NACE PN TO RN Questions and Answers
1. To evaluate a client's reason for seeking care, the nurse performs deep palpa-
tion. The purpose of deep palpation is to assess which of the following?-
ANSWER -Correct Answer- 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.
2. A client is brought to the emergency department and the physician deter-
mines he has gastrointestinal (GI) bleeding. In planning for his care, which of
the following would be first priority?- ANSWER -The Correct answer is- ANSWER -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.
3. When providing instructions to the adolescent regarding physical develop-
ment of her body, the RN should do all of the following EXCEPT- ANSWER -Correct
Answer- 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.
4. The nurse is developing discharge plans for a 65-year-old client. The dis-
charge plans indicate the client will be discharged home with home health
nursing care. The nurse provides the home health agency with details regard-
ing the needs of the patient. The nurse made which of the following to the
home health agency?- ANSWER -Correct answer- 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.
5. Which of the following is the normal serum electrolyte level for magnesium?-
- ANSWER -Correct answer- ANSWER -1.6 to 2.4 mEq/L
6. The school nurse is approached by a mother who explains that her kinder-
garten 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?- ANSWER -The Correct answer is- ANSWER -in the morning, when the child awakens Visualization of
, NACE PN TO RN Questions and Answers
pinworms by means of a
, NACE PN TO RN Questions and Answers
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.
7. 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?- ANSWER -Correct Answer- 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.
8. 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?- ANSWER -Correct Answer- 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.
9. The RN is preparing an intravenous infusion of phenytoin (Dilantin) as pre-
scribed by the physician for the client with seizures. Which of the following
solutions will the nurse use to dilute this medication?- ANSWER -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.
10. Which of the following terms corresponds with the phrase- ANSWER -a
woman that is
pregnant?- ANSWER -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.
11. 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?- ANSWER -Correct Answer- 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.
12. The community nurse is planning a smoking cessation program. What would
be the first step in developing a health promotion program?- ANSWER -Correct Answer-
1. To evaluate a client's reason for seeking care, the nurse performs deep palpa-
tion. The purpose of deep palpation is to assess which of the following?-
ANSWER -Correct Answer- 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.
2. A client is brought to the emergency department and the physician deter-
mines he has gastrointestinal (GI) bleeding. In planning for his care, which of
the following would be first priority?- ANSWER -The Correct answer is- ANSWER -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.
3. When providing instructions to the adolescent regarding physical develop-
ment of her body, the RN should do all of the following EXCEPT- ANSWER -Correct
Answer- 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.
4. The nurse is developing discharge plans for a 65-year-old client. The dis-
charge plans indicate the client will be discharged home with home health
nursing care. The nurse provides the home health agency with details regard-
ing the needs of the patient. The nurse made which of the following to the
home health agency?- ANSWER -Correct answer- 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.
5. Which of the following is the normal serum electrolyte level for magnesium?-
- ANSWER -Correct answer- ANSWER -1.6 to 2.4 mEq/L
6. The school nurse is approached by a mother who explains that her kinder-
garten 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?- ANSWER -The Correct answer is- ANSWER -in the morning, when the child awakens Visualization of
, NACE PN TO RN Questions and Answers
pinworms by means of a
, NACE PN TO RN Questions and Answers
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.
7. 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?- ANSWER -Correct Answer- 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.
8. 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?- ANSWER -Correct Answer- 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.
9. The RN is preparing an intravenous infusion of phenytoin (Dilantin) as pre-
scribed by the physician for the client with seizures. Which of the following
solutions will the nurse use to dilute this medication?- ANSWER -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.
10. Which of the following terms corresponds with the phrase- ANSWER -a
woman that is
pregnant?- ANSWER -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.
11. 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?- ANSWER -Correct Answer- 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.
12. The community nurse is planning a smoking cessation program. What would
be the first step in developing a health promotion program?- ANSWER -Correct Answer-
