NACE PN TO RN EXAM WITH (VERSION A B
& C) 2026-2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
NACE PN TO RN EXAM WITH VERSION A
1. The RN is planning care for a patient with heart failure. Which intervention takes priority?
A. Monitor daily weight and fluid status
B. Teach about dietary restrictions
C. Encourage mild exercise
D. Schedule routine lab tests
✔ Answer: A
Rationale: Daily weight and fluid monitoring identifies early fluid overload, which is critical in
heart failure management. Other interventions are important but not as urgent.
2. Which nursing diagnosis is most appropriate for a patient with hypoglycemia?
A. Risk for unstable blood glucose
B. Impaired tissue integrity
C. Activity intolerance
D. Ineffective coping
1|Page
,✔ Answer: A
Rationale: Hypoglycemia indicates blood glucose imbalance, so “Risk for unstable blood
glucose” is the most relevant nursing diagnosis.
3. When delegating tasks, which action is correct?
A. Assign routine vital signs to a CNA for a stable patient
B. Ask a CNA to administer IV medications
C. Delegate patient assessment to an LPN
D. Allow a family member to give medications
✔ Answer: A
Rationale: Delegation must follow scope of practice rules. CNAs can take vital signs; IV meds
and assessments require RN/LPN licensure.
4. A post-op patient has a sudden drop in blood pressure. What is the nurse’s first action?
A. Assess the patient for bleeding and shock
B. Notify the provider immediately
C. Document the findings
D. Call the pharmacist
✔ Answer: A
Rationale: Assessment comes first. Identify cause of hypotension (e.g., bleeding) before
notifying the provider.
5. A patient is confused and disoriented. Which intervention is most appropriate first?
A. Ensure patient safety by preventing falls
B. Begin a cognitive training program
C. Provide detailed patient education
D. Delegate care to CNA
✔ Answer: A
2|Page
,Rationale: Safety is the priority. Fall prevention is critical before implementing other
interventions.
6. A patient refuses medication. What should the RN do first?
A. Assess the patient’s reason for refusal
B. Document refusal only
C. Force the patient to take the medication
D. Administer the medication at a later time
✔ Answer: A
Rationale: Understanding the reason for refusal ensures patient autonomy and allows the
nurse to address concerns appropriately.
7. A patient has a Foley catheter. Which intervention prevents infection?
A. Maintain a closed drainage system
B. Flush the catheter daily
C. Use antiseptic wipes on the tubing
D. Remove the bag frequently
✔ Answer: A
Rationale: Closed urinary drainage systems prevent catheter-associated urinary tract
infections (CAUTIs).
8. When assessing a patient’s pain, which question is most effective?
A. “On a scale from 0–10, how would you rate your pain?”
B. “Does it hurt?”
C. “Do you need medication?”
D. “Can you walk?”
✔ Answer: A
3|Page
, Rationale: The numeric pain scale provides objective data for pain management and
monitoring effectiveness of interventions.
9. Which action is appropriate when a patient develops respiratory distress?
A. Assess airway, breathing, and oxygen saturation immediately
B. Wait 10 minutes before acting
C. Call the pharmacy for medication
D. Notify the dietary team
✔ Answer: A
Rationale: Airway, breathing, and oxygenation are immediate priorities in a life-threatening
situation.
10. A PN-to-RN graduate is supervising a new LPN. Which task can the RN delegate safely?
A. Administering scheduled oral medications
B. Developing the nursing care plan
C. Performing initial patient assessment
D. Teaching complex procedures
✔ Answer: A
Rationale: LPNs can administer routine oral medications. Care planning, assessments, and
teaching complex skills remain the RN’s responsibility.
