1|Page
NACE PN TO RN; Comprehensive Q&A For
Certification Success | A+ Guide Solution
The nurse observes a child's nasal discharge. The discharge is clear in both nasal
cavities. The discharge most likely indicates what type of condition? -correct-
answer-Correct Answer: allergy. A child who has clear, watery discharge is
associated with allergies. The remaining answer choices are not the best options
as bloody discharge is indicative of a nosebleed or a trauma. Itchy mucus
containing discharge indicates an upper respiratory infection. If there is mucoid or
purulent nasal discharge in one side of the nostrils, the child may have a foreign
body lodged in the nostril.
A female client who complains of chest pain is admitted. The nurse can expect
which of the following laboratory tests ordered by the physician to confirm a
myocardial infarction diagnosis? -correct-answer-Correct Answer: creatine kinase
The physician orders laboratory tests and diagnostic tests to confirm a diagnosis of
myocardial infarction. Creatine kinase is an enzyme located in the cardiac muscle,
brain and skeletal muscle. As this enzyme rises, there is injury to the muscle cells.
Further, the higher the serum CK, the more the muscle tissue that is damaged.
Electrocardiogram, radionuclide imaging and hemodynamic monitoring are used
to diagnosis a myocardial infarction. However, these are diagnostic tests and not
laboratory tests.
The nurse is providing breast cancer education at a community facility. The
American Cancer Society recommends that women get mammograms -correct-
,2|Page
answer-The correct answer is yearly after age 40. The American Cancer Society
recommends a mammogram yearly for women over age 40. The other statements
are not correct. It is recommended that women between ages 20 and 40 have a
professional breast examination (not a mammogram) every 3 years.
The client had a nephrectomy for the removal of kidney due to major lacerations
two hours ago. What is a nursing priority? -correct-answer-Correct answer:
Maintain the drainage tube patency
The nurse should monitor the drainage tube patency every 4 hours for 24 to 48
hours after the client's nephrectomy procedure. By doing so, the nurse can ensure
the client's tubes drain freely and help prevent hydronephrosis, which is urine
collected in the renal pelvis because of obstruction with the outflow of the urine.
A client is admitted with tuberculosis. The client should be placed in which type of
precaution based isolation? -correct-answer-Correct answer: Airborne. The nurse
should use airborne precautions when caring for a client with known or suspected
tuberculosis to reduce the spread of the tuberculosis. Precautions that are
employed are private room that has its own hand washing station and bathroom,
special ventilation system that is separate from the hospital wide ventilation
system and providing masks for anyone entering the room to see the client.
Which clinical indicator is the nurse most likely to identify when exploring the
history of a client with insomnia? -correct-answer-Correct answer: Irritability.
Insomnia is the inability to fall asleep or stay sleep. Individuals who experience
, 3|Page
insomnia complain of unrefreshed sleep, daytime sleepiness, trouble
concentrating, irritability, and waking up several times at night.
The physician prescribes home oxygen therapy for a client with pulmonary
fibrosis. The nurse collaborates with the social worker assigned to the client about
arranging the home oxygen therapy. Which health team member will be
responsible for evaluating the client's knowledge of home oxygen use? -correct-
answer-Correct Answer: home health nurse. The home health nurse is responsible
for evaluating the client's knowledge of home oxygen use. The social worker is
only responsible for coordinating the services. The hospital staff nurse and
physician do not observe the client in the home, so they cannot adequately
evaluate the client's knowledge of home oxygen use.
The normal blood glucose range is which of the following? -correct-answer-
Correct Answer:70-100 mg/dL
Which is a FALSE statement regarding factors contributing to the development of
schizophrenia? -correct-answer-Correct Answer:
In order for someone to be diagnosed with schizophrenia, they must show brain
damage on a brain scan.
Experts now agree that schizophrenia develops as a result of interplay between
biological disposition and the kind of environment a person is exposed to.
However there are no medical tests that will diagnose schizophrenia.
