NACE Management of Care 3

Question 1

A nurse is caring for a patient who speaks limited English. The patient's bilingual child offers to interpret. What is the most appropriate response?

Accepted Answer

Decline and arrange for a certified medical interpreter

Answer

Using family members, especially children, as interpreters can compromise accuracy and violate the patient's privacy. A certified medical interpreter is required.

Question 2

Which situation requires the nurse to initiate the chain of command?

Accepted Answer

A physician orders a medication that the nurse knows is contraindicated for the patient

Answer

When a nurse believes a physician's order is unsafe or contraindicated and the physician does not agree to change it, the nurse must escalate through the chain of command.

Question 3

A nurse observes that a fellow nurse consistently fails to perform hand hygiene between patients. What is the most appropriate initial action?

Accepted Answer

Discuss the observation privately with the colleague

Answer

Addressing the concern directly and privately with the colleague is the appropriate first step in peer accountability.

Question 4

In the event of a fire on a nursing unit, what is the correct sequence of actions?

Accepted Answer

Rescue, Alarm, Contain, Extinguish (RACE)

Answer

The RACE acronym guides fire response: Rescue anyone in immediate danger, Activate the alarm, Contain the fire by closing doors, and Extinguish if safe to do so.

Question 5

A charge nurse is making patient assignments. A new graduate nurse is on the unit. Which patient assignment is most appropriate for the new graduate?

Accepted Answer

A stable post-operative patient on day 2 who is preparing for discharge

Answer

A stable post-operative patient preparing for discharge has predictable care needs appropriate for a new graduate nurse's developing clinical skills.

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

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

NACE Management of Care 3