NACE 1 PN-RN 2024/2025 Correct Questions With
Verified Answers and Rationale
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? - ANSWERCorrect
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? - ANSWERThe 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 - ANSWERCorrect 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? -
ANSWERCorrect 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? -
ANSWERCorrect answer: 1.6 to 2.4 mEq/L
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? - ANSWERThe
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? - ANSWERCorrect 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? - ANSWERCorrect Answer: The student accepts a referral to a
substance 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? - ANSWERNormal 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? - ANSWERGravida
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? - ANSWERCorrect Answer: 72 hours. The hospital stay for a healthy
mother who has delivered an infant varies depending on the type of delivery. The
length of stay in the hospital for a vaginal birth is typically 24 to 48 hours. The length
of stay in the hospital for a Caesarean section that does not have any complications
is 72 hours.
The community nurse is planning a smoking cessation program. What would be the
first step in developing a health promotion program? - ANSWERCorrect Answer:
Conducting health risk surveys
First conduct initial assessments to determine if there is a health risk. Then follow
the course of action in place in this event.
A woman is two months pregnant when her five-year-old child develops rubella.
What is most likely to be given to the mother? - ANSWERCorrect Answer: Immune
serum globulin
Immune serum globulin gives her a passive immunity and helps keep her from
developing rubella, which can have devastating effect on her unborn child. MMR is a
, live virus and is not given to pregnant women. RhoGam prevents anti Rh antibody
development. There is no such thing as rubella antitoxin.
What is the normal value of urine potassium? - ANSWER25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24 hr
Before applying a cord clamp, the nurse assesses the umbilical cord for the presence
of vessels. The findings that are often associated with genitourinary abnormalities
are what? - ANSWERCorrect Answer: one artery, one vein. Two arteries and one vein
are present in a normal umbilical cord. The presence of one artery in the umbilical
cord is associated with genitourinary abnormalities.
You are assigned to educate the nursing assistants regarding caring for the older
adult. It is important that the assistants understand that which of the following
situations portrays ageism? - ANSWERThe Correct answer is: Advising older adults to
forgo aggressive treatment. Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group.
Fundamental to ageism is the view that older persons are different from "me" and
will remain different from "me." Advising older adults to forgo (go without)
aggressive treatment, when such a treatment would be offered as a possibility to the
general population, displays ageism by treating the older adults as fundamentally
different from the general population. The other answers identify supporting roles of
the nurse for the older person.
When taking a dietary history from a newly admitted client, the nurse should
remember that which of the following foods is a common allergen? - ANSWERThe
correct answer is strawberries. Common food allergens include berries, peanuts,
Brazil nuts, cashews, shellfish, and eggs. Bread, carrots and oranges rarely cause
allergic reactions.
A nurse who violates the civil rights of an individual may be committing what? -
ANSWERCorrect answer: A tort. A tort is the process of violating civil law when
dealing with an individual or an individual's property. The types of torts are
commission and omission. Further, negligence and malpractice are not the best
choices as these deal with unintentional torts.
A patient with Addison's disease has been given an inadequate steroid dosage.
Which of the following are NOT symptoms the patient could experience? -
ANSWERCorrect Answer: Weight gain. Weight loss is more likely. Fatigue, weakness,
and dizziness are often indicated.
Which of the following behaviors does NOT show improvement in a client with
Obsessive Compulsive Disorder? - ANSWERCorrect answer: Client uses "will power"
to stop rituals.
The client can employ appropriate intervention techniques and more about the
disease process such as B, C and D. "Will power" alone will not be effective in dealing
with Obsessive Compulsive Disorder. The client can employ appropriate intervention
Verified Answers and Rationale
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? - ANSWERCorrect
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? - ANSWERThe 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 - ANSWERCorrect 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? -
ANSWERCorrect 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? -
ANSWERCorrect answer: 1.6 to 2.4 mEq/L
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? - ANSWERThe
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? - ANSWERCorrect 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? - ANSWERCorrect Answer: The student accepts a referral to a
substance 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? - ANSWERNormal 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? - ANSWERGravida
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? - ANSWERCorrect Answer: 72 hours. The hospital stay for a healthy
mother who has delivered an infant varies depending on the type of delivery. The
length of stay in the hospital for a vaginal birth is typically 24 to 48 hours. The length
of stay in the hospital for a Caesarean section that does not have any complications
is 72 hours.
The community nurse is planning a smoking cessation program. What would be the
first step in developing a health promotion program? - ANSWERCorrect Answer:
Conducting health risk surveys
First conduct initial assessments to determine if there is a health risk. Then follow
the course of action in place in this event.
A woman is two months pregnant when her five-year-old child develops rubella.
What is most likely to be given to the mother? - ANSWERCorrect Answer: Immune
serum globulin
Immune serum globulin gives her a passive immunity and helps keep her from
developing rubella, which can have devastating effect on her unborn child. MMR is a
, live virus and is not given to pregnant women. RhoGam prevents anti Rh antibody
development. There is no such thing as rubella antitoxin.
What is the normal value of urine potassium? - ANSWER25-120 mEq/24 hr
The normal value for urine potassium is 25-120 mEq/24 hr
Before applying a cord clamp, the nurse assesses the umbilical cord for the presence
of vessels. The findings that are often associated with genitourinary abnormalities
are what? - ANSWERCorrect Answer: one artery, one vein. Two arteries and one vein
are present in a normal umbilical cord. The presence of one artery in the umbilical
cord is associated with genitourinary abnormalities.
You are assigned to educate the nursing assistants regarding caring for the older
adult. It is important that the assistants understand that which of the following
situations portrays ageism? - ANSWERThe Correct answer is: Advising older adults to
forgo aggressive treatment. Ageism is a form of prejudice in which older adults are
stereotyped by characteristics found in only a few members of their group.
Fundamental to ageism is the view that older persons are different from "me" and
will remain different from "me." Advising older adults to forgo (go without)
aggressive treatment, when such a treatment would be offered as a possibility to the
general population, displays ageism by treating the older adults as fundamentally
different from the general population. The other answers identify supporting roles of
the nurse for the older person.
When taking a dietary history from a newly admitted client, the nurse should
remember that which of the following foods is a common allergen? - ANSWERThe
correct answer is strawberries. Common food allergens include berries, peanuts,
Brazil nuts, cashews, shellfish, and eggs. Bread, carrots and oranges rarely cause
allergic reactions.
A nurse who violates the civil rights of an individual may be committing what? -
ANSWERCorrect answer: A tort. A tort is the process of violating civil law when
dealing with an individual or an individual's property. The types of torts are
commission and omission. Further, negligence and malpractice are not the best
choices as these deal with unintentional torts.
A patient with Addison's disease has been given an inadequate steroid dosage.
Which of the following are NOT symptoms the patient could experience? -
ANSWERCorrect Answer: Weight gain. Weight loss is more likely. Fatigue, weakness,
and dizziness are often indicated.
Which of the following behaviors does NOT show improvement in a client with
Obsessive Compulsive Disorder? - ANSWERCorrect answer: Client uses "will power"
to stop rituals.
The client can employ appropriate intervention techniques and more about the
disease process such as B, C and D. "Will power" alone will not be effective in dealing
with Obsessive Compulsive Disorder. The client can employ appropriate intervention
