NACE NURSING ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED DETAILED CORRECT
ANSWERS/ ALREADY GRADED A++
What is Reye Syndrome? - ANSWER Fatal encephalopathy, fever,
vomiting, fatty infiltration, swelling of the kidneys and brain.
T/F: Hyperthermia does not involve pyrogens or a change in the
hypothalamic thermoregulatory set point - ANSWER T: no pyrogens or
change in hypothalamic thermoregulatory set point
T/F: Hyperthermia is not rapidly fatal and can respond o antipyretic agents -
ANSWER F: NO - it is rapidly fatal! It does NOT respond to antipyretic
agents
Clinical syndromes of hyperthermia: - ANSWER Exposure (Heat stroke),
malignant hyperthermia, drug intox (anticholinergics, adrenergics incl drugs
of abuse), neuroleptic malignant syndrome, 5HT syndrome
What exposure causes neuroleptic malignant syndrome? - ANSWER Major
tranquilizers
What exposure causes malignant hyperthermia? - ANSWER Anesthetics
and muscle relaxants
Signs of hyperthermia include: - ANSWER Hallucinations, delirium, dry
skin, pupil dilation, muscle rigidity
Finally, the significance of fever depends upon: - ANSWER Accuracy of
observation; pre-test probability of disease, and characteristics of the test
(sensitivity, specificity
Hypocalcemia -ANSWER <9 mg/dL
S/S: Increased & irregular HR, mental status changes, hyperactive deep
tendon reflexes, inc. GI motility
Trousseau's & Chvostek's
Hypercalcemia -ANSWER >11 mg/dL
S/S: (acute) increased HR & BP, muscle weakness, decreased GI motility
,Respiratory Acidosis -ANSWER Hypoventilation
S/S: confusion, lethargy, stupor, coma, increasingly weak respirations
pH decreased/PCO2 increased
Metabolic Acidosis -ANSWER Too much acid/too little bicarb
End stage renal failure, uncontrolled diabetes
Diarrhea, prolonged suctioning
S/S: confusion, lethargy, stupor, coma, Kussmaul's
Serum K+ tends to increase
Respiratory Alkalosis -ANSWER Hyperventilation
pH increased/PCO2 decreased
S/S: light-headed, confused
Metabolic Alkalosis -ANSWER Too much bicarb/loss of too much acid
pH increased/PCO2 increased
Serum K+ decreases
Know where vastus lateralis muscle is located - ANSWER vastus lateralis
muscle
Steps for assessing the abdomen - ANSWER 1-inspect; 2-auscultate
(listen); 3-Percussion; and 4-palpate(THIS IS THE ORDER WHEN
ASSESSING)
which do you perform first on the abdomen: - ANSWER Inspect
Know what petechiae means - ANSWER small 1-2mm red or purple spots
on the skin that is caused by bleeding underneath the skin.
What area of the back would you mark to palpate for renal calculi? -
ANSWER Mid-back where the kidneys are located. Causes severe pain. (
another questions ask you to locate where you would palpate for a kidney
infection
1 ounce= - ANSWER 30ml
,Know clinical manifestations for Osteoarthritis: - ANSWER muscle
weakness; morning joint stiffness; joint pain; poor balance; locomotor
restrictions; and fibromyalgia
Nurse walks in patient's room and shirt is on fire. What is the priority action
for the nurse to do? - ANSWER Wrap the patient in a blanket-smother the
fire to put it out.
1 tsp q 6 hours= - ANSWER Know 1 tsp q 6 hours = 30ml
If patient is taking Coumadin, what lab value will the nurse have to check? -
ANSWER If patient is taking Coumadin, what lab value will the nurse have
to check? INR-2.8
What part of the nursing process would the nurse come up with a nursing
diagnoses?
a. Assessment
b. Analysis
c. Implement
d. Evaluation - ANSWER Analysis
Patient is taking Alendronate for osteoporosis. What diet the patient
choose, lets you know they understand what to eat when taking this
medication?
a. Turnup greens, salmon
b. Take first thing in the morning with 6-8 ounces of milk
c. Take 30 minutes before other medications and food
d. Only take with plain water - ANSWER Take 30 mins before
Doctor asks the nurse on the elevator how is his patient in room 913 doing?
