NACE PN TO RN Test Practice Questions | 100
Questions with 100% Correct Answers | Updated &
Verified
To evaluate a client's reason for seeking care, the nurse performs deep palpation. The
purpose of deep palpation is to assess which of the following? - -Correct 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.
-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? - -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: 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: 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: 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? - -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: 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: 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? - -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.
-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.
-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
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