NACE PN TO RN 2026 QUESTIONS WITH
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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? -
-Solution -Correct 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? -
-Solution -The 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 -
,2
-Solution -Correct 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? -
-Solution -Correct 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? -
-Solution -Correct 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? -
,3
-Solution -The 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? -
-Solution -Correct 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? -
-Solution -Correct 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? -
, 4
-Solution -Normal 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? -
-Solution -Gravida
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? -
-Solution -Correct 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? -
-Solution -Correct Answer: Conducting health risk
surveys