What is the nurses' response? - ANSWER Let's step off the elevator to
discuss this
A patient is having a grand mal seizure and is found unconscious. What will
the nurse do first? - ANSWER Protect the patient from injury (loosen neck
tie)
Hold head in lap if on the floor; then position the patient to provide a patient
airway
, What size gauge needles you would use to give intramuscular injections? -
ANSWER Gauges 22-25 needles (in the muscles)
What size gauge needle would you use to give Subcutaneous injections? -
ANSWER Gauges 23-25 needles. Subcutaneous injections are given in
fatty tissue over triceps
A co-worker of a patient who is hospitalized called and asked the diagnosis
of the patient in the hospital. What is the nurses response? - ANSWER You
have to contact the hospital's contact person.
The nurse was asked by a patient to pray with them. What is the nurses
response? - ANSWER I don't feel comfortable but will find someone else
who does feel comfortable praying with you.
What are the two identifiers used to identify - ANSWER The patient's name
and date of birth.
Given 30meq/ml per 20meq/10ml of diluting solution. How much D5W
would be added? - ANSWER 10mL/20meq x 30meq/mL=15 would be
added
dyspnea -ANSWER difficulty breathing
tachypnea -ANSWER rapid respirations
accelerated -ANSWER increased or speeded up
exhalation -ANSWER expiration
bradycardia -ANSWER slow pulse
systolic -ANSWER The closing of the heart valves is heard as the
___________ sounds.
hypertension -ANSWER High blood pressure is known as _____________.
lost -ANSWER Blood pressure is lowered when weight is ____________.
exercise -ANSWER Blood pressure is raised by ______________.
QUESTIONS AND VERIFIED DETAILED CORRECT
ANSWERS/ ALREADY GRADED A++
What is Reye Syndrome? - ANSWER Fatal encephalopathy, fever,
vomiting, fatty infiltration, swelling of the kidneys and brain.
T/F: Hyperthermia does not involve pyrogens or a change in the
hypothalamic thermoregulatory set point - ANSWER T: no pyrogens or
change in hypothalamic thermoregulatory set point
T/F: Hyperthermia is not rapidly fatal and can respond o antipyretic agents -
ANSWER F: NO - it is rapidly fatal! It does NOT respond to antipyretic
agents
Clinical syndromes of hyperthermia: - ANSWER Exposure (Heat stroke),
malignant hyperthermia, drug intox (anticholinergics, adrenergics incl drugs
of abuse), neuroleptic malignant syndrome, 5HT syndrome
What exposure causes neuroleptic malignant syndrome? - ANSWER Major
tranquilizers
What exposure causes malignant hyperthermia? - ANSWER Anesthetics
and muscle relaxants
Signs of hyperthermia include: - ANSWER Hallucinations, delirium, dry
skin, pupil dilation, muscle rigidity
Finally, the significance of fever depends upon: - ANSWER Accuracy of
observation; pre-test probability of disease, and characteristics of the test
(sensitivity, specificity
Hypocalcemia -ANSWER <9 mg/dL
S/S: Increased & irregular HR, mental status changes, hyperactive deep
tendon reflexes, inc. GI motility
Trousseau's & Chvostek's
Hypercalcemia -ANSWER >11 mg/dL
S/S: (acute) increased HR & BP, muscle weakness, decreased GI motility
,Respiratory Acidosis -ANSWER Hypoventilation
S/S: confusion, lethargy, stupor, coma, increasingly weak respirations
pH decreased/PCO2 increased
Metabolic Acidosis -ANSWER Too much acid/too little bicarb
End stage renal failure, uncontrolled diabetes
Diarrhea, prolonged suctioning
S/S: confusion, lethargy, stupor, coma, Kussmaul's
Serum K+ tends to increase
Respiratory Alkalosis -ANSWER Hyperventilation
pH increased/PCO2 decreased
S/S: light-headed, confused
Metabolic Alkalosis -ANSWER Too much bicarb/loss of too much acid
pH increased/PCO2 increased
Serum K+ decreases
Know where vastus lateralis muscle is located - ANSWER vastus lateralis
muscle
Steps for assessing the abdomen - ANSWER 1-inspect; 2-auscultate
(listen); 3-Percussion; and 4-palpate(THIS IS THE ORDER WHEN
ASSESSING)
which do you perform first on the abdomen: - ANSWER Inspect
Know what petechiae means - ANSWER small 1-2mm red or purple spots
on the skin that is caused by bleeding underneath the skin.
