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NURSING ACCELERATION CHALLENGE EXAM
(NACE) I PN-RN: FOUNDATIONS OF NURSING
PRACTICE TEST QUESTIONS WITH VERIFIED
ANSWERS
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.
According to Maslow's hierarchy of needs, which of the client's needs must be
met FIRST?
Belonging and self-esteem
, 2
Physiological
Safety and security
Self-actualization - correct-answer -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 - correct-answer -Bottoming out
Support surface material should provide at least one inch of support 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.
NURSING ACCELERATION CHALLENGE EXAM
(NACE) I PN-RN: FOUNDATIONS OF NURSING
PRACTICE TEST QUESTIONS WITH VERIFIED
ANSWERS
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.
According to Maslow's hierarchy of needs, which of the client's needs must be
met FIRST?
Belonging and self-esteem
, 2
Physiological
Safety and security
Self-actualization - correct-answer -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 - correct-answer -Bottoming out
Support surface material should provide at least one inch of support 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.
