NACE FOUNDATIONS OF NURSING
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● Potassium 3.0
Answer: Lab report value prompting a nurse to instruct a patient to eat
cantaloupe.
●● Dysphagia
Answer: Condition where a nurse should intervene if the UAP provides
large, frequent bites to a patient.
●● Warfarin dietary restrictions
Answer: Foods like spinach and salads that should be limited while a
client is on Warfarin sodium (Coumadin).
●● Hearing loss intervention
Answer: Facing the patient while speaking and asking them to verify
understanding to facilitate communication.
●● Weak, rapid pulse post-surgery
,Answer: Nurse recommendation during SBAR communication:
Intravenous fluid bolus for a client with a weak, rapid pulse post-
surgery.
●● PPE removal order
Answer: Sequence for removing PPE: Gloves, wash hands, face shield,
gown, mask, wash hands.
●● Constipation care plan
Answer: Nursing interventions for a client with constipation: Encourage
high-fiber food choices, increase fluid intake to 2,000 mL per day,
encourage ambulation several times per day.
●● Therapeutic response to surgery refusal
Answer: Response to a patient stating 'I don't want to have surgery':
Whether or not you have the surgery is your choice. What is your
understanding of the situation?
●● Seizure response
Answer: Action a nurse should take first when an individual has a
generalized tonic-clonic seizure: Loosen the individual's necktie after
placing them in the recovery position.
●● Guaifenesin with dextromethorphan dosage
, Answer: Dosage for each dose: 1 tablespoon every 6 hours, equivalent to
15 mL.
●● Proper otic drops administration
Answer: Technique for administering otic drops: Gently pull the auricle
up and back before instilling the drops.
●● Agitation after sedative
Answer: Best documentation for a patient becoming extremely agitated
after receiving a sedative: Idiosyncratic drug effect.
●● Diaphoretic patient care
Answer: Intervention for a patient who has been diaphoretic for the past
6 hours: Changing the bed linens frequently.
●● Restraints application
Answer: Nursing intervention before applying patient restraints: Assess
the need for restraint placement.
●● Throat culture instructions
Answer: Instructions to give a patient prior to obtaining a throat culture:
'While depressing your tongue, I will swab the back of your throat.'
●● Wound drainage documentation
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● Potassium 3.0
Answer: Lab report value prompting a nurse to instruct a patient to eat
cantaloupe.
●● Dysphagia
Answer: Condition where a nurse should intervene if the UAP provides
large, frequent bites to a patient.
●● Warfarin dietary restrictions
Answer: Foods like spinach and salads that should be limited while a
client is on Warfarin sodium (Coumadin).
●● Hearing loss intervention
Answer: Facing the patient while speaking and asking them to verify
understanding to facilitate communication.
●● Weak, rapid pulse post-surgery
,Answer: Nurse recommendation during SBAR communication:
Intravenous fluid bolus for a client with a weak, rapid pulse post-
surgery.
●● PPE removal order
Answer: Sequence for removing PPE: Gloves, wash hands, face shield,
gown, mask, wash hands.
●● Constipation care plan
Answer: Nursing interventions for a client with constipation: Encourage
high-fiber food choices, increase fluid intake to 2,000 mL per day,
encourage ambulation several times per day.
●● Therapeutic response to surgery refusal
Answer: Response to a patient stating 'I don't want to have surgery':
Whether or not you have the surgery is your choice. What is your
understanding of the situation?
●● Seizure response
Answer: Action a nurse should take first when an individual has a
generalized tonic-clonic seizure: Loosen the individual's necktie after
placing them in the recovery position.
●● Guaifenesin with dextromethorphan dosage
, Answer: Dosage for each dose: 1 tablespoon every 6 hours, equivalent to
15 mL.
●● Proper otic drops administration
Answer: Technique for administering otic drops: Gently pull the auricle
up and back before instilling the drops.
●● Agitation after sedative
Answer: Best documentation for a patient becoming extremely agitated
after receiving a sedative: Idiosyncratic drug effect.
●● Diaphoretic patient care
Answer: Intervention for a patient who has been diaphoretic for the past
6 hours: Changing the bed linens frequently.
●● Restraints application
Answer: Nursing intervention before applying patient restraints: Assess
the need for restraint placement.
●● Throat culture instructions
Answer: Instructions to give a patient prior to obtaining a throat culture:
'While depressing your tongue, I will swab the back of your throat.'
●● Wound drainage documentation
