Exam
NACE Foundations of Nursing Exam Latest Update
2024-2025 200 Questions and 100% Verified
Correct An
The Nursing Process - ANSWERS-A: Assessment
A: Analysis
P: Planning
I: Implementation
E: Evaluation
The Nursing Process: Assessment - ANSWERS-Includes collecting physical, emotional,
and cultural data.
Includes recognizing signs, symptoms, and behaviors.
The Nursing Process: Analysis - ANSWERS-Includes interpreting data using clinical
judgement.
Includes identifying and prioritizing clients' needs
The Nursing Process: Planning - ANSWERS--establish priorities
-develop outcomes
-set timelines for outcomes
-identify interventions
-integrate evidence-based trends and research
-document plan of care
The Nursing Process: Implementation - ANSWERS-Respond appropriately to clients
needs for information and teaching.
Intervening appropriately to meet desired outcomes.
The Nursing Process: Evaluation - ANSWERS-Recognizing intended and unintended
effects of treatment and interventions provided.
Determining evidence of the client's compliance with treatment plan.
Determining evidence of client's response towards outcome desired with adaptions as
needed.
Nursing Care Plans (NCPs) - ANSWERS-A way to communicate with client, other
nurses, and other healthcare providers.
A nursing care plan includes - ANSWERS-includes nursing diagnoses, goals and/or
expected outcomes, specific nursing interventions, and a section for evaluation findings
so any nurse is able to quickly identify a patient's clinical needs and situation.
Generic medication name - ANSWERS-The name of a drug that gives its chemical
makeup, not the "brand" name given to it by its manufacturers.
Furosemide - ANSWERS-Lasix
Aceteminophen - ANSWERS-Tylenol
Diphenhydramine - ANSWERS-Benadryl
Naproxen - ANSWERS-Aleve
,Ibuprofen - ANSWERS-Motrin, Advil
Anticoagulants - ANSWERS-prevent blood clot formation
Anticoagulant Medications - ANSWERS-Heparin and Coumadin
Anticoagulant side effects - ANSWERS-Bleeding (increased bruising, bleeding gums),
hemorrhage, ecchymosis.
Anticoagulant Nursing Implications - ANSWERS-- prevent injury; falls prevention
- pt teaching is critical (exaggerate the importance of lab tests and follow up visits)
- teach pt to assess signs of abnormal bleeding (blood in stool and urine, excessive
bruising and bleeding from gums, fatigue and shortness of breath)
- teach measures to prevent injury (soft bristled toothbrush, an electric razor, getting up
slowly to prevent hypotension
- encourage pts the need for a medical ID or bracelet
Anticoagulant Patient Education - ANSWERS--Importance of regular laboratory testing
-Signs of abnormal bleeding
-Measures to prevent bruising, bleeding, and tissue injury
-Wearing a medical alert bracelet
-Avoiding foods high in vitamin K (tomatoes, dark leafy green vegetables)
-Consulting physician before taking other drugs or over-the-counter products, including
herbals
Anti-infectives - ANSWERS-used to treat infections
Anti-infective medications - ANSWERS-antibiotics, antifungals, antiviral
Anti-infective side effects - ANSWERS-hypersensitivity reactions such as conjunctivitis,
irritation, local burning, stinging, blurred vision, rash and urticaria
Chemotherapy side effects - ANSWERS-1. bone marrow suppression
2. nausea and vomiting
3. altered immunologic response
4. impaired oral mucous membrane
5. stomatitis
6. fatigue
Chemotherapy nursing implications - ANSWERS-monitor hearing and vision
monitor cardiac, renal, hepatic fxn
force fluids, heavily hydrate
wear sunscreen outdoors
administer antiemetics as needed
Diuretics - ANSWERS-medications administered to increase urine secretion in order to
rid the body of excess water and salt
Diuretic medications - ANSWERS-Loop: Furosemide
Thiazide: Hydrochlorothiazide (HCTZ)
K+ Sparing: Spironolactone
Diuretic Nursing Implications - ANSWERS-therapeutic effects:
- reduction of edema
- reduction of fluid volume overload
- improvement in manifestations of heart failure
- reduce hypertension
- no crackles in lungs
Diuretic patient education - ANSWERS-Na+ restriction
, s/s hypovolemia
s/s hypokalemia and hyperkalemia
compliance
avoid taking at night
daily weights
10 rights of medication administration - ANSWERS-1. Right Medication
2. Right Dose
3. Right Time
4. Right Route
5. Right Client
6. Right Client Education
7. Right Documentation
8. Right to Refuse
9. Right Assessment
10. Right Evaluation
Dosage calculation formula - ANSWERS-Desired/Have X Quantity
metric system of measurement - ANSWERS-measurement system used throughout
most of the world that is based on the powers of 10
apothecary system - ANSWERS-Older system of measurement that uses drams; rarely
used.
