NACE Management of Care 2

Question 1

A registered nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

Accepted Answer

Measuring and recording vital signs on a stable patient

Answer

Measuring vital signs on a stable patient is within the UAP's scope of practice. Assessment, teaching, and evaluation are nursing responsibilities that cannot be delegated.

Question 2

During a disaster, which triage category receives treatment first?

Accepted Answer

Red tag: immediate, life-threatening conditions

Answer

Red-tagged patients have life-threatening but treatable conditions and receive the highest priority for treatment in disaster triage.

Question 3

A nurse receives shift report on four patients. Which patient should the nurse assess first?

Accepted Answer

A patient with COPD whose oxygen saturation dropped from 92% to 84%

Answer

The COPD patient with rapidly declining oxygen saturation represents the most acute change in condition requiring immediate assessment using the ABCs of prioritization.

Question 4

Which communication technique is recommended for nurse-to-nurse handoff reports?

Accepted Answer

SBAR format

Answer

SBAR (Situation, Background, Assessment, Recommendation) is the standardized communication framework recommended by The Joint Commission for handoff reports.

Question 5

A nurse discovers that a patient's advance directive conflicts with the family's wishes regarding end-of-life care. What is the nurse's primary role?

Accepted Answer

Advocate for the patient's documented wishes in the advance directive

Answer

The nurse's primary role as patient advocate is to ensure the patient's documented wishes in a valid advance directive are honored, even when family disagrees.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Management of Care 2