NACE Management of Care 4

Question 1

A nurse is preparing to delegate the task of ambulating a post-operative patient to an unlicensed assistive personnel (UAP). Which action is most important before delegation?

Accepted Answer

Ensure the UAP has been trained and is competent to perform the task

Answer

Before delegating, the nurse must verify that the UAP has the training and competency to safely perform the specific task.

Question 2

A PN is caring for four patients. Which patient should be assessed first?

Accepted Answer

A patient who became suddenly confused and restless one hour post-surgery

Answer

Acute onset confusion and restlessness post-surgery may indicate hemorrhage, hypoxia, or other life-threatening complications requiring immediate assessment.

Question 3

Which action by the nurse best demonstrates the use of the chain of command?

Accepted Answer

Reporting a physician's unsafe order to the nursing supervisor after the physician refuses to change it

Answer

The chain of command is used when a concern cannot be resolved at the current level; escalating an unresolved unsafe order to the supervisor is the correct use.

Question 4

A nurse is orienting a new graduate nurse and observes her document an assessment she did not perform. What is the nurse's priority action?

Accepted Answer

Report the falsified documentation to the charge nurse or supervisor immediately

Answer

Falsifying documentation is a serious legal and ethical violation that must be reported immediately to a supervisor.

Question 5

When using SBAR communication during a hand-off report, what information belongs in the 'Background' section?

Accepted Answer

Relevant medical history, admitting diagnosis, and current medications

Answer

Background includes pertinent clinical history such as admitting diagnosis, relevant past medical history, and current medications.

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

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

NACE Management of Care 4