household system - ANSWERS-a measurement system based on common household
items used to measure length, volume, and weight
tsp to mL conversion - ANSWERS-1 tsp = 5 mL
cup to ounces - ANSWERS-1 cup = 8 ounces
mL to oz - ANSWERS-30 mL = 1 oz
tbsp to tsp to ml - ANSWERS-1 tbsp = 3 tsp = 15 mL
mL to L - ANSWERS-1000 mL = 1 L
Heparin - ANSWERS-Anticoagulant
Heparin action - ANSWERS-inactivates thrombin and prevents conversion of fibrinogen
to fibrin
Heparin use - ANSWERS-Immediate anticoagulation for pulmonary embolism (PE),
acute coronary syndrome, MI, deep venous thrombosis (DVT). Used during pregnancy
(does not cross placenta).
Heparin side/adverse effects - ANSWERS-1. Bleeding
2. Hemorrhage
3. Epistaxis
4. GI bleed
5. Hematuria
6. Hematemesis
Heparin Contraindications - ANSWERS-1. Known allergy or hypersensitivity
2. Active bleeding (excluding menses)
3. Oral anticoagulants
4. Bleeding disorders
5. History of Heparin-Induced Thrombocytopaenia (HIT)
6. Severe hepatic impairment / disease, including oesophageal varices
7. Recent trauma or surgery (< 3 weeks)
NACE Foundations of Nursing Exam Latest Update
2024-2025 200 Questions and 100% Verified
Correct An
The Nursing Process - ANSWERS-A: Assessment
A: Analysis
P: Planning
I: Implementation
E: Evaluation
The Nursing Process: Assessment - ANSWERS-Includes collecting physical, emotional,
and cultural data.
Includes recognizing signs, symptoms, and behaviors.
The Nursing Process: Analysis - ANSWERS-Includes interpreting data using clinical
judgement.
Includes identifying and prioritizing clients' needs
The Nursing Process: Planning - ANSWERS--establish priorities
-develop outcomes
-set timelines for outcomes
-identify interventions
-integrate evidence-based trends and research
-document plan of care
The Nursing Process: Implementation - ANSWERS-Respond appropriately to clients
needs for information and teaching.
Intervening appropriately to meet desired outcomes.
The Nursing Process: Evaluation - ANSWERS-Recognizing intended and unintended
effects of treatment and interventions provided.
Determining evidence of the client's compliance with treatment plan.
Determining evidence of client's response towards outcome desired with adaptions as
needed.
Nursing Care Plans (NCPs) - ANSWERS-A way to communicate with client, other
nurses, and other healthcare providers.
A nursing care plan includes - ANSWERS-includes nursing diagnoses, goals and/or
expected outcomes, specific nursing interventions, and a section for evaluation findings
so any nurse is able to quickly identify a patient's clinical needs and situation.
Generic medication name - ANSWERS-The name of a drug that gives its chemical
makeup, not the "brand" name given to it by its manufacturers.
Furosemide - ANSWERS-Lasix
Aceteminophen - ANSWERS-Tylenol
Diphenhydramine - ANSWERS-Benadryl
Naproxen - ANSWERS-Aleve
,Ibuprofen - ANSWERS-Motrin, Advil
Anticoagulants - ANSWERS-prevent blood clot formation
Anticoagulant Medications - ANSWERS-Heparin and Coumadin
Anticoagulant side effects - ANSWERS-Bleeding (increased bruising, bleeding gums),
hemorrhage, ecchymosis.
