FREE NACE Care of the Childbearing Family MCQ Questions and Answers 2026 October

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.

1. A nurse discovers that a patient's advance directive conflicts with the family's wishes regarding end-of-life care. What is the nurse's primary role?

   • A. Follow the family's wishes since they are present
   • B. Advocate for the patient's documented wishes in the advance directive
   • C. Defer the decision to the attending physician
   • D. Request an ethics committee consultation as the first action

Answer: B. Advocate for the patient's documented wishes in the advance directive

The nurse's primary role as patient advocate is to ensure the patient's documented wishes in a valid advance directive are honored, even when family disagrees.

Answer: C. Assess the client's personal coping mechanisms and support systems.

The nursing process always begins with assessment. Before implementing any interventions, the nurse must first assess the client's individual coping style, the strength of their existing support system (family, friends), and their cultural or spiritual beliefs related to loss. This information is essential for creating a personalized and effective plan of care.

Answer: B. Dorothea Orem

Dorothea Orem developed the Self-Care Deficit Theory, which focuses on the patient's ability to perform self-care and identifies when nursing intervention is needed.

Answer: B. Communicating relevant patient updates to all members of the care team at each shift change

Consistent and thorough communication across all disciplines at each transition ensures continuity and prevents errors in coordinated care.

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