NACE PN TO RN Exam Questions and
Answers
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
,NACE PN TO RN Exam Questions and
Answers
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
,NACE PN TO RN Exam Questions and
Answers
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
, NACE PN TO RN Exam Questions and
Answers
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?
Answers
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
,NACE PN TO RN Exam Questions and
Answers
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
,NACE PN TO RN Exam Questions and
Answers
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
, NACE PN TO RN Exam Questions and
Answers
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?
