NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
Which type of precautions is indicated for a patient with a surgical-site
infection and purulent discharge?
Contact and
droplet
Airborne
Droplet
Contact
Contact
Which of the following injection sites is the BEST choice for
intramuscular (IM) administration of 3 mL of medication for a well-
developed adult female of normal weight?
Deltoid
Vastus
lateralis
Dorsogluteal
site
Ventrogluteal
site
Ventrogluteal site
The ventrogluteal site is the preferred IM injection site because there is
little danger of injecting into fatty tissue, large nerves, or blood vessels.
In a well-developed adult, up to 4 mL can be safely injected. The
dorsogluteal site is the least preferred site because of its proximity to the
sciatic nerve and large blood vessels and increased fat deposits. The
vastus lateralis site is also good because it lacks large nerves or large
blood vessels. The deltoid site is usually avoided because of the small
muscle size and the proximity of the radial nerve and artery. Injections
to the deltoid should be limited to 1 mL.
A burn patient is upset and argues loudly with the nurse, refuses wound
care, and states that the treatment is too painful. Which response is an
,NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
example of therapeutic communication?
"You should be happy that the burns are
healing so well" "You should stop arguing
with the nurses"
"Everyone gets upset at times"
"Let's talk about this and see if we can figure out a way to make the
treatment more comfortable for you"
"Let's talk about this and see if we can figure out a way to make the
treatment more comfortable for you"
Collaborating with the patient to find a solution to a problem is an example
of therapeutic communication. The other responses are nontherapeutic and
can block effective communication.
,NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
Saying "Everyone gets upset at times" devalues the patient's feelings.
"You should stop arguing with the nurses" is a negative judgment that
may anger the patient more and does not deal with the real issue. Saying
"You should be happy the wound is healing" provides unwanted advice
and ignores the patient's concerns.
According to Maslow's hierarchy of needs, which of the client's needs must
be met FIRST? Belonging and self-esteem
Physiological
Safety and
security Self-
actualization
Physiological
Physiological needs must be met first. Abraham Maslow stated that
human behavior is motivated by needs, and that there is a hierarchy of
needs that begins with basic needs and progresses to personal needs.
People may not progress in one direction from one need to another, but
movement may be in multiple directions in a lifelong process of
working toward self- actualization, which requires creativity and some
degree of freedom. Failure to develop toward self-actualization may
result in depression and feelings of failure.
A bed-bound patient has a 1.5-inch foam overlay over her mattress.
The nurse places her hand under the overlay and finds that the foam
overlay has compressed to 0.75 inch. What does this indicate?
Excess wear
Adequate
support
Bottoming out
Moisture
retention
Bottoming out
Support surface material should provide at least one inch of support
, NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
under areas to be protected when in use to prevent "bottoming out."
(Check by placing a hand palm-side up under the overlay and below the
pressure point.) Static support surfaces are appropriate for patients who
can change position without increasing pressure to an ulcer. Dynamic
support surfaces are needed for those who need assistance to move or
when static pressure devices provide less than one inch of support.
A patient who is a Jehovah's Witness needs a transfusion of packed
red blood cells because of blood loss, but his religion prohibits blood
transfusions. Which of the following is the correct action?
Tell the patient that he may die without the
transfusion Provide full information and the
reasons for the transfusion
Assume the patient will not accept a transfusion and report
this to the physician Tell the patient that his health is more
important than religious beliefs
Provide full information and the reasons for the transfusion
It's important to approach the patient/family with full information and
reasons for the transfusion or blood components without being
judgmental, allowing them to express their feelings. One
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
Which type of precautions is indicated for a patient with a surgical-site
infection and purulent discharge?
Contact and
droplet
Airborne
Droplet
Contact
Contact
Which of the following injection sites is the BEST choice for
intramuscular (IM) administration of 3 mL of medication for a well-
developed adult female of normal weight?
Deltoid
Vastus
lateralis
Dorsogluteal
site
Ventrogluteal
site
Ventrogluteal site
The ventrogluteal site is the preferred IM injection site because there is
little danger of injecting into fatty tissue, large nerves, or blood vessels.
In a well-developed adult, up to 4 mL can be safely injected. The
dorsogluteal site is the least preferred site because of its proximity to the
sciatic nerve and large blood vessels and increased fat deposits. The
vastus lateralis site is also good because it lacks large nerves or large
blood vessels. The deltoid site is usually avoided because of the small
muscle size and the proximity of the radial nerve and artery. Injections
to the deltoid should be limited to 1 mL.
A burn patient is upset and argues loudly with the nurse, refuses wound
care, and states that the treatment is too painful. Which response is an
,NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
example of therapeutic communication?
"You should be happy that the burns are
healing so well" "You should stop arguing
with the nurses"
"Everyone gets upset at times"
"Let's talk about this and see if we can figure out a way to make the
treatment more comfortable for you"
"Let's talk about this and see if we can figure out a way to make the
treatment more comfortable for you"
Collaborating with the patient to find a solution to a problem is an example
of therapeutic communication. The other responses are nontherapeutic and
can block effective communication.
,NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
Saying "Everyone gets upset at times" devalues the patient's feelings.
"You should stop arguing with the nurses" is a negative judgment that
may anger the patient more and does not deal with the real issue. Saying
"You should be happy the wound is healing" provides unwanted advice
and ignores the patient's concerns.
According to Maslow's hierarchy of needs, which of the client's needs must
be met FIRST? Belonging and self-esteem
Physiological
Safety and
security Self-
actualization
Physiological
Physiological needs must be met first. Abraham Maslow stated that
human behavior is motivated by needs, and that there is a hierarchy of
needs that begins with basic needs and progresses to personal needs.
People may not progress in one direction from one need to another, but
movement may be in multiple directions in a lifelong process of
working toward self- actualization, which requires creativity and some
degree of freedom. Failure to develop toward self-actualization may
result in depression and feelings of failure.
A bed-bound patient has a 1.5-inch foam overlay over her mattress.
The nurse places her hand under the overlay and finds that the foam
overlay has compressed to 0.75 inch. What does this indicate?
Excess wear
Adequate
support
Bottoming out
Moisture
retention
Bottoming out
Support surface material should provide at least one inch of support
, NACE NURSING ACCELERATION CHALLENGE
EXAM WITH 600+ PRACTICE TEST QUESTIONS
AND A STUDY GUIDE AT THE END |
QUESTIONS WITH DETAILED ANSWERS |
GRADED A
under areas to be protected when in use to prevent "bottoming out."
(Check by placing a hand palm-side up under the overlay and below the
pressure point.) Static support surfaces are appropriate for patients who
can change position without increasing pressure to an ulcer. Dynamic
support surfaces are needed for those who need assistance to move or
when static pressure devices provide less than one inch of support.
A patient who is a Jehovah's Witness needs a transfusion of packed
red blood cells because of blood loss, but his religion prohibits blood
transfusions. Which of the following is the correct action?
Tell the patient that he may die without the
transfusion Provide full information and the
reasons for the transfusion
Assume the patient will not accept a transfusion and report
this to the physician Tell the patient that his health is more
important than religious beliefs
Provide full information and the reasons for the transfusion
It's important to approach the patient/family with full information and
reasons for the transfusion or blood components without being
judgmental, allowing them to express their feelings. One