What area of the back would you mark to palpate for renal calculi? -
ANSWER Mid-back where the kidneys are located. Causes severe pain. (
another questions ask you to locate where you would palpate for a kidney
infection
1 ounce= - ANSWER 30ml
,Know clinical manifestations for Osteoarthritis: - ANSWER muscle
weakness; morning joint stiffness; joint pain; poor balance; locomotor
restrictions; and fibromyalgia
Nurse walks in patient's room and shirt is on fire. What is the priority action
for the nurse to do? - ANSWER Wrap the patient in a blanket-smother the
fire to put it out.
1 tsp q 6 hours= - ANSWER Know 1 tsp q 6 hours = 30ml
If patient is taking Coumadin, what lab value will the nurse have to check? -
ANSWER If patient is taking Coumadin, what lab value will the nurse have
to check? INR-2.8
What part of the nursing process would the nurse come up with a nursing
diagnoses?
a. Assessment
b. Analysis
c. Implement
d. Evaluation - ANSWER Analysis
Patient is taking Alendronate for osteoporosis. What diet the patient
choose, lets you know they understand what to eat when taking this
medication?
a. Turnup greens, salmon
b. Take first thing in the morning with 6-8 ounces of milk
c. Take 30 minutes before other medications and food
d. Only take with plain water - ANSWER Take 30 mins before
Doctor asks the nurse on the elevator how is his patient in room 913 doing?
What is the nurses' response? - ANSWER Let's step off the elevator to
discuss this
A patient is having a grand mal seizure and is found unconscious. What will
the nurse do first? - ANSWER Protect the patient from injury (loosen neck
tie)
Hold head in lap if on the floor; then position the patient to provide a patient
airway
, What size gauge needles you would use to give intramuscular injections? -
ANSWER Gauges 22-25 needles (in the muscles)
What size gauge needle would you use to give Subcutaneous injections? -
ANSWER Gauges 23-25 needles. Subcutaneous injections are given in
fatty tissue over triceps
A co-worker of a patient who is hospitalized called and asked the diagnosis
of the patient in the hospital. What is the nurses response? - ANSWER You
have to contact the hospital's contact person.
The nurse was asked by a patient to pray with them. What is the nurses
response? - ANSWER I don't feel comfortable but will find someone else
who does feel comfortable praying with you.
What are the two identifiers used to identify - ANSWER The patient's name
and date of birth.
Given 30meq/ml per 20meq/10ml of diluting solution. How much D5W
would be added? - ANSWER 10mL/20meq x 30meq/mL=15 would be
added
dyspnea -ANSWER difficulty breathing
tachypnea -ANSWER rapid respirations
accelerated -ANSWER increased or speeded up
exhalation -ANSWER expiration
bradycardia -ANSWER slow pulse
systolic -ANSWER The closing of the heart valves is heard as the
___________ sounds.
hypertension -ANSWER High blood pressure is known as _____________.
lost -ANSWER Blood pressure is lowered when weight is ____________.
exercise -ANSWER Blood pressure is raised by ______________.
