NACE Nursing Assistant Certification
Exam 2026–2027 – Practice Questions
with Answers | Nursing Assistant
Certification Preparation Material
Introduction:
This document contains 126 practice questions with correct
answers covering the core topics tested on the NACE Nursing
Assistant Certification Exam for the 2026–2027 academic year.
It includes exam-style questions on patient care, medication
administration, nutrition, safety, infection control,
communication, and fundamental nursing concepts. The
material is designed as a comprehensive exam preparation
resource for students preparing for certification.
Exam Questions and Answers:
41. A nurse is teaching a client how to maintain a low-fat diet
when dining out in restaurants. During the interview, the
client gazes out the window without comment or question. The
nurse should take which of these actions?
-Say nothing more until the client makes a verbal response
,-Use visual aids to get the client's attention
-Say, "You don't seem very interested in this discussion
-"Ask, "Why are you behaving in this hostile manner?"---
Correct Answer---Say nothing more until the client makes a
verbal response
42. A nurse prepares to teach a client how to self-administer
injections. The nurse has planned to teach the client about the
medication during this session. The client says repeatedly,
"You mean I have to stick myself with a needle?" Which of
these responses would be most supportive of the learning
process?
-I see that you're upset, but let's start by discussing what the
drug can do for you
-Many people have this same concern, but it won't be as hard
as you expect
-You're bothered by the thought of injecting yourself
-I wonder if you're reacting to the feelings that people have
about illegal drug use.---Correct Answer---You're bothered by
the thought of injecting yourself
43. A client has an order for psyllium hydrophilic mucilloid
(Metamucil) 1 packet po qd. Which of these actions is essential
when a nurse is preparing to admin- ister this medication?
-Prepare the medication with four ounces of juice
,-Provide special mouth care after medication administration.
-Administer the medication after it stops effervescing.
-Monitor bowel sounds before administration.---Correct
Answer---Monitor bowel sounds before administration.
44. A client who is three days postoperative is refusing to
deep breathe and cough because of incisional discomfort.
Which of these nursing diagnoses should receive priority in
this client's care plan?
-Noncompliance
-Impaired gas exchange.
-Impaired physical mobility.
-Pain.---Correct Answer---pain
45. While preparing a client for surgery, a nurse discovers
that the client does not understand the surgical procedure. A
signed surgical consent is on the chart. Which of these actions
should the nurse take?
-Reassure the client.
-Send the client to surgery.
-Explain the operative procedure.
-Notify the physician---Correct Answer---notify the physician
46. 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.---Correct Answer---hyperglycemia
47. After ten months on dialysis, a client undergoes a renal
transplant and is re- ceiving immunosuppressive therapy.
Which of these nutritional consequences should a nurse
anticipate?
-A decreased synthesis of bile acids will occur.
-An increased intake of simple carbohydrates will be
necessary.
-The client's protein requirements will be significantly higher.
-The client's need for fat-soluble vitamins will be greater.---
Correct Answer---The client's protein requirements will be
significantly higher.
48. Assuming that all of these foods are available, which
sandwich selection would be appropriate for a client who is on
a bland diet of 50 grams of fat?
-Peanut butter and jelly on whole wheat bread.
-Creamy chicken salad and tomato on rye bread.
Exam 2026–2027 – Practice Questions
with Answers | Nursing Assistant
Certification Preparation Material
Introduction:
This document contains 126 practice questions with correct
answers covering the core topics tested on the NACE Nursing
Assistant Certification Exam for the 2026–2027 academic year.
It includes exam-style questions on patient care, medication
administration, nutrition, safety, infection control,
communication, and fundamental nursing concepts. The
material is designed as a comprehensive exam preparation
resource for students preparing for certification.
Exam Questions and Answers:
41. A nurse is teaching a client how to maintain a low-fat diet
when dining out in restaurants. During the interview, the
client gazes out the window without comment or question. The
nurse should take which of these actions?
-Say nothing more until the client makes a verbal response
,-Use visual aids to get the client's attention
-Say, "You don't seem very interested in this discussion
-"Ask, "Why are you behaving in this hostile manner?"---
Correct Answer---Say nothing more until the client makes a
verbal response
42. A nurse prepares to teach a client how to self-administer
injections. The nurse has planned to teach the client about the
medication during this session. The client says repeatedly,
"You mean I have to stick myself with a needle?" Which of
these responses would be most supportive of the learning
process?
-I see that you're upset, but let's start by discussing what the
drug can do for you
-Many people have this same concern, but it won't be as hard
as you expect
-You're bothered by the thought of injecting yourself
-I wonder if you're reacting to the feelings that people have
about illegal drug use.---Correct Answer---You're bothered by
the thought of injecting yourself
43. A client has an order for psyllium hydrophilic mucilloid
(Metamucil) 1 packet po qd. Which of these actions is essential
when a nurse is preparing to admin- ister this medication?
-Prepare the medication with four ounces of juice
,-Provide special mouth care after medication administration.
-Administer the medication after it stops effervescing.
-Monitor bowel sounds before administration.---Correct
Answer---Monitor bowel sounds before administration.
44. A client who is three days postoperative is refusing to
deep breathe and cough because of incisional discomfort.
Which of these nursing diagnoses should receive priority in
this client's care plan?
-Noncompliance
-Impaired gas exchange.
-Impaired physical mobility.
-Pain.---Correct Answer---pain
45. While preparing a client for surgery, a nurse discovers
that the client does not understand the surgical procedure. A
signed surgical consent is on the chart. Which of these actions
should the nurse take?
-Reassure the client.
-Send the client to surgery.
-Explain the operative procedure.
-Notify the physician---Correct Answer---notify the physician
46. 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.---Correct Answer---hyperglycemia
47. After ten months on dialysis, a client undergoes a renal
transplant and is re- ceiving immunosuppressive therapy.
Which of these nutritional consequences should a nurse
anticipate?
-A decreased synthesis of bile acids will occur.
-An increased intake of simple carbohydrates will be
necessary.
-The client's protein requirements will be significantly higher.
-The client's need for fat-soluble vitamins will be greater.---
Correct Answer---The client's protein requirements will be
significantly higher.
48. Assuming that all of these foods are available, which
sandwich selection would be appropriate for a client who is on
a bland diet of 50 grams of fat?
-Peanut butter and jelly on whole wheat bread.
-Creamy chicken salad and tomato on rye bread.
