NACE Foundations of Nursing Exam Questions and
100% Correct Answers 2024/2025
Family centered nursing care - ANSWERProviding nursing care considering the
impact of illness in one family member on other family members.
Potassium 3.0 - ANSWERLab report value prompting a nurse to instruct a patient to
eat cantaloupe.
Dysphagia - ANSWERCondition where a nurse should intervene if the UAP provides
large, frequent bites to a patient.
Warfarin dietary restrictions - ANSWERFoods like spinach and salads that should be
limited while a client is on Warfarin sodium (Coumadin).
Hearing loss intervention - ANSWERFacing the patient while speaking and asking
them to verify understanding to facilitate communication.
Weak, rapid pulse post-surgery - ANSWERNurse recommendation during SBAR
communication: Intravenous fluid bolus for a client with a weak, rapid pulse post-
surgery.
PPE removal order - ANSWERSequence for removing PPE: Gloves, wash hands, face
shield, gown, mask, wash hands.
Constipation care plan - ANSWERNursing interventions for a client with constipation:
Encourage high-fiber food choices, increase fluid intake to 2,000 mL per day,
encourage ambulation several times per day.
Therapeutic response to surgery refusal - ANSWERResponse to a patient stating 'I
don't want to have surgery': Whether or not you have the surgery is your choice.
What is your understanding of the situation?
Seizure response - ANSWERAction a nurse should take first when an individual has a
generalized tonic-clonic seizure: Loosen the individual's necktie after placing them in
the recovery position.
Guaifenesin with dextromethorphan dosage - ANSWERDosage for each dose: 1
tablespoon every 6 hours, equivalent to 15 mL.
Proper otic drops administration - ANSWERTechnique for administering otic drops:
Gently pull the auricle up and back before instilling the drops.
Agitation after sedative - ANSWERBest documentation for a patient becoming
extremely agitated after receiving a sedative: Idiosyncratic drug effect.
, Diaphoretic patient care - ANSWERIntervention for a patient who has been
diaphoretic for the past 6 hours: Changing the bed linens frequently.
Restraints application - ANSWERNursing intervention before applying patient
restraints: Assess the need for restraint placement.
Throat culture instructions - ANSWERInstructions to give a patient prior to obtaining
a throat culture: 'While depressing your tongue, I will swab the back of your throat.'
Wound drainage documentation - ANSWERBest documentation of wound drainage
amount: Two 4x4 gauze cloths saturated with purulent drainage.
Biopsy cancer concern response - ANSWERResponse to a client asking about cancer
post-uterine biopsy: 'No one knows yet. I'd like to hear what you are thinking.'
Client's request to pray - ANSWERResponse to a client requesting to pray together: 'I
feel uncomfortable praying with you, but I will find someone who won't feel that
way.'
Nail polish and pulse oximetry - ANSWERExplanation for why nail polish removal is
needed for pulse oximetry monitoring: 'Nail polish can interfere with the
transmission of light waves.'
Communication with blind client - ANSWERStrategy for communicating with a blind
client: Orient the client to the room arrangement to promote independence.
Post-prandial blood glucose test - ANSWERStatement to inform a client about the
timing of a two-hour post-prandial blood glucose test: After a normal meal.
Difficult venous access care - ANSWERAppropriate action for a nurse with a client
having difficult venous access at the wrist: Apply an arm board to immobilize the
wrist.
Client's status inquiry response - ANSWERAppropriate response when a health care
provider inquires about a client's status in a crowded elevator: 'Why don't we step
off the elevator to discuss this in a more private area?'
Wrist restraints usage - ANSWERCorrect statement regarding wrist restraints usage:
Use them only as a last resort after attempting alternatives and get an order to do
so.
Hepatitis B vaccination understanding - ANSWERCorrect understanding of hepatitis B
vaccination: 'I need to receive 3 doses of hepatitis B vaccination to assure
protection.'
