Nursing Acceleration Challenge Exam
(NACE) I PN-RN: Foundations of
Nursing Practice Test
An Alzheimer patient is actively resistive to basic hygiene. However, in order to meet basic standards
for hygiene, how frequently should the patient be bathed?
Biweekly
Weekly
Two to three times weekly
DailyANSTwo to three times weekly
While adults don't usually need daily baths, they should bathe two to three times weekly. Grab bars,
shower or tub seats, tub mats, handheld showers, and proper heating (to avoid chilling the patient)
can facilitate more frequent bathing. Mild soap and bath oil may reduce the drying of skin. Patients
who are fearful of tubs and showers, common with dementia, may receive a sponge bath or Comfort
Bath with premoistened, warmed washcloths. Thick-handled toothbrushes or electric toothbrushes
may facilitate mouth care.
At which time of day are patients with cognitive impairment usually MOST sensitive to sensory
overload?
Late evening
Noon
Afternoon
Early morningANSAfternoon
Many people are more sensitive to sensory overload in the afternoon when cortisol levels are
highest. Sensory overload most often affects those with cognitive impairment or those in stressful
situations. Excess noise and activity can cause distress, agitation, confusion, and delirium. Sensory
deprivation occurs when there is too little environmental stimulation because of reduction in sensory
input because of hearing or vision deficits, inability to recognize sensory input because of cognitive
impairment, or a boring environment. Sensory deprivation can contribute to confusion,
disorientation, and depression.
Which of the following is characteristic of nociceptive pain?
Burning, stabbing, or shooting pains
Diffuse or cramping pain
, Acute aching or throbbing pain localized to the site of injury
Association with chronic conditions such as diabetes or cancerANSAcute aching or throbbing pain
localized to the site of injury
Nociceptive pain usually correlates with the extent and type of injury: the greater the injury, the
greater the pain. It may be procedural pain (related to wound manipulation and dressing changes) or
surgical pain (related to the cutting of tissue). It may also be continuous or cyclic, depending upon
the type of injury. This type of pain, often described as aching or throbbing, is usually localized to the
area of injury and resolves over time as healing takes place, and it usually responds to analgesia.
According to the three-step World Health Organization (WHO) "analgesic ladder," a patient
complaining of moderate to severe pain unresponsive to NSAIDs may require which of the following
medications?
Morphine
Demerol
Codeine
AcetaminophenANSCodeine
Step 1: Mild to moderate pain is treated with aspirin, acetaminophen, and NSAIDs.
Step 2: Moderate to severe pain unrelieved by Step 1 medications may need opioids, such as
codeine, tramadol, or Percocet.
Step 3: Severe pain without relief from Step 1 or Step 2 medications may need stronger opioids, such
as morphine, Dilaudid, or MS-Contin
Which type of precautions is indicated for a patient with a surgical-site infection and purulent
discharge?
Contact and droplet
Airborne
Droplet
ContactANSContact
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 siteANSVentrogluteal site
(NACE) I PN-RN: Foundations of
Nursing Practice Test
An Alzheimer patient is actively resistive to basic hygiene. However, in order to meet basic standards
for hygiene, how frequently should the patient be bathed?
Biweekly
Weekly
Two to three times weekly
DailyANSTwo to three times weekly
While adults don't usually need daily baths, they should bathe two to three times weekly. Grab bars,
shower or tub seats, tub mats, handheld showers, and proper heating (to avoid chilling the patient)
can facilitate more frequent bathing. Mild soap and bath oil may reduce the drying of skin. Patients
who are fearful of tubs and showers, common with dementia, may receive a sponge bath or Comfort
Bath with premoistened, warmed washcloths. Thick-handled toothbrushes or electric toothbrushes
may facilitate mouth care.
At which time of day are patients with cognitive impairment usually MOST sensitive to sensory
overload?
Late evening
Noon
Afternoon
Early morningANSAfternoon
Many people are more sensitive to sensory overload in the afternoon when cortisol levels are
highest. Sensory overload most often affects those with cognitive impairment or those in stressful
situations. Excess noise and activity can cause distress, agitation, confusion, and delirium. Sensory
deprivation occurs when there is too little environmental stimulation because of reduction in sensory
input because of hearing or vision deficits, inability to recognize sensory input because of cognitive
impairment, or a boring environment. Sensory deprivation can contribute to confusion,
disorientation, and depression.
Which of the following is characteristic of nociceptive pain?
Burning, stabbing, or shooting pains
Diffuse or cramping pain
, Acute aching or throbbing pain localized to the site of injury
Association with chronic conditions such as diabetes or cancerANSAcute aching or throbbing pain
localized to the site of injury
Nociceptive pain usually correlates with the extent and type of injury: the greater the injury, the
greater the pain. It may be procedural pain (related to wound manipulation and dressing changes) or
surgical pain (related to the cutting of tissue). It may also be continuous or cyclic, depending upon
the type of injury. This type of pain, often described as aching or throbbing, is usually localized to the
area of injury and resolves over time as healing takes place, and it usually responds to analgesia.
According to the three-step World Health Organization (WHO) "analgesic ladder," a patient
complaining of moderate to severe pain unresponsive to NSAIDs may require which of the following
medications?
Morphine
Demerol
Codeine
AcetaminophenANSCodeine
Step 1: Mild to moderate pain is treated with aspirin, acetaminophen, and NSAIDs.
Step 2: Moderate to severe pain unrelieved by Step 1 medications may need opioids, such as
codeine, tramadol, or Percocet.
Step 3: Severe pain without relief from Step 1 or Step 2 medications may need stronger opioids, such
as morphine, Dilaudid, or MS-Contin
Which type of precautions is indicated for a patient with a surgical-site infection and purulent
discharge?
Contact and droplet
Airborne
Droplet
ContactANSContact
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 siteANSVentrogluteal site
