Nursing Acceleration Challenge |! |! |!
Exam (NACE) PN-RN |! |! |!
Foundations of Nursing Practice |! |! |! |!
Test with answers & rationales |! |! |! |!
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
|! |! |! |!
Daily - Correct answer ✔Two 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 morning - Correct answer ✔Afternoon
|! |! |! |! |!
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 cancer - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔Acute aching or throbbing pain localized to the site of injury
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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.
|! |! |! |! |! |!
Exam (NACE) PN-RN |! |! |!
Foundations of Nursing Practice |! |! |! |!
Test with answers & rationales |! |! |! |!
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
|! |! |! |!
Daily - Correct answer ✔Two 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 morning - Correct answer ✔Afternoon
|! |! |! |! |!
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 cancer - Correct
|! |! |! |! |! |! |! |! |! |! |!
answer ✔Acute 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.
|! |! |! |! |! |!