Anticoagulant Nursing Implications - ANSWERS-- prevent injury; falls prevention
- pt teaching is critical (exaggerate the importance of lab tests and follow up visits)
- teach pt to assess signs of abnormal bleeding (blood in stool and urine, excessive
bruising and bleeding from gums, fatigue and shortness of breath)
- teach measures to prevent injury (soft bristled toothbrush, an electric razor, getting up
slowly to prevent hypotension
- encourage pts the need for a medical ID or bracelet
Anticoagulant Patient Education - ANSWERS--Importance of regular laboratory testing
-Signs of abnormal bleeding
-Measures to prevent bruising, bleeding, and tissue injury
-Wearing a medical alert bracelet
-Avoiding foods high in vitamin K (tomatoes, dark leafy green vegetables)
-Consulting physician before taking other drugs or over-the-counter products, including
herbals
Anti-infectives - ANSWERS-used to treat infections
Anti-infective medications - ANSWERS-antibiotics, antifungals, antiviral
Anti-infective side effects - ANSWERS-hypersensitivity reactions such as conjunctivitis,
irritation, local burning, stinging, blurred vision, rash and urticaria
Chemotherapy side effects - ANSWERS-1. bone marrow suppression
2. nausea and vomiting
3. altered immunologic response
4. impaired oral mucous membrane
5. stomatitis
6. fatigue
Chemotherapy nursing implications - ANSWERS-monitor hearing and vision
monitor cardiac, renal, hepatic fxn
force fluids, heavily hydrate
wear sunscreen outdoors
administer antiemetics as needed
Diuretics - ANSWERS-medications administered to increase urine secretion in order to
rid the body of excess water and salt
Diuretic medications - ANSWERS-Loop: Furosemide
Thiazide: Hydrochlorothiazide (HCTZ)
K+ Sparing: Spironolactone
Diuretic Nursing Implications - ANSWERS-therapeutic effects:
- reduction of edema
- reduction of fluid volume overload
- improvement in manifestations of heart failure
- reduce hypertension
- no crackles in lungs
Diuretic patient education - ANSWERS-Na+ restriction
, s/s hypovolemia
s/s hypokalemia and hyperkalemia
compliance
avoid taking at night
daily weights
10 rights of medication administration - ANSWERS-1. Right Medication
2. Right Dose
3. Right Time
4. Right Route
5. Right Client
6. Right Client Education
7. Right Documentation
8. Right to Refuse
9. Right Assessment
10. Right Evaluation
Dosage calculation formula - ANSWERS-Desired/Have X Quantity
metric system of measurement - ANSWERS-measurement system used throughout
most of the world that is based on the powers of 10
apothecary system - ANSWERS-Older system of measurement that uses drams; rarely
used.
household system - ANSWERS-a measurement system based on common household
items used to measure length, volume, and weight
tsp to mL conversion - ANSWERS-1 tsp = 5 mL
cup to ounces - ANSWERS-1 cup = 8 ounces
mL to oz - ANSWERS-30 mL = 1 oz
tbsp to tsp to ml - ANSWERS-1 tbsp = 3 tsp = 15 mL
mL to L - ANSWERS-1000 mL = 1 L
Heparin - ANSWERS-Anticoagulant
Heparin action - ANSWERS-inactivates thrombin and prevents conversion of fibrinogen
to fibrin
Heparin use - ANSWERS-Immediate anticoagulation for pulmonary embolism (PE),
acute coronary syndrome, MI, deep venous thrombosis (DVT). Used during pregnancy
(does not cross placenta).
Heparin side/adverse effects - ANSWERS-1. Bleeding
2. Hemorrhage
3. Epistaxis
4. GI bleed
5. Hematuria
6. Hematemesis
Heparin Contraindications - ANSWERS-1. Known allergy or hypersensitivity
2. Active bleeding (excluding menses)
3. Oral anticoagulants
4. Bleeding disorders
5. History of Heparin-Induced Thrombocytopaenia (HIT)
6. Severe hepatic impairment / disease, including oesophageal varices
7. Recent trauma or surgery (< 3 weeks)
