Which electrolyte is most important to monitor in a client receiving furosemide?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Correct Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss, leading to
hypokalemia.
3. Which assessment finding requires immediate intervention?
A. Temperature 99°F (37.2°C)
B. Pulse 84 beats/minute
,C. Respirations 8 breaths/minute
D. Blood pressure 128/78 mmHg
Correct Answer: C. Respirations 8 breaths/minute
Rationale: Respiratory depression can rapidly become life-threatening and requires immediate
attention.
4. A nurse is teaching a client about hypertension. Which statement indicates understanding?
A. "I will stop my medication when I feel better."
B. "I should reduce sodium intake."
C. "Exercise is not important."
D. "Blood pressure only needs checking yearly."
Correct Answer: B. "I should reduce sodium intake."
Rationale: Sodium restriction is an important non-pharmacological intervention for controlling
hypertension.
5. Which laboratory value should the nurse report immediately?
A. Hemoglobin 14 g/dL
B. WBC 8,000/mm³
C. Potassium 2.8 mEq/L
D. Platelets 250,000/mm³
Correct Answer: C. Potassium 2.8 mEq/L
Rationale: Severe hypokalemia increases the risk of dangerous cardiac dysrhythmias.
6. Which client should the nurse assess first?
A. Client with chronic arthritis pain rated 5/10
B. Client requesting a blanket
C. Client with chest pain and diaphoresis
D. Client waiting for discharge instructions
Correct Answer: C. Client with chest pain and diaphoresis
, Rationale: These symptoms may indicate myocardial infarction and require immediate
assessment.
7. What is the normal adult heart rate range?
A. 40–60 bpm
B. 60–100 bpm
C. 100–120 bpm
D. 120–140 bpm
Correct Answer: B. 60–100 bpm
Rationale: A normal resting adult heart rate is generally between 60 and 100 beats per minute.
8. Which action demonstrates therapeutic communication?
A. Giving advice
B. Changing the subject
C. Active listening
D. Offering personal opinions
Correct Answer: C. Active listening
Rationale: Active listening encourages clients to express feelings and promotes trust.
9. A client with diabetes reports shakiness and sweating. What should the nurse do first?
A. Check blood glucose level
B. Administer insulin
C. Encourage exercise
D. Restrict fluids
Correct Answer: A. Check blood glucose level
Rationale: Symptoms suggest hypoglycemia; blood glucose should be assessed immediately.
10. Which infection-control measure is appropriate for all clients?
Question and correct answers (verified
answers 100%) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. A nurse is caring for a client with shortness of breath. What is the priority nursing action?
A. Assess oxygen saturation
B. Obtain a health history
C. Administer oral fluids
D. Document findings
Correct Answer: A. Assess oxygen saturation
Rationale: Airway and breathing are priorities. Assessing oxygen saturation provides immediate
information about the client's respiratory status.
2. Which electrolyte is most important to monitor in a client receiving furosemide?
A. Sodium
B. Potassium
C. Calcium
D. Magnesium
Correct Answer: B. Potassium
Rationale: Furosemide is a loop diuretic that can cause significant potassium loss, leading to
hypokalemia.
3. Which assessment finding requires immediate intervention?
A. Temperature 99°F (37.2°C)
B. Pulse 84 beats/minute
,C. Respirations 8 breaths/minute
D. Blood pressure 128/78 mmHg
Correct Answer: C. Respirations 8 breaths/minute
Rationale: Respiratory depression can rapidly become life-threatening and requires immediate
attention.
4. A nurse is teaching a client about hypertension. Which statement indicates understanding?
A. "I will stop my medication when I feel better."
B. "I should reduce sodium intake."
C. "Exercise is not important."
D. "Blood pressure only needs checking yearly."
Correct Answer: B. "I should reduce sodium intake."
Rationale: Sodium restriction is an important non-pharmacological intervention for controlling
hypertension.
5. Which laboratory value should the nurse report immediately?
A. Hemoglobin 14 g/dL
B. WBC 8,000/mm³
C. Potassium 2.8 mEq/L
D. Platelets 250,000/mm³
Correct Answer: C. Potassium 2.8 mEq/L
Rationale: Severe hypokalemia increases the risk of dangerous cardiac dysrhythmias.
6. Which client should the nurse assess first?
A. Client with chronic arthritis pain rated 5/10
B. Client requesting a blanket
C. Client with chest pain and diaphoresis
D. Client waiting for discharge instructions
Correct Answer: C. Client with chest pain and diaphoresis
, Rationale: These symptoms may indicate myocardial infarction and require immediate
assessment.
7. What is the normal adult heart rate range?
A. 40–60 bpm
B. 60–100 bpm
C. 100–120 bpm
D. 120–140 bpm
Correct Answer: B. 60–100 bpm
Rationale: A normal resting adult heart rate is generally between 60 and 100 beats per minute.
8. Which action demonstrates therapeutic communication?
A. Giving advice
B. Changing the subject
C. Active listening
D. Offering personal opinions
Correct Answer: C. Active listening
Rationale: Active listening encourages clients to express feelings and promotes trust.
9. A client with diabetes reports shakiness and sweating. What should the nurse do first?
A. Check blood glucose level
B. Administer insulin
C. Encourage exercise
D. Restrict fluids
Correct Answer: A. Check blood glucose level
Rationale: Symptoms suggest hypoglycemia; blood glucose should be assessed immediately.
10. Which infection-control measure is appropriate for all clients?
