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NACE 1 PN to RN Final Exam 2026 | Questions and Correct Answers | Latest Update | Comprehensive Exam Prep

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Prepare for the NACE 1 PN to RN Final Exam 2026 with a comprehensive review resource featuring practice questions and correct answers focused on essential nursing concepts. This study guide is designed to help practical nursing students transitioning to registered nursing strengthen their knowledge, review core clinical principles, improve recall, and assess their readiness for the final examination. Use the questions for active recall, focused revision, and self-assessment as you review important areas of nursing practice. The resource supports preparation across patient assessment, nursing interventions, safety, pharmacology, clinical judgment, communication, and patient-centered care, helping you identify knowledge gaps and concentrate on areas that need additional study before the exam. Topics Covered: Foundations of Nursing, Patient Assessment, Nursing Process, Clinical Judgment, Vital Signs, Infection Prevention and Control, Patient Safety, Nursing Interventions, Medication Administration, Pharmacology, Fluid and Electrolyte Balance, Nutrition, Patient Education, Therapeutic Communication, Documentation, Ethical Nursing Practice, Care Planning, Patient-Centered Care.

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NACE 1 PN-RN Final Exam 2026 | Verified Answers |
Exam Prep
1. What are the four modes of adaptation according to Roy's adaptation model?

Person, Health, Nursing, and Dependence

Nursing, Health, Environment, and Dependence

Person, Health, Environment, and Independence

Independence, Health, Nursing, and Environment

2. If a nurse fails to document a patient's vital signs during a shift, what type of
error has occurred and what could be the potential consequences?

Omission; it would have no significant impact on patient care.

Omission; it could lead to a lack of continuity in patient care.

Commission; it could enhance the quality of documentation.

Commission; it could result in incorrect medication administration.

3. Who developed the goal attainment theory in nursing?

Neuman

Henderson

Rogers

King

4. In the nursing diagnosis 'impaired mobility related to a neuromuscular
dysfunction as evidenced by an unsteady gait,' which term indicates the
severity of the condition?

Evidence by an unsteady gait

, Impaired

Related to neuromuscular functioning

Mobility

5. What is the minimum number of unique identifiers required during medication
administration, excluding the room number?

2

3

4

5

6. Describe the significance of Halbert Dunn's high-level wellness theory in
nursing practice.

Halbert Dunn's theory does not relate to nursing practices.

Halbert Dunn's high-level wellness theory emphasizes the
importance of achieving optimal health and well-being, which
guides nursing practices towards preventive care.

Halbert Dunn's theory focuses solely on the treatment of diseases.

Halbert Dunn's theory is primarily concerned with medication
administration.

7. What is the term used to describe the chemical alteration of a drug in the
body?

Biolistic

Biotransformation

Biotransmission

, Biointeraction

8. In a scenario where a patient expresses a desire to quit smoking and improve
their diet, which type of nursing diagnosis would be most appropriate to
document?

An actual nursing diagnosis

Health promotion nursing diagnosis

A risk nursing diagnosis

A potential nursing diagnosis

9. Describe the role of encoding in effective communication within nursing
practice.

Encoding is the method of delivering a message through non-verbal
cues.

Encoding is the process by which the sender translates their
thoughts into a message that can be understood by the receiver.

Encoding involves the feedback provided by the receiver after
receiving a message.

Encoding refers to the interpretation of messages received from
others.

10. A patient requires a specific oxygen concentration of 40% due to their
respiratory condition. Which oxygen therapy system would be the most
appropriate choice to ensure accurate delivery?

Reservoir nasal cannula

Venturi mask

Face tent

, Nasal cannula

11. A client's ability to cope with and adjust to recurrent stresses of living in an
acceptable way is:

Mental health

Health promotion

Illness prevention

Longevity

12. Why is it important to document controlled substances immediately after
their removal from a secure cabinet?

Documentation is only necessary if the medication is administered.

Immediate documentation helps prevent misuse and ensures
accurate tracking of medication.

Immediate documentation is not required for controlled substances.

Documentation can be done at any time during the shift.

13. If a nurse identifies multiple health issues during a patient assessment, how
should they document these issues using SOAP notes?

The nurse should write a SOAP note only if the physician requests it.

The nurse should combine all issues into one SOAP note.

The nurse should write separate SOAP notes for each identified
problem.

The nurse should document only the most critical issue in a SOAP
note.

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