NACE PN to RN Updated Actual Question and
Answer (2026/2027) | A+ Verified
• 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 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.
• 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
Answer (2026/2027) | A+ Verified
• 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 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.
• 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
