NACE PN TO RN | (2025/2026) NURSING
ACCELERATION CHALLENGE
EXAM NEWEST QUESTIONS AND
DETAILED CORRECT ANSWERS |
EXPERT VERIFIED ANSWERS
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? Correct Answer 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 Correct Answer 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? Correct
Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct 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.
Which of the following terms corresponds with the phrase:
a woman that is pregnant? Correct 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.
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 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 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.
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 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
ACCELERATION CHALLENGE
EXAM NEWEST QUESTIONS AND
DETAILED CORRECT ANSWERS |
EXPERT VERIFIED ANSWERS
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? Correct Answer 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 Correct Answer 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? Correct
Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct Answer 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? Correct 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.
Which of the following terms corresponds with the phrase:
a woman that is pregnant? Correct 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.
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 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 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.
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 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
