NACE Foundations of Nursing Exam
Questions and 100% Correct Answers
2024/2025
1. What Should The Nurse Do If They Give The Wrong Medication To A Patient?
A) Notify The PCP
B) Monitor The Patient Closely
C) Document The Error
D) Administer The Correct Medication Immediately
ANSWER: A)
Rationale: The First Priority Is To Notify The Healthcare Provider To Determine The
Next Steps, Including Any Necessary Interventions. Monitoring And Documentation
Are Also Important, But Notifying The PCP Is Crucial For Immediate Patient Safety.
2. What Is Trough?
A) The Peak Level Of A Drug In The Blood
B) The Lowest Level Of A Drug In The Blood
C) The Time Taken For A Drug To Take Effect
D) The Time Until A Drug Is Eliminated From The Body
ANSWER: B)
Rationale: Trough Levels Indicate The Lowest Concentration Of A Drug In The
Bloodstream, Measured Just Before The Next Dose Is Given, To Ensure It Remains
Effective Without Causing Toxicity.
3. Medication Is Given Once A Day; When Should The Nurse Check Trough Levels?
A) After The Medication Is Administered
B) Just Before The Next Dose
C) At Random Intervals Throughout The Day
D) One Hour After Administration
ANSWER: B)
,Rationale: Trough Levels Should Be Checked Immediately Before The Next
Scheduled Dose To Assess Whether The Medication Is Within The Therapeutic
Range.
4. Patient Refuses Medication; What Should The Nurse Do First?
A) Document The Refusal
B) Educate The Patient On The Medication
C) Listen To Why The Patient Refuses The Medicine
D) Administer The Medication Anyway
ANSWER: C)
Rationale: Understanding The Patient’s Reasons For Refusal Is Essential. It Allows
For Addressing Concerns, Providing Education, And Establishing Trust.
5. What Should The Nurse Do If Their Patient Has Trouble Falling Asleep?
A) Offer A Warm Bath
B) Turn On The TV
C) Offer A Glass Of Warm Milk
D) Encourage Relaxation Techniques
ANSWER: A)
Rationale: A Warm Bath Can Help Relax The Patient And Promote Sleep. While
Relaxation Techniques Are Also Effective, They Were Not Listed As An Option.
Watching TV May Disrupt Sleep Patterns.
6. Clinical Manifestations For Sleep Apnea Include:
A) Loud Snoring
B) Episodes Of Choking During Sleep
C) Daytime Fatigue
D) All Of The Above
ANSWER: D)
, Rationale: Sleep Apnea Is Characterized By Loud Snoring, Choking Or Gasping
During Sleep, And Daytime Somnolence. Other Symptoms Include Headaches And
Mood Changes.
7. Where Is The Apical Pulse Located?
A) 4th Intercostal Space, Left Sternal Border
B) 5th Intercostal Space, Left Mid-Clavicular Line
C) 6th Intercostal Space, Left Mid-Clavicular Line
D) Right Subclavian Area
ANSWER: B)
Rationale: The Apical Pulse Is Located At The 5th Intercostal Space In Line With
The Left Mid-Clavicular Line, Allowing For Accurate Assessment Of Heart Rate.
8. Where To Palpate The Brachial Pulse?
A) At The Wrist
B) Just Below The Bend Of The Elbow (AC), Medial Aspect
C) On The Thumb Side Of The Wrist
D) At The Shoulder Joint
ANSWER: B)
Rationale: The Brachial Pulse Is Palpated On The Medial Aspect Of The Arm, Just
Above The Elbow Crease, Where The Artery Is Close To The Skin Surface.
9. PC Vs AC
A) PC: After Meals, AC: Before Meals
B) PC: Before Meals, AC: After Meals
C) PC: During Meals, AC: Before Meals
D) PC: Before Exercise, AC: After Exercise
ANSWER: A)
Rationale: "PC" Stands For "Post Cibum" (After Meals), While "AC" Means "Ante
Cibum" (Before Meals). This Distinction Is Critical For Medication Timing.
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