ACE the NACE Final Practice Review 2026 | 100%
Accurate Answers
1. The nurse and the UAP are caring for clients on oncology floor. Which nursing
task would be delegated to the UAP?
Assist a client who received 10 units of platelets in brushing teeth
Assess the urine output on a client who had a blood transfusion
reaction
Auscultate the lung sounds of a client prior to a transfusion
Take the first 15 min of VS on a client receiving PRBCs
2. If a patient undergoing chemotherapy with a low neutrophil count expresses
feelings of loneliness, what is the best nursing intervention to support her
emotional well-being while adhering to neutropenic precautions?
Encourage virtual communication with friends and family.
Advise her to avoid all forms of communication.
Suggest she participate in group activities outside the home.
Arrange for in-person visits from multiple friends.
3. What is the primary reason for implementing protective (neutropenic)
precautions in a patient undergoing chemotherapy?
To facilitate medication administration.
To enhance the patient's immune response.
To improve the patient's nutritional intake.
To protect the patient from infections due to low white blood cell
count.
,4. The nurse is caring for a client who just had a chest tube removed by the
provider. What should the nurse do after the removal of the chest tube?
Position the client prone to reduce fluid accumulation.
Administer oxygen via nonrebreather face mask.
Auscultate lung sounds.
Remove dressing and assess the insertion site.
5. Which outcome is the most important for the nurse to include in the plan of
care for a client who is diagnosed with anorexia nervosa and admitted to the
hospital for treatment?
The client opens up to the nurse about past events.
The client makes significant weight gains.
The client promises to eat more calories.
The client recognizes a disturbed body image.
6. A nurse is providing teaching to a client who has a prescription for amoxicillin
5 mL PO. How many teaspoons (tsp) should the nurse instruct the client to
take?
2.5 tsp
1 tsp
0.5 tsp
5 tsp
7. An older patient taking a calcium channel blocker asks why it is important to
rise slowly from a sitting to a standing position. Which information should the
nurse include in the response?
, "This avoids a sudden drop in heart rate, which could increase blood
pressure."
"This avoids a sudden increase in blood pressure, which could cause
you to pass out."
"This prevents orthostatic hypotension, a sudden decrease in blood
pressure upon standing."
"This prevents the development of dysrhythmias, which can lead to
long-term heart problems."
8. Describe the significance of monitoring sodium levels in patients undergoing
prolonged nasogastric suctioning.
Monitoring sodium levels is unnecessary as they remain stable during
suctioning.
Monitoring sodium levels is only important in patients with heart
conditions.
Monitoring sodium levels is crucial because prolonged nasogastric
suctioning can lead to electrolyte imbalances, particularly
hyponatremia.
Monitoring sodium levels helps assess kidney function only.
9. If a nurse has assessed a client with anorexia and has collaborated with them
to set goals, what would be the next logical step in the nursing process?
Plan interventions to improve the client's appetite.
Document the assessment findings.
Evaluate the effectiveness of previous interventions.
Refer the client to a dietitian without further planning.
, 10. What is the next step a practical nurse should take after a comatose client
reacts to a painful stimulus?
Administer pain medication immediately.
Report decorticate posturing to the health care provider.
Perform a full neurological assessment.
Observe the client’s response to verbal stimulation.
11. In a scenario where a comatose client does not respond to verbal stimulation
after initially reacting to a painful stimulus, what should the practical nurse
prioritize next?
Document the findings and continue monitoring without intervention.
Administer sedatives to calm the client.
Reassess the client's neurological status and notify the healthcare
provider.
Increase the frequency of pain assessments.
12. Why is it important to assign a resident with MRSA to share a room with
another resident who also has MRSA?
To facilitate shared medical resources and staff attention.
To promote social interaction between residents.
To allow for easier monitoring of both residents' conditions.
To prevent cross-contamination and ensure proper infection
control.
13. If the nurse has to prioritize care for the clients based on their conditions,
which client should be seen first and why?
