FREE NACE Care of the Childbearing Family Basic Questions and Answers
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NACE Practice Test Questions
Prepare for the Nursing Acceleration Challenge Exam I PN-RN exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
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NACE Nursing Acceleration Challenge Exam I...
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NACE Nursing Acceleration Challenge Exam I...
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NACE Nursing Acceleration Challenge Exam I...
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NACE Nursing Acceleration Challenge Exam I...
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NACE Nursing Acceleration Challenge Exam I...
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NACE Nursing Acceleration Challenge Exam I...
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Sample Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Questions
Try these questions from our free Nursing Acceleration Challenge Exam (NACE) I PN-RN practice tests. The correct answer and an explanation follow each question.
When providing oral care to an unconscious client, which position is MOST appropriate?
- A. Supine with head flat
- B. Side-lying with head turned to the side
- C. High Fowler's (90 degrees)
- D. Prone with head to one side
Answer: B. Side-lying with head turned to the side
Side-lying with the head turned prevents aspiration of secretions during oral care in unconscious clients.
A patient from a collectivist cultural background is reluctant to make independent decisions about her treatment without consulting her family. The nurse should:
- A. Insist the patient make her own decisions to protect her autonomy
- B. Document that the patient lacks decision-making capacity
- C. Respect the patient's cultural preference and involve the family in care discussions with the patient's permission
- D. Transfer care to a nurse from the same cultural background
Answer: C. Respect the patient's cultural preference and involve the family in care discussions with the patient's permission
Culturally competent care means recognizing that Western bioethical principles (individual autonomy) may not reflect all patients' values. In collectivist cultures, family-based decision-making is normal and respected. The nurse should support the patient's preference to include family while ensuring the patient's own voice remains central.
An interprofessional care conference is scheduled for a patient with complex needs. What is the PN's primary role in this conference?
- A. To lead the meeting and set the agenda
- B. To provide bedside nursing observations and advocate for the patient's expressed needs
- C. To make all final care decisions on behalf of the team
- D. To defer entirely to the physician's plan without offering input
Answer: B. To provide bedside nursing observations and advocate for the patient's expressed needs
The PN contributes direct bedside observations and serves as a patient advocate within the interprofessional team, ensuring the patient's preferences are heard.
A nurse is reviewing a patient's advance directive, which designates a healthcare proxy. The patient is now unconscious and the family disagrees with the proxy's decision. The nurse should:
- A. Follow the family's wishes because they know the patient best
- B. Consult the ethics committee to resolve the family dispute
- C. Honor the decisions of the designated healthcare proxy as per the advance directive
- D. Defer all decisions to the attending physician
Answer: C. Honor the decisions of the designated healthcare proxy as per the advance directive
A legally designated healthcare proxy has decision-making authority for an incapacitated patient; the nurse must uphold this advance directive even if family members disagree.
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About the Author
Registered Nurse & Healthcare Educator
Johns Hopkins University School of NursingDr. Sarah Mitchell is a board-certified registered nurse with over 15 years of clinical and academic experience. She completed her PhD in Nursing Science at Johns Hopkins University and has taught NCLEX preparation and clinical skills courses for nursing students across the United States. Her research focuses on evidence-based exam preparation strategies for healthcare certification candidates.
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