NACE PN TO RN 200 QUESTIONS WITH ALL CORRECT ANSWERS
NACE PN TO RN
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 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.
,NACE PN TO RN 200 QUESTIONS WITH ALL CORRECT ANSWERS
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
, NACE PN TO RN 200 QUESTIONS WITH ALL CORRECT ANSWERS
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 client can employ appropriate intervention techniques and more about the disease process
such as B, C and D. "Will power" alone will not be effective in dealing with Obsessive
Compulsive Disorder. The client can employ appropriate intervention techniques by refraining
NACE PN TO RN
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 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.
,NACE PN TO RN 200 QUESTIONS WITH ALL CORRECT ANSWERS
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
, NACE PN TO RN 200 QUESTIONS WITH ALL CORRECT ANSWERS
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 client can employ appropriate intervention techniques and more about the disease process
such as B, C and D. "Will power" alone will not be effective in dealing with Obsessive
Compulsive Disorder. The client can employ appropriate intervention techniques by refraining
