Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 3

Question 1

A nurse is planning care for four clients. Which client should the nurse assess first?

Accepted Answer

A client with new-onset confusion and oxygen saturation of 88%

Answer

New-onset confusion with an oxygen saturation of 88% indicates acute hypoxia, which is a life-threatening emergency requiring immediate assessment.

Question 2

A nurse is documenting client care. Which principle of accurate documentation should the nurse follow?

Accepted Answer

Use approved abbreviations and record only objective findings

Answer

Accurate documentation requires use of facility-approved abbreviations, objective language, and timely, factual entries without leaving blank spaces.

Question 3

A nurse is caring for a client with Medicare. Which statement about Medicare Part B is accurate?

Accepted Answer

It covers outpatient physician services and preventive care

Answer

Medicare Part B covers outpatient services, physician visits, preventive care, and durable medical equipment, and requires a monthly premium.

Question 4

A client refuses a recommended blood transfusion based on religious beliefs. Which response by the nurse is most appropriate?

Accepted Answer

Document the refusal, ensure informed consent was given, and notify the physician

Answer

Competent adults have the right to refuse treatment; the nurse must document the informed refusal, notify the provider, and ensure the client understands the risks.

Question 5

A nurse is preparing a client for a procedure that requires informed consent. The client states they don't understand the risks. What should the nurse do?

Accepted Answer

Notify the physician to re-explain the procedure to the client

Answer

Obtaining informed consent is the physician's responsibility; when a client lacks understanding, the nurse must notify the provider to re-explain risks and obtain true informed consent.

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

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

Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 3