NACE PN TO RN
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? - ✔️✔️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? -
✔️✔️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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️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.
To evaluate a client's reason for seeking care, the nurse performs deep palpation. The
purpose of deep palpation is to assess which of the following? - ✔️✔️Correct Answer:
Organs
The purpose of deep palpation, in which the nurse indents the client's skin
approximately 1-1/2", is to assess underlying organs and structures such as the kidneys
and spleen. Skin turgor, hydration, and temperature can be assessed using light touch
or light palpation.
,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? - ✔️✔️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 - ✔️✔️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 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? - ✔️✔️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? -
✔️✔️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? - ✔️✔️Correct Answer: 72 hours. The hospital stay for a healthy mother who has
delivered an infant varies depending on the type of delivery. The length of stay in the
hospital for a vaginal birth is typically 24 to 48 hours. The length of stay in the hospital
for a Caesarean section that does not have any complications is 72 hours.
The community nurse is planning a smoking cessation program. What would be the first
step in developing a health promotion program? - ✔️✔️Correct Answer: Conducting
health risk surveys
First conduct initial assessments to determine if there is a health risk. Then follow the
course of action in place in this event.
A woman is two months pregnant when her five-year-old child develops rubella. What is
most likely to be given to the mother? - ✔️✔️Correct Answer: Immune serum globulin
, Immune serum globulin gives her a passive immunity and helps keep her from
developing rubella, which can have devastating effect on her unborn child. MMR is a
live virus and is not given to pregnant women. RhoGam prevents anti Rh antibody
development. There is no such thing as rubella antitoxin.
What is the normal value of urine potassium? - ✔️✔️25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24 hr
Before applying a cord clamp, the nurse assesses the umbilical cord for the presence of
vessels. The findings that are often associated with genitourinary abnormalities are
what? - ✔️✔️Correct Answer: one artery, one vein. Two arteries and one vein are
present in a normal umbilical cord. The presence of one artery in the umbilical cord is
associated with genitourinary abnormalities.
You are assigned to educate the nursing assistants regarding caring for the older adult.
It is important that the assistants understand that which of the following situations
portrays ageism? - ✔️✔️The Correct answer is: Advising older adults to forgo
aggressive treatment. Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group. Fundamental
to ageism is the view that older persons are different from "me" and will remain different
from "me." Advising older adults to forgo (go without) aggressive treatment, when such
a treatment would be offered as a possibility to the general population, displays ageism
by treating the older adults as fundamentally different from the general population. The
other answers identify supporting roles of the nurse for the older person.
When taking a dietary history from a newly admitted client, the nurse should remember
that which of the following foods is a common allergen? - ✔️✔️The correct answer is
strawberries. Common food allergens include berries, peanuts, Brazil nuts, cashews,
shellfish, and eggs. Bread, carrots and oranges rarely cause allergic reactions.
A nurse who violates the civil rights of an individual may be committing what? -
✔️✔️Correct answer: A tort. A tort is the process of violating civil law when dealing with
an individual or an individual's property. The types of torts are commission and
omission. Further, negligence and malpractice are not the best choices as these deal
with unintentional torts.
A patient with Addison's disease has been given an inadequate steroid dosage. Which
of the following are NOT symptoms the patient could experience? - ✔️✔️Correct
Answer: Weight gain. Weight loss is more likely. Fatigue, weakness, and dizziness are
often indicated.
Which of the following behaviors does NOT show improvement in a client with
Obsessive Compulsive Disorder? - ✔️✔️Correct answer: Client uses "will power" to
stop rituals.
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? - ✔️✔️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? -
✔️✔️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? - ✔️✔️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? - ✔️✔️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? - ✔️✔️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.
To evaluate a client's reason for seeking care, the nurse performs deep palpation. The
purpose of deep palpation is to assess which of the following? - ✔️✔️Correct Answer:
Organs
The purpose of deep palpation, in which the nurse indents the client's skin
approximately 1-1/2", is to assess underlying organs and structures such as the kidneys
and spleen. Skin turgor, hydration, and temperature can be assessed using light touch
or light palpation.
,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? - ✔️✔️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 - ✔️✔️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 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? - ✔️✔️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? -
✔️✔️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? - ✔️✔️Correct Answer: 72 hours. The hospital stay for a healthy mother who has
delivered an infant varies depending on the type of delivery. The length of stay in the
hospital for a vaginal birth is typically 24 to 48 hours. The length of stay in the hospital
for a Caesarean section that does not have any complications is 72 hours.
The community nurse is planning a smoking cessation program. What would be the first
step in developing a health promotion program? - ✔️✔️Correct Answer: Conducting
health risk surveys
First conduct initial assessments to determine if there is a health risk. Then follow the
course of action in place in this event.
A woman is two months pregnant when her five-year-old child develops rubella. What is
most likely to be given to the mother? - ✔️✔️Correct Answer: Immune serum globulin
, Immune serum globulin gives her a passive immunity and helps keep her from
developing rubella, which can have devastating effect on her unborn child. MMR is a
live virus and is not given to pregnant women. RhoGam prevents anti Rh antibody
development. There is no such thing as rubella antitoxin.
What is the normal value of urine potassium? - ✔️✔️25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24 hr
Before applying a cord clamp, the nurse assesses the umbilical cord for the presence of
vessels. The findings that are often associated with genitourinary abnormalities are
what? - ✔️✔️Correct Answer: one artery, one vein. Two arteries and one vein are
present in a normal umbilical cord. The presence of one artery in the umbilical cord is
associated with genitourinary abnormalities.
You are assigned to educate the nursing assistants regarding caring for the older adult.
It is important that the assistants understand that which of the following situations
portrays ageism? - ✔️✔️The Correct answer is: Advising older adults to forgo
aggressive treatment. Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group. Fundamental
to ageism is the view that older persons are different from "me" and will remain different
from "me." Advising older adults to forgo (go without) aggressive treatment, when such
a treatment would be offered as a possibility to the general population, displays ageism
by treating the older adults as fundamentally different from the general population. The
other answers identify supporting roles of the nurse for the older person.
When taking a dietary history from a newly admitted client, the nurse should remember
that which of the following foods is a common allergen? - ✔️✔️The correct answer is
strawberries. Common food allergens include berries, peanuts, Brazil nuts, cashews,
shellfish, and eggs. Bread, carrots and oranges rarely cause allergic reactions.
A nurse who violates the civil rights of an individual may be committing what? -
✔️✔️Correct answer: A tort. A tort is the process of violating civil law when dealing with
an individual or an individual's property. The types of torts are commission and
omission. Further, negligence and malpractice are not the best choices as these deal
with unintentional torts.
A patient with Addison's disease has been given an inadequate steroid dosage. Which
of the following are NOT symptoms the patient could experience? - ✔️✔️Correct
Answer: Weight gain. Weight loss is more likely. Fatigue, weakness, and dizziness are
often indicated.
Which of the following behaviors does NOT show improvement in a client with
Obsessive Compulsive Disorder? - ✔️✔️Correct answer: Client uses "will power" to
stop rituals.
