NACE Foundations of Nursing 4

Question 1

A nurse is teaching a newly licensed nurse about the chain of infection. Which element, if eliminated, would most effectively prevent the spread of infection?

Accepted Answer

Mode of transmission

Answer

Breaking the mode of transmission (e.g., hand hygiene, PPE) is the most practical and effective strategy to interrupt the chain of infection.

Question 2

A patient is ordered 250 mg of amoxicillin. The medication is available as 125 mg/5 mL. How many mL should the nurse administer?

Accepted Answer

10 mL

Answer

Using the formula: (Desired / Have) × Volume = (250 / 125) × 5 mL = 2 × 5 = 10 mL.

Question 3

Which documentation entry best reflects the principles of accurate nursing charting?

Accepted Answer

Patient stated 'I don't want to take those pills' and refused all 0800 medications; provider notified.

Answer

Accurate charting uses objective, specific, and factual language including direct quotes, actions taken, and follow-up notifications.

Question 4

A nurse is preparing to administer a subcutaneous injection of insulin. Which site should be avoided if the patient exercises the legs immediately after administration?

Accepted Answer

Thigh

Answer

Insulin absorbed from the thigh is accelerated by leg exercise, which can cause unpredictable hypoglycemia; the abdomen provides the most consistent absorption.

Question 5

A patient has a nursing diagnosis of 'Risk for Falls.' Which intervention is the priority?

Accepted Answer

Keep the call light and personal items within reach and ensure the bed is in the lowest position

Answer

Environmental modifications that reduce the immediate risk of falling—such as lowering the bed and ensuring call light accessibility—are the highest-priority direct safety interventions.

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

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

NACE Foundations of Nursing 4