Oral Temperature Change - ANSWERBaseline: 96.8°F (36°C), Two hours later: 100.8°F
(38.2°C)
100% Correct Answers 2024/2025
Family centered nursing care - ANSWERProviding nursing care considering the
impact of illness in one family member on other family members.
Potassium 3.0 - ANSWERLab report value prompting a nurse to instruct a patient to
eat cantaloupe.
Dysphagia - ANSWERCondition where a nurse should intervene if the UAP provides
large, frequent bites to a patient.
Warfarin dietary restrictions - ANSWERFoods like spinach and salads that should be
limited while a client is on Warfarin sodium (Coumadin).
Hearing loss intervention - ANSWERFacing the patient while speaking and asking
them to verify understanding to facilitate communication.
Weak, rapid pulse post-surgery - ANSWERNurse recommendation during SBAR
communication: Intravenous fluid bolus for a client with a weak, rapid pulse post-
surgery.
PPE removal order - ANSWERSequence for removing PPE: Gloves, wash hands, face
shield, gown, mask, wash hands.
Constipation care plan - ANSWERNursing interventions for a client with constipation:
Encourage high-fiber food choices, increase fluid intake to 2,000 mL per day,
encourage ambulation several times per day.
Therapeutic response to surgery refusal - ANSWERResponse to a patient stating 'I
don't want to have surgery': Whether or not you have the surgery is your choice.
What is your understanding of the situation?
Seizure response - ANSWERAction a nurse should take first when an individual has a
generalized tonic-clonic seizure: Loosen the individual's necktie after placing them in
the recovery position.
Guaifenesin with dextromethorphan dosage - ANSWERDosage for each dose: 1
tablespoon every 6 hours, equivalent to 15 mL.
Proper otic drops administration - ANSWERTechnique for administering otic drops:
Gently pull the auricle up and back before instilling the drops.
Agitation after sedative - ANSWERBest documentation for a patient becoming
extremely agitated after receiving a sedative: Idiosyncratic drug effect.
, Diaphoretic patient care - ANSWERIntervention for a patient who has been
diaphoretic for the past 6 hours: Changing the bed linens frequently.
Restraints application - ANSWERNursing intervention before applying patient
restraints: Assess the need for restraint placement.
Throat culture instructions - ANSWERInstructions to give a patient prior to obtaining
a throat culture: 'While depressing your tongue, I will swab the back of your throat.'
Wound drainage documentation - ANSWERBest documentation of wound drainage
amount: Two 4x4 gauze cloths saturated with purulent drainage.
Biopsy cancer concern response - ANSWERResponse to a client asking about cancer
post-uterine biopsy: 'No one knows yet. I'd like to hear what you are thinking.'
Client's request to pray - ANSWERResponse to a client requesting to pray together: 'I
feel uncomfortable praying with you, but I will find someone who won't feel that
way.'
Nail polish and pulse oximetry - ANSWERExplanation for why nail polish removal is
needed for pulse oximetry monitoring: 'Nail polish can interfere with the
transmission of light waves.'
Communication with blind client - ANSWERStrategy for communicating with a blind
client: Orient the client to the room arrangement to promote independence.
Post-prandial blood glucose test - ANSWERStatement to inform a client about the
timing of a two-hour post-prandial blood glucose test: After a normal meal.
Difficult venous access care - ANSWERAppropriate action for a nurse with a client
having difficult venous access at the wrist: Apply an arm board to immobilize the
wrist.
Client's status inquiry response - ANSWERAppropriate response when a health care
provider inquires about a client's status in a crowded elevator: 'Why don't we step
off the elevator to discuss this in a more private area?'
Wrist restraints usage - ANSWERCorrect statement regarding wrist restraints usage:
Use them only as a last resort after attempting alternatives and get an order to do
so.
Hepatitis B vaccination understanding - ANSWERCorrect understanding of hepatitis B
vaccination: 'I need to receive 3 doses of hepatitis B vaccination to assure
protection.'
Oral Temperature Change - ANSWERBaseline: 96.8°F (36°C), Two hours later: 100.8°F
(38.2°C)
