NACE Management of Care 5

Question 1

A PN is supervising a UAP who reports that a patient's blood pressure is 88/52 mmHg. What is the nurse's best initial action?

Accepted Answer

Go to the patient's bedside immediately to perform an assessment

Answer

The nurse must personally assess the patient to verify the finding and determine clinical status before notifying the physician or intervening.

Question 2

Which of the following best describes the concept of 'continuity of care' in nursing practice?

Accepted Answer

Coordinating and communicating patient care across all providers and settings to ensure seamless transitions

Answer

Continuity of care involves coordinating information and services across providers and settings so patient care remains consistent and uninterrupted.

Question 3

A nurse is caring for a terminally ill patient who has a valid DNR order. The patient goes into cardiac arrest. The patient's adult son demands that the nurse 'do everything.' What is the appropriate nursing response?

Accepted Answer

Explain to the son that the patient's documented wishes and DNR order will be followed

Answer

A valid DNR order reflects the patient's autonomous decision and must be honored; the nurse should compassionately explain this to the family.

Question 4

When triaging four patients in the emergency department, which patient requires the highest priority of care?

Accepted Answer

A 60-year-old with chest pain radiating to the left arm and diaphoresis

Answer

Chest pain with radiation to the left arm and diaphoresis are classic signs of a myocardial infarction, a life-threatening emergency requiring immediate intervention.

Question 5

A nurse working the night shift notices a pattern of medication errors occurring on the unit over the past month. What is the most appropriate action?

Accepted Answer

Bring the concern to the nurse manager and submit a formal quality improvement report

Answer

Identifying a pattern of errors requires a systems-level response; the nurse should escalate to management and engage the quality improvement process.

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

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

NACE Management of Care 5