NACE PN TO RN; Comprehensive Q&A For
Certification Success | A+ Guide Solution
The nurse observes a child's nasal discharge. The discharge is clear in both nasal
cavities. The discharge most likely indicates what type of condition? -correct-
answer-Correct Answer: allergy. A child who has clear, watery discharge is
associated with allergies. The remaining answer choices are not the best options
as bloody discharge is indicative of a nosebleed or a trauma. Itchy mucus
containing discharge indicates an upper respiratory infection. If there is mucoid or
purulent nasal discharge in one side of the nostrils, the child may have a foreign
body lodged in the nostril.
A female client who complains of chest pain is admitted. The nurse can expect
which of the following laboratory tests ordered by the physician to confirm a
myocardial infarction diagnosis? -correct-answer-Correct Answer: creatine kinase
The physician orders laboratory tests and diagnostic tests to confirm a diagnosis of
myocardial infarction. Creatine kinase is an enzyme located in the cardiac muscle,
brain and skeletal muscle. As this enzyme rises, there is injury to the muscle cells.
Further, the higher the serum CK, the more the muscle tissue that is damaged.
Electrocardiogram, radionuclide imaging and hemodynamic monitoring are used
to diagnosis a myocardial infarction. However, these are diagnostic tests and not
laboratory tests.
The nurse is providing breast cancer education at a community facility. The
American Cancer Society recommends that women get mammograms -correct-
,2|Page
answer-The correct answer is yearly after age 40. The American Cancer Society
recommends a mammogram yearly for women over age 40. The other statements
are not correct. It is recommended that women between ages 20 and 40 have a
professional breast examination (not a mammogram) every 3 years.
The client had a nephrectomy for the removal of kidney due to major lacerations
two hours ago. What is a nursing priority? -correct-answer-Correct answer:
Maintain the drainage tube patency
The nurse should monitor the drainage tube patency every 4 hours for 24 to 48
hours after the client's nephrectomy procedure. By doing so, the nurse can ensure
the client's tubes drain freely and help prevent hydronephrosis, which is urine
collected in the renal pelvis because of obstruction with the outflow of the urine.
A client is admitted with tuberculosis. The client should be placed in which type of
precaution based isolation? -correct-answer-Correct answer: Airborne. The nurse
should use airborne precautions when caring for a client with known or suspected
tuberculosis to reduce the spread of the tuberculosis. Precautions that are
employed are private room that has its own hand washing station and bathroom,
special ventilation system that is separate from the hospital wide ventilation
system and providing masks for anyone entering the room to see the client.
Which clinical indicator is the nurse most likely to identify when exploring the
history of a client with insomnia? -correct-answer-Correct answer: Irritability.
Insomnia is the inability to fall asleep or stay sleep. Individuals who experience
, 3|Page
insomnia complain of unrefreshed sleep, daytime sleepiness, trouble
concentrating, irritability, and waking up several times at night.
The physician prescribes home oxygen therapy for a client with pulmonary
fibrosis. The nurse collaborates with the social worker assigned to the client about
arranging the home oxygen therapy. Which health team member will be
responsible for evaluating the client's knowledge of home oxygen use? -correct-
answer-Correct Answer: home health nurse. The home health nurse is responsible
for evaluating the client's knowledge of home oxygen use. The social worker is
only responsible for coordinating the services. The hospital staff nurse and
physician do not observe the client in the home, so they cannot adequately
evaluate the client's knowledge of home oxygen use.
The normal blood glucose range is which of the following? -correct-answer-
Correct Answer:70-100 mg/dL
Which is a FALSE statement regarding factors contributing to the development of
schizophrenia? -correct-answer-Correct Answer:
In order for someone to be diagnosed with schizophrenia, they must show brain
damage on a brain scan.
Experts now agree that schizophrenia develops as a result of interplay between
biological disposition and the kind of environment a person is exposed to.
However there are no medical tests that will diagnose schizophrenia.
