NACE PN TO RN LATEST EXAM 1 QUESTIONS WITH VERIFIED
A+ ANSWERS 2026 EDITION
Which must be included in a medication order?
The correct answer is physician's signature. The physician's signature must be included in a medication
order. Other components of a medication order include the client's full name, drug name, dosage form,
dose amount, administration route, time schedule, and the date and time of the order. The drug class
and possible adverse reactions are not components of a medication order. Client allergies should be
recorded in the client's chart, not on the medication order.
The nurse is assessing a client's pulse. Which pulse feature should the nurse document?
The correct answer is: amplitude. The nurse should document the rate, rhythm, and amplitude of a
client's pulse. Pitch, timing, and intensity are not associated with pulse assessment.
Which of the following is a brand name for Metoclopramide HCL?
Correct answer: Reglan
A white female client is admitted to an acute care facility with a diagnosis of stroke. Her history
reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a
risk factor for stroke?
Correct Answer: Obesity. Other risk factors include a history of ischemic episodes, cardiovascular
disease, diabetes mellitus, atherosclerosis of the cranial vessels, hypertension, polycythemia, smoking,
hypercholesterolemia, hormonal contraceptive use, emotional stress, family history of stroke, and
advancing age. The clients' race, gender and bronchial asthma are not risk factors for stroke.
Which leadership style is based on the belief that every member of the group should have input into
the development of goals and problem solving?
Correct Answer: democratic leadership. Autocratic leadership is focused and maintains strong control,
makes decisions, and addresses all problems. The autocratic leader dominates and commands rather
than seek suggestions or input. The laissez-faire leader assumes a passive, nondirective, and inactive
approach and relinquishes part or all of the leadership responsibilities to group members. The
situational leader uses a combination approach based on the circumstances.
What is the best way for a client with reoccurring kidney stones to prevent further kidney stones?
Correct answer: Drink plenty of fluids
Drinking enough fluid is the most important thing a person can do to prevent kidney stones. While the
other foods will add nutrients to the diet, they do not address the development of further kidney
stones.
The nurse is providing dietary teaching for the parents of a child with celiac disease. This child should
avoid what?
Correct answer: Prepared puddings. A child with celiac disease must not consume food containing
gluten and therefore should avoid prepared puddings, commercially prepared ice cream, malted milk,
, and all food and beverages containing wheat, rye, oats, or barley. The other choices do not contain
gluten and are permitted when on a gluten free diet.
The client is prescribed morphine. The client is experiencing urinary retention. The nurse understands
the physician may order which of the following?
The correct answer is: a lowered dose of morphine. If the client experiences the side effect of urinary
retention due to the morphine, the physician may order a change in the dose or a lowered dosing of
morphine. Also, the physician may instruct the nurse to catharize the client. The remaining answer
choices are incorrect as they are orders the physician may give for other conditions such as constipation.
The nurse documents scalp edema that crosses the lines of the skull in the newborn as what?
Correct Answer: caput succedaneum. Since a caput succedaneum is just superficial and beneath the
scalp, the swelling can cross the suture lines. Molding is overriding of the cranial plates, and
cephalohematoma does not cross the suture lines, since it results when blood is trapped beneath the
periosteum. Cranial distention is not a term used in newborn assessment.
A 21-year-old female is diagnosed with dysthymic disorder. When obtaining a history from the
female, what information should the nurse expect?
The correct answer is: irritability. In young adults and children, the symptoms noted with dysthymic
disorder include irritability, depression, low self esteem, pessimism, and impaired social skills and social
interactions. Talking excessively is more evident with children who have attention deficit hyperactivity
disorder. Intense fear is associated with anxiety disorders. Further, compulsive behavior is not
associated with individuals diagnosed with dysthymic disorder.
The nurse is teaching accident prevention to the parents of a toddler. Which instruction is MOST
appropriate for the nurse to tell the parents?
Correct answer: Place locks on cabinets containing toxic substances. All household cleaners and poisons
should be locked with childproof locks. The toddler's curiosity and the ability to climb and open doors
and drawers makes poisoning a concern in this age group. Rollerblading is not an appropriate activity for
toddlers. Toddlers lack the cognitive development to understand water safety. Pillows should not be
placed in the crib of an infant to avoid suffocation; however, toddlers may use them.
A client with chronic renal failure (CRF) has developed faulty red blood cell (RBC) production. The
nurse should monitor this client for which of the following?
Correct answer: Fatigue and weakness. RBCs carry oxygen throughout the body. Decreased RBC
production diminishes cellular oxygen, leading to fatigue and weakness. Nausea and vomiting may occur
in CRF, but do not result from faulty RBC production. Dyspnea and cyanosis are associated with fluid
excess, not CRF. Thrush, which signals fungal infection, and circumoral pallor which reflects decreased
oxygenation, are not signs of CRF.
Which of the following is a high risk factor for diabetes mellitus?
Correct Answer: Native American
The highest risk factors include: Native Americans, obesity (BMI of 30 or higher), and an immediate
family history (sibling or parent). African American and Hispanic populations are also at high risk.
