Nursing Acceleration Challenge Exam (NACE) I PN-RN:
Foundations of Nursing Practice Test
1. An Alzheimer patient is Two to three times weekly
actively resistive to basic While adults don't usually need daily baths, they
hygiene. However, in or- should bathe two to three times weekly. Grab
der to meet basic stan- bars, shower or tub seats, tub mats, handheld
dards for hygiene, how showers, and proper heating (to avoid chilling
frequently should the pa- the patient) can facilitate more frequent bathing.
tient be bathed? Mild soap and bath oil may reduce the drying
Biweekly of skin. Patients who are fearful of tubs and
Weekly showers, common with dementia, may receive a
Two to three times weekly sponge bath or Comfort Bath with premoistened,
Daily warmed washcloths. Thick-handled toothbrush-
es or electric toothbrushes may facilitate mouth
care.
2. At which time of day are Afternoon
patients with cognitive im- Many people are more sensitive to sensory
pairment usually MOST overload in the afternoon when cortisol levels
sensitive to sensory over- are highest. Sensory overload most often af-
load? fects those with cognitive impairment or those
Late evening in stressful situations. Excess noise and activi-
Noon ty can cause distress, agitation, confusion, and
Afternoon delirium. Sensory deprivation occurs when there
Early morning is too little environmental stimulation because of
reduction in sensory input because of hearing or
vision deficits, inability to recognize sensory in-
put because of cognitive impairment, or a boring
environment. Sensory deprivation can contribute
to confusion, disorientation, and depression.
3. Which of the following is Acute aching or throbbing pain localized to the
characteristic of nocicep- site of injury
tive pain? Nociceptive pain usually correlates with the ex-
Burning, stabbing, or tent and type of injury: the greater the injury,
shooting pains the greater the pain. It may be procedural pain
Diffuse or cramping pain (related to wound manipulation and dressing
Acute aching or throbbing changes) or surgical pain (related to the cutting
pain localized to the site of tissue). It may also be continuous or cyclic,
of injury depending upon the type of injury. This type of
Association with chronic pain, often described as aching or throbbing, is
1/7
, Nursing Acceleration Challenge Exam (NACE) I PN-RN:
Foundations of Nursing Practice Test
conditions such as dia- usually localized to the area of injury and re-
betes or cancer solves over time as healing takes place, and it
usually responds to analgesia.
4. According to the Codeine
three-step World Health Step 1: Mild to moderate pain is treated with
Organization (WHO) aspirin, acetaminophen, and NSAIDs.
"analgesic ladder," a pa- Step 2: Moderate to severe pain unrelieved by
tient complaining of mod- Step 1 medications may need opioids, such as
erate to severe pain unre- codeine, tramadol, or Percocet.
sponsive to NSAIDs may Step 3: Severe pain without relief from Step 1 or
require which of the fol- Step 2 medications may need stronger opioids,
lowing medications? such as morphine, Dilaudid, or MS-Contin
Morphine
Demerol
Codeine
Acetaminophen
5. Which type of precautions Contact
is indicated for a patient
with a surgical-site in-
fection and purulent dis-
charge?
Contact and droplet
Airborne
Droplet
Contact
6. Which of the following in- Ventrogluteal site
jection sites is the BEST The ventrogluteal site is the preferred IM injec-
choice for intramuscular tion site because there is little danger of injecting
(IM) administration of 3 into fatty tissue, large nerves, or blood vessels. In
mL of medication for a a well-developed adult, up to 4 mL can be safely
well-developed adult fe- injected. The dorsogluteal site is the least pre-
male of normal weight? ferred site because of its proximity to the sciatic
Deltoid nerve and large blood vessels and increased fat
Vastus lateralis deposits. The vastus lateralis site is also good
Dorsogluteal site because it lacks large nerves or large blood ves-
Ventrogluteal site sels. The deltoid site is usually avoided because
2/7
Foundations of Nursing Practice Test
1. An Alzheimer patient is Two to three times weekly
actively resistive to basic While adults don't usually need daily baths, they
hygiene. However, in or- should bathe two to three times weekly. Grab
der to meet basic stan- bars, shower or tub seats, tub mats, handheld
dards for hygiene, how showers, and proper heating (to avoid chilling
frequently should the pa- the patient) can facilitate more frequent bathing.
tient be bathed? Mild soap and bath oil may reduce the drying
Biweekly of skin. Patients who are fearful of tubs and
Weekly showers, common with dementia, may receive a
Two to three times weekly sponge bath or Comfort Bath with premoistened,
Daily warmed washcloths. Thick-handled toothbrush-
es or electric toothbrushes may facilitate mouth
care.
2. At which time of day are Afternoon
patients with cognitive im- Many people are more sensitive to sensory
pairment usually MOST overload in the afternoon when cortisol levels
sensitive to sensory over- are highest. Sensory overload most often af-
load? fects those with cognitive impairment or those
Late evening in stressful situations. Excess noise and activi-
Noon ty can cause distress, agitation, confusion, and
Afternoon delirium. Sensory deprivation occurs when there
Early morning is too little environmental stimulation because of
reduction in sensory input because of hearing or
vision deficits, inability to recognize sensory in-
put because of cognitive impairment, or a boring
environment. Sensory deprivation can contribute
to confusion, disorientation, and depression.
3. Which of the following is Acute aching or throbbing pain localized to the
characteristic of nocicep- site of injury
tive pain? Nociceptive pain usually correlates with the ex-
Burning, stabbing, or tent and type of injury: the greater the injury,
shooting pains the greater the pain. It may be procedural pain
Diffuse or cramping pain (related to wound manipulation and dressing
Acute aching or throbbing changes) or surgical pain (related to the cutting
pain localized to the site of tissue). It may also be continuous or cyclic,
of injury depending upon the type of injury. This type of
Association with chronic pain, often described as aching or throbbing, is
1/7
, Nursing Acceleration Challenge Exam (NACE) I PN-RN:
Foundations of Nursing Practice Test
conditions such as dia- usually localized to the area of injury and re-
betes or cancer solves over time as healing takes place, and it
usually responds to analgesia.
4. According to the Codeine
three-step World Health Step 1: Mild to moderate pain is treated with
Organization (WHO) aspirin, acetaminophen, and NSAIDs.
"analgesic ladder," a pa- Step 2: Moderate to severe pain unrelieved by
tient complaining of mod- Step 1 medications may need opioids, such as
erate to severe pain unre- codeine, tramadol, or Percocet.
sponsive to NSAIDs may Step 3: Severe pain without relief from Step 1 or
require which of the fol- Step 2 medications may need stronger opioids,
lowing medications? such as morphine, Dilaudid, or MS-Contin
Morphine
Demerol
Codeine
Acetaminophen
5. Which type of precautions Contact
is indicated for a patient
with a surgical-site in-
fection and purulent dis-
charge?
Contact and droplet
Airborne
Droplet
Contact
6. Which of the following in- Ventrogluteal site
jection sites is the BEST The ventrogluteal site is the preferred IM injec-
choice for intramuscular tion site because there is little danger of injecting
(IM) administration of 3 into fatty tissue, large nerves, or blood vessels. In
mL of medication for a a well-developed adult, up to 4 mL can be safely
well-developed adult fe- injected. The dorsogluteal site is the least pre-
male of normal weight? ferred site because of its proximity to the sciatic
Deltoid nerve and large blood vessels and increased fat
Vastus lateralis deposits. The vastus lateralis site is also good
Dorsogluteal site because it lacks large nerves or large blood ves-
Ventrogluteal site sels. The deltoid site is usually avoided because
2/7
