NURSING ACCELERATION CHALLENGE
EXAM (NACE) I PN-RN: FOUNDATIONS
OF NURSING PRACTICE TEST WITH
ANSWERS
An tAlzheimer tpatient tis tactively tresistive tto tbasic thygiene. tHowever, tin torder tto
tmeet tbasic tstandards tfor thygiene, thow tfrequently tshould tthe tpatient tbe tbathed?
Biweekly
Weekly
Two tto tthree ttimes tweekly
Daily t- tcorrect tanswers t-Two tto tthree ttimes tweekly
While tadults tdon't tusually tneed tdaily tbaths, tthey tshould tbathe ttwo tto tthree ttimes
tweekly. tGrab tbars, tshower tor ttub tseats, ttub tmats, thandheld tshowers, tand tproper
theating t(to tavoid tchilling tthe tpatient) tcan tfacilitate tmore tfrequent tbathing. tMild tsoap
, tand tbath toil tmay treduce tthe tdrying tof tskin. tPatients twho tare tfearful tof ttubs tand
tshowers, tcommon twith tdementia, tmay treceive ta tsponge tbath tor tComfort tBath twith
tpremoistened, twarmed twashcloths. tThick-handled ttoothbrushes tor telectric
ttoothbrushes tmay tfacilitate tmouth tcare.
At twhich ttime tof tday tare tpatients twith tcognitive timpairment tusually tMOST tsensitive
tto tsensory toverload?
Late tevening
Noon
Afternoon
Early tmorning t- tcorrect tanswers t-Afternoon
Many tpeople tare tmore tsensitive tto tsensory toverload tin tthe tafternoon twhen tcortisol
tlevels tare thighest. tSensory toverload tmost toften taffects tthose twith tcognitive
timpairment tor tthose tin tstressful tsituations. tExcess tnoise tand tactivity tcan tcause
tdistress, tagitation, tconfusion, tand tdelirium. tSensory tdeprivation toccurs twhen tthere
tis ttoo tlittle tenvironmental tstimulation tbecause tof treduction tin tsensory tinput tbecause
tof thearing tor tvision tdeficits, tinability tto trecognize tsensory tinput tbecause tof tcognitive
timpairment, tor ta tboring tenvironment. tSensory tdeprivation tcan tcontribute tto
tconfusion, tdisorientation, tand tdepression.
Which tof tthe tfollowing tis tcharacteristic tof tnociceptive tpain?
Burning, tstabbing, tor tshooting tpains
Diffuse tor tcramping tpain
Acute taching tor tthrobbing tpain tlocalized tto tthe tsite tof tinjury
Association twith tchronic tconditions tsuch tas tdiabetes tor tcancer t- tcorrect tanswers t-
Acute taching tor tthrobbing tpain tlocalized tto tthe tsite tof tinjury
Nociceptive tpain tusually tcorrelates twith tthe textent tand ttype tof tinjury: tthe tgreater tthe
tinjury, tthe tgreater tthe tpain. tIt tmay tbe tprocedural tpain t(related tto twound
tmanipulation tand tdressing tchanges) tor tsurgical tpain t(related tto tthe tcutting tof
ttissue). tIt tmay talso tbe tcontinuous tor tcyclic, tdepending tupon tthe ttype tof tinjury. tThis
ttype tof tpain, toften tdescribed tas taching tor tthrobbing, tis tusually tlocalized tto tthe tarea
tof tinjury tand tresolves tover ttime tas thealing ttakes tplace, tand tit tusually tresponds tto
tanalgesia.
According tto tthe tthree-step tWorld tHealth tOrganization t(WHO) t"analgesic tladder," ta
tpatient tcomplaining tof tmoderate tto tsevere tpain tunresponsive tto tNSAIDs tmay
trequire twhich tof tthe tfollowing tmedications?
Morphine
Demerol
Codeine
Acetaminophen t- tcorrect tanswers t-Codeine
Step t1: tMild tto tmoderate tpain tis ttreated twith taspirin, tacetaminophen, tand tNSAIDs.
Step t2: tModerate tto tsevere tpain tunrelieved tby tStep t1 tmedications tmay tneed
topioids, tsuch tas tcodeine, ttramadol, tor tPercocet.
