10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The NACE I exam has 100 questions and runs 2 hours 30 minutes.
These 10 free NACE I questions are organized by exam domain, so you can see how each part of the Nursing Acceleration Challenge Examination: Foundations of Nursing (NACE-FON) blueprint is tested. Reveal the answer and explanation under each question.
Recovery-room reassessment finds a postoperative client difficult to arouse, with shallow respirations at 8/min. Airway support and opioid-safety interventions are underway. Arterial blood gas results are pH 7.29, PaCO2 52 mm Hg, and HCO3- 24 mEq/L. How should the results be classified?
Correct answer: C - Uncompensated respiratory acidosis from hypoventilation
An older adult who was oriented before surgery now has an acute, fluctuating mental-status change. The client cannot recite the months backward and gives disorganized answers but remains alert. Which conclusion is best supported?
Correct answer: B - The Confusion Assessment Method pattern is positive for possible delirium
During a peripheral infusion of a vesicant medication, the client reports burning. The site is swollen and discolored, early blistering is present, and the infusion has slowed. Which complication should the nurse suspect?
Correct answer: D - Vesicant extravasation
The hypoglycemia flow sheet shows a glucose of 58 mg/dL, followed by 15 g of fast-acting carbohydrate. Fifteen minutes later, the alert client's glucose is 76 mg/dL, symptoms have resolved, and the next meal is two hours away. How should the response be evaluated?
Correct answer: B - The immediate treatment worked; provide a carbohydrate-and-protein snack and continue monitoring
Twenty minutes after a prescribed bronchodilator for severe bronchospasm, wheezing is no longer audible. Breath sounds are nearly absent, the client is drowsy, and oxygen saturation has fallen from 92% to 86%. What does this reassessment indicate?
Correct answer: C - Airflow is worsening; the silent chest and declining oxygenation require emergency action
A client taking an antibiotic at home for Clostridioides difficile infection asks how to reduce transmission to a spouse who shares the bathroom. Which instruction should the nurse include?
Correct answer: D - Wash hands with soap and water and clean high-touch surfaces with a sporicidal product
The parent of a healthy 3-month-old with uncomplicated reflux says, “I was told to place the baby on the side so milk can drain out.” What sleep guidance should the nurse give?
Correct answer: D - Use a firm, flat crib; place the infant supine with no loose items
During a teaching session for a pressurized metered-dose inhaler without a spacer, the device has been shaken and primed as directed. Which sequence should the nurse demonstrate next?
Correct answer: B - Exhale, actuate at the start of a slow 3- to 5-second inhalation, then hold for about 10 seconds
On the second day after abdominal surgery, a client coughs, says, “Something gave way,” and the incision opens with bowel visible. While another team member summons the surgeon, which intervention should the nurse provide?
Correct answer: A - Use low Fowler position with knees flexed and cover the site with sterile saline-moistened dressings
During the shift-assignment huddle, a stable client with heart failure needs the established same-scale morning weight before breakfast. Which task may the nurse assign to an experienced unlicensed assistive personnel member?
Correct answer: A - Obtain and report the weight while the nurse retains responsibility for interpreting the trend
The full bank has 1,020 more NACE I questions with explanations.
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