A+ ANSWERS 2026 EDITION
Which must be included in a medication order?
The correct answer is physician's signature. The physician's signature must be included in a medication
order. Other components of a medication order include the client's full name, drug name, dosage form,
dose amount, administration route, time schedule, and the date and time of the order. The drug class
and possible adverse reactions are not components of a medication order. Client allergies should be
recorded in the client's chart, not on the medication order.
The nurse is assessing a client's pulse. Which pulse feature should the nurse document?
The correct answer is: amplitude. The nurse should document the rate, rhythm, and amplitude of a
client's pulse. Pitch, timing, and intensity are not associated with pulse assessment.
Which of the following is a brand name for Metoclopramide HCL?
Correct answer: Reglan
A white female client is admitted to an acute care facility with a diagnosis of stroke. Her history
reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a
risk factor for stroke?
Correct Answer: Obesity. Other risk factors include a history of ischemic episodes, cardiovascular
disease, diabetes mellitus, atherosclerosis of the cranial vessels, hypertension, polycythemia, smoking,
hypercholesterolemia, hormonal contraceptive use, emotional stress, family history of stroke, and
advancing age. The clients' race, gender and bronchial asthma are not risk factors for stroke.
Which leadership style is based on the belief that every member of the group should have input into
the development of goals and problem solving?
Correct Answer: democratic leadership. Autocratic leadership is focused and maintains strong control,
makes decisions, and addresses all problems. The autocratic leader dominates and commands rather
than seek suggestions or input. The laissez-faire leader assumes a passive, nondirective, and inactive
approach and relinquishes part or all of the leadership responsibilities to group members. The
situational leader uses a combination approach based on the circumstances.
What is the best way for a client with reoccurring kidney stones to prevent further kidney stones?
Correct answer: Drink plenty of fluids
Drinking enough fluid is the most important thing a person can do to prevent kidney stones. While the
other foods will add nutrients to the diet, they do not address the development of further kidney
stones.
The nurse is providing dietary teaching for the parents of a child with celiac disease. This child should
avoid what?
Correct answer: Prepared puddings. A child with celiac disease must not consume food containing
gluten and therefore should avoid prepared puddings, commercially prepared ice cream, malted milk,
, and all food and beverages containing wheat, rye, oats, or barley. The other choices do not contain
gluten and are permitted when on a gluten free diet.
The client is prescribed morphine. The client is experiencing urinary retention. The nurse understands
the physician may order which of the following?
The correct answer is: a lowered dose of morphine. If the client experiences the side effect of urinary
retention due to the morphine, the physician may order a change in the dose or a lowered dosing of
morphine. Also, the physician may instruct the nurse to catharize the client. The remaining answer
choices are incorrect as they are orders the physician may give for other conditions such as constipation.
The nurse documents scalp edema that crosses the lines of the skull in the newborn as what?
Correct Answer: caput succedaneum. Since a caput succedaneum is just superficial and beneath the
scalp, the swelling can cross the suture lines. Molding is overriding of the cranial plates, and
cephalohematoma does not cross the suture lines, since it results when blood is trapped beneath the
periosteum. Cranial distention is not a term used in newborn assessment.
A 21-year-old female is diagnosed with dysthymic disorder. When obtaining a history from the
female, what information should the nurse expect?
The correct answer is: irritability. In young adults and children, the symptoms noted with dysthymic
disorder include irritability, depression, low self esteem, pessimism, and impaired social skills and social
interactions. Talking excessively is more evident with children who have attention deficit hyperactivity
disorder. Intense fear is associated with anxiety disorders. Further, compulsive behavior is not
associated with individuals diagnosed with dysthymic disorder.
The nurse is teaching accident prevention to the parents of a toddler. Which instruction is MOST
appropriate for the nurse to tell the parents?
Correct answer: Place locks on cabinets containing toxic substances. All household cleaners and poisons
should be locked with childproof locks. The toddler's curiosity and the ability to climb and open doors
and drawers makes poisoning a concern in this age group. Rollerblading is not an appropriate activity for
toddlers. Toddlers lack the cognitive development to understand water safety. Pillows should not be
placed in the crib of an infant to avoid suffocation; however, toddlers may use them.
A client with chronic renal failure (CRF) has developed faulty red blood cell (RBC) production. The
nurse should monitor this client for which of the following?
Correct answer: Fatigue and weakness. RBCs carry oxygen throughout the body. Decreased RBC
production diminishes cellular oxygen, leading to fatigue and weakness. Nausea and vomiting may occur
in CRF, but do not result from faulty RBC production. Dyspnea and cyanosis are associated with fluid
excess, not CRF. Thrush, which signals fungal infection, and circumoral pallor which reflects decreased
oxygenation, are not signs of CRF.
Which of the following is a high risk factor for diabetes mellitus?
Correct Answer: Native American
The highest risk factors include: Native Americans, obesity (BMI of 30 or higher), and an immediate
family history (sibling or parent). African American and Hispanic populations are also at high risk.