Step t3: tSevere tpain twithout trelief tfrom tStep t1 tor tStep t2 tmedications tmay tneed
tstronger topioids, tsuch tas tmorphine, tDilaudid, tor tMS-Contin
EXAM (NACE) I PN-RN: FOUNDATIONS
OF NURSING PRACTICE TEST WITH
ANSWERS
An tAlzheimer tpatient tis tactively tresistive tto tbasic thygiene. tHowever, tin torder tto
tmeet tbasic tstandards tfor thygiene, thow tfrequently tshould tthe tpatient tbe tbathed?
Biweekly
Weekly
Two tto tthree ttimes tweekly
Daily t- tcorrect tanswers t-Two tto tthree ttimes tweekly
While tadults tdon't tusually tneed tdaily tbaths, tthey tshould tbathe ttwo tto tthree ttimes
tweekly. tGrab tbars, tshower tor ttub tseats, ttub tmats, thandheld tshowers, tand tproper
theating t(to tavoid tchilling tthe tpatient) tcan tfacilitate tmore tfrequent tbathing. tMild tsoap
, tand tbath toil tmay treduce tthe tdrying tof tskin. tPatients twho tare tfearful tof ttubs tand
tshowers, tcommon twith tdementia, tmay treceive ta tsponge tbath tor tComfort tBath twith
tpremoistened, twarmed twashcloths. tThick-handled ttoothbrushes tor telectric
ttoothbrushes tmay tfacilitate tmouth tcare.
At twhich ttime tof tday tare tpatients twith tcognitive timpairment tusually tMOST tsensitive
tto tsensory toverload?
Late tevening
Noon
Afternoon
Early tmorning t- tcorrect tanswers t-Afternoon
Many tpeople tare tmore tsensitive tto tsensory toverload tin tthe tafternoon twhen tcortisol
tlevels tare thighest. tSensory toverload tmost toften taffects tthose twith tcognitive
timpairment tor tthose tin tstressful tsituations. tExcess tnoise tand tactivity tcan tcause
tdistress, tagitation, tconfusion, tand tdelirium. tSensory tdeprivation toccurs twhen tthere
tis ttoo tlittle tenvironmental tstimulation tbecause tof treduction tin tsensory tinput tbecause
tof thearing tor tvision tdeficits, tinability tto trecognize tsensory tinput tbecause tof tcognitive
timpairment, tor ta tboring tenvironment. tSensory tdeprivation tcan tcontribute tto
tconfusion, tdisorientation, tand tdepression.
Which tof tthe tfollowing tis tcharacteristic tof tnociceptive tpain?
Burning, tstabbing, tor tshooting tpains
Diffuse tor tcramping tpain
Acute taching tor tthrobbing tpain tlocalized tto tthe tsite tof tinjury
Association twith tchronic tconditions tsuch tas tdiabetes tor tcancer t- tcorrect tanswers t-
Acute taching tor tthrobbing tpain tlocalized tto tthe tsite tof tinjury
Nociceptive tpain tusually tcorrelates twith tthe textent tand ttype tof tinjury: tthe tgreater tthe
tinjury, tthe tgreater tthe tpain. tIt tmay tbe tprocedural tpain t(related tto twound
tmanipulation tand tdressing tchanges) tor tsurgical tpain t(related tto tthe tcutting tof
ttissue). tIt tmay talso tbe tcontinuous tor tcyclic, tdepending tupon tthe ttype tof tinjury. tThis
ttype tof tpain, toften tdescribed tas taching tor tthrobbing, tis tusually tlocalized tto tthe tarea
tof tinjury tand tresolves tover ttime tas thealing ttakes tplace, tand tit tusually tresponds tto
tanalgesia.
According tto tthe tthree-step tWorld tHealth tOrganization t(WHO) t"analgesic tladder," ta
tpatient tcomplaining tof tmoderate tto tsevere tpain tunresponsive tto tNSAIDs tmay
trequire twhich tof tthe tfollowing tmedications?
Morphine
Demerol
Codeine
Acetaminophen t- tcorrect tanswers t-Codeine
Step t1: tMild tto tmoderate tpain tis ttreated twith taspirin, tacetaminophen, tand tNSAIDs.
Step t2: tModerate tto tsevere tpain tunrelieved tby tStep t1 tmedications tmay tneed
topioids, tsuch tas tcodeine, ttramadol, tor tPercocet.
Step t3: tSevere tpain twithout trelief tfrom tStep t1 tor tStep t2 tmedications tmay tneed
tstronger topioids, tsuch tas tmorphine, tDilaudid, tor tMS-Contin
