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NACE Exam | Nursing Acceleration Challenge Exam PN-RN Study Guide & Practice Test

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Prepare for the NACE Exam (Nursing Acceleration Challenge Exam) with this comprehensive PN-RN study guide and practice test resource. Review essential nursing concepts including foundations of nursing practice, patient assessment, safety and infection control, vital signs, therapeutic communication, medication basics, and clinical judgment. Designed for LPN to RN bridge students, this guide provides structured review material and practice questions to help strengthen knowledge and improve readiness for the NACE I PN-RN examination.

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NACE Exam | Nursing
Acceleration Challenge
Exam PN-RN Study Guide &
Practice Test Questions and
Answers




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7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM

, 7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM




An 18-year-old college freshman who has had diabetes mellitus (Type I) for nine years takes
isophane (NPH) and insulin injections (regular insulin) in the morning and late afternoon. This
client reports not having enough time to get to the cafeteria to eat before the first class. Which
of these suggestions should a nurse give the patient?
-Delay taking your morning insulin until you have had breakfast.
-Keep some hard candy available if you need it during class.
-Store food in your room that can be used in your meal plan.
-Eat a larger bedtime snack the night before.


Store food in your room that can be used in your meal plan.


A 31-year-old client is receiving medical treatment for ulcerative colitis. The treatment includes
antibiotics and prednisone. A nurse should plan to monitor the client for which of these
nutritional consequences of this treatment?
-Hypercalcemia.
-Hyperglycemia.
-Hyponatremia.
-Hypolipidemia.


hyperglycemia


A 42-year-old client is admitted to a medical unit in acute renal failure. The client is given
protein food with a high biological value. A nurse should recognize that the rationale for this diet
prescription is to
-minimize the amount of nitrogen that must be excreted.
-increase the amount of urine produced.
-reduce the total amount of caloric intake.
-provide maximum vitamins and minerals per gram of protein.


minimize the amount of nitrogen that must be excreted.


An 82-year-old client is bedridden in a nursing home. As a result of the client's immobility, a
nurse should anticipate that they will experience a loss of
-calcium.
-insulin receptivity.
-iron-binding capacity.
-body fat.


calcium


An 84-year-old client is admitted to the hospital with a temperature of 100.8 F (38.2 C), dry oral
mucous membranes, and urine specific gravity of 1.035. Which of these nursing diagnoses
should be given priority?
-Urinary retention.
-Ineffective thermoregulation.
-Fluid volume deficit.
-Impaired skin integrity.


fluid volume deficit




7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM

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