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NACE PN to RN Exam 2026/2027: Practice Questions with Correct Detailed Answers & Explanations

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Pass your NACE PN to RN transition exam with confidence using this comprehensive 2026/2027 study guide. Featuring extensive practice questions with correct detailed answers and explanations covering all essential topics for the practical nurse to registered nurse bridge program, including pharmacology (phenytoin dilution, morphine side effects, albuterol, buspirone), maternal-newborn nursing (gravida definition, C-section hospital stay, umbilical cord vessels, colostrum), medical-surgical nursing (GI bleeding, tuberculosis precautions, myocardial infarction lab values, kidney stones, celiac disease), psychiatric nursing (obsessive-compulsive disorder, borderline personality, dysthymic disorder, defense mechanisms), and professional issues (delegation, Code of Ethics, torts, ageism). Essential for PN students pursuing RN licensure.

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NACE PN TO RN EXAM PRACTICE QUESTIONS WITH
CORRECT DETAILED ANSWERS WITH
EXPLANATION 2026/2027 LATEST




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? - ✔✔✔✔-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? - ✔✔✔✔-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.
Page | 1

,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? - ✔✔✔✔-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? - ✔✔✔✔-Correct 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.
Page | 2

,A woman is two months pregnant when her five-year-old
child develops rubella. What is most likely to be given to the
mother? - ✔✔✔✔-Correct 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? - ✔✔✔✔-25-
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? - ✔✔✔✔-Correct Answer: one artery, one vein. Two
arteries and one vein are present in a normal umbilical cord.

Page | 3

, 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? - ✔✔✔✔-The 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.




Page | 4

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