Accurate Answers
1. The nurse and the UAP are caring for clients on oncology floor. Which nursing
task would be delegated to the UAP?
Assist a client who received 10 units of platelets in brushing teeth
Assess the urine output on a client who had a blood transfusion
reaction
Auscultate the lung sounds of a client prior to a transfusion
Take the first 15 min of VS on a client receiving PRBCs
2. If a patient undergoing chemotherapy with a low neutrophil count expresses
feelings of loneliness, what is the best nursing intervention to support her
emotional well-being while adhering to neutropenic precautions?
Encourage virtual communication with friends and family.
Advise her to avoid all forms of communication.
Suggest she participate in group activities outside the home.
Arrange for in-person visits from multiple friends.
3. What is the primary reason for implementing protective (neutropenic)
precautions in a patient undergoing chemotherapy?
To facilitate medication administration.
To enhance the patient's immune response.
To improve the patient's nutritional intake.
To protect the patient from infections due to low white blood cell
count.
,4. The nurse is caring for a client who just had a chest tube removed by the
provider. What should the nurse do after the removal of the chest tube?
Position the client prone to reduce fluid accumulation.
Administer oxygen via nonrebreather face mask.
Auscultate lung sounds.
Remove dressing and assess the insertion site.
5. Which outcome is the most important for the nurse to include in the plan of
care for a client who is diagnosed with anorexia nervosa and admitted to the
hospital for treatment?
The client opens up to the nurse about past events.
The client makes significant weight gains.
The client promises to eat more calories.
The client recognizes a disturbed body image.
6. A nurse is providing teaching to a client who has a prescription for amoxicillin
5 mL PO. How many teaspoons (tsp) should the nurse instruct the client to
take?
2.5 tsp
1 tsp
0.5 tsp
5 tsp
7. An older patient taking a calcium channel blocker asks why it is important to
rise slowly from a sitting to a standing position. Which information should the
nurse include in the response?
, "This avoids a sudden drop in heart rate, which could increase blood
pressure."
"This avoids a sudden increase in blood pressure, which could cause
you to pass out."
"This prevents orthostatic hypotension, a sudden decrease in blood
pressure upon standing."
"This prevents the development of dysrhythmias, which can lead to
long-term heart problems."
8. Describe the significance of monitoring sodium levels in patients undergoing
prolonged nasogastric suctioning.
Monitoring sodium levels is unnecessary as they remain stable during
suctioning.
Monitoring sodium levels is only important in patients with heart
conditions.
Monitoring sodium levels is crucial because prolonged nasogastric
suctioning can lead to electrolyte imbalances, particularly
hyponatremia.
Monitoring sodium levels helps assess kidney function only.
9. If a nurse has assessed a client with anorexia and has collaborated with them
to set goals, what would be the next logical step in the nursing process?
Plan interventions to improve the client's appetite.
Document the assessment findings.
Evaluate the effectiveness of previous interventions.
Refer the client to a dietitian without further planning.
, 10. What is the next step a practical nurse should take after a comatose client
reacts to a painful stimulus?
Administer pain medication immediately.
Report decorticate posturing to the health care provider.
Perform a full neurological assessment.
Observe the client’s response to verbal stimulation.
11. In a scenario where a comatose client does not respond to verbal stimulation
after initially reacting to a painful stimulus, what should the practical nurse
prioritize next?
Document the findings and continue monitoring without intervention.
Administer sedatives to calm the client.
Reassess the client's neurological status and notify the healthcare
provider.
Increase the frequency of pain assessments.
12. Why is it important to assign a resident with MRSA to share a room with
another resident who also has MRSA?
To facilitate shared medical resources and staff attention.
To promote social interaction between residents.
To allow for easier monitoring of both residents' conditions.
To prevent cross-contamination and ensure proper infection
control.
13. If the nurse has to prioritize care for the clients based on their conditions,
which client should be seen first and why?