11. Which statement about medication administration is correct?
A. The RN should always verify the “five rights” before administering medication.
B. The RN can skip verification if the patient has taken it before.
C. Only the LPN verifies medications.
D. Documentation is optional if administered on time.
✔ Answer: A
4|Page
& C) 2026-2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW VERSION
!!|GUARANTEED PASS
NACE PN TO RN EXAM WITH VERSION A
1. The RN is planning care for a patient with heart failure. Which intervention takes priority?
A. Monitor daily weight and fluid status
B. Teach about dietary restrictions
C. Encourage mild exercise
D. Schedule routine lab tests
✔ Answer: A
Rationale: Daily weight and fluid monitoring identifies early fluid overload, which is critical in
heart failure management. Other interventions are important but not as urgent.
2. Which nursing diagnosis is most appropriate for a patient with hypoglycemia?
A. Risk for unstable blood glucose
B. Impaired tissue integrity
C. Activity intolerance
D. Ineffective coping
1|Page
,✔ Answer: A
Rationale: Hypoglycemia indicates blood glucose imbalance, so “Risk for unstable blood
glucose” is the most relevant nursing diagnosis.
3. When delegating tasks, which action is correct?
A. Assign routine vital signs to a CNA for a stable patient
B. Ask a CNA to administer IV medications
C. Delegate patient assessment to an LPN
D. Allow a family member to give medications
✔ Answer: A
Rationale: Delegation must follow scope of practice rules. CNAs can take vital signs; IV meds
and assessments require RN/LPN licensure.
4. A post-op patient has a sudden drop in blood pressure. What is the nurse’s first action?
A. Assess the patient for bleeding and shock
B. Notify the provider immediately
C. Document the findings
D. Call the pharmacist
✔ Answer: A
Rationale: Assessment comes first. Identify cause of hypotension (e.g., bleeding) before
notifying the provider.
5. A patient is confused and disoriented. Which intervention is most appropriate first?
A. Ensure patient safety by preventing falls
B. Begin a cognitive training program
C. Provide detailed patient education
D. Delegate care to CNA
✔ Answer: A
2|Page
,Rationale: Safety is the priority. Fall prevention is critical before implementing other
interventions.
6. A patient refuses medication. What should the RN do first?
A. Assess the patient’s reason for refusal
B. Document refusal only
C. Force the patient to take the medication
D. Administer the medication at a later time
✔ Answer: A
Rationale: Understanding the reason for refusal ensures patient autonomy and allows the
nurse to address concerns appropriately.
7. A patient has a Foley catheter. Which intervention prevents infection?
A. Maintain a closed drainage system
B. Flush the catheter daily
C. Use antiseptic wipes on the tubing
D. Remove the bag frequently
✔ Answer: A
Rationale: Closed urinary drainage systems prevent catheter-associated urinary tract
infections (CAUTIs).
8. When assessing a patient’s pain, which question is most effective?
A. “On a scale from 0–10, how would you rate your pain?”
B. “Does it hurt?”
C. “Do you need medication?”
D. “Can you walk?”
✔ Answer: A
3|Page
, Rationale: The numeric pain scale provides objective data for pain management and
monitoring effectiveness of interventions.
9. Which action is appropriate when a patient develops respiratory distress?
A. Assess airway, breathing, and oxygen saturation immediately
B. Wait 10 minutes before acting
C. Call the pharmacy for medication
D. Notify the dietary team
✔ Answer: A
Rationale: Airway, breathing, and oxygenation are immediate priorities in a life-threatening
situation.
10. A PN-to-RN graduate is supervising a new LPN. Which task can the RN delegate safely?
A. Administering scheduled oral medications
B. Developing the nursing care plan
C. Performing initial patient assessment
D. Teaching complex procedures
✔ Answer: A
Rationale: LPNs can administer routine oral medications. Care planning, assessments, and
teaching complex skills remain the RN’s responsibility.
11. Which statement about medication administration is correct?
A. The RN should always verify the “five rights” before administering medication.
B. The RN can skip verification if the patient has taken it before.
C. Only the LPN verifies medications.
D. Documentation is optional if administered on time.
✔ Answer: A
4|Page
