NURSING ACCELERATION
CHALLENGE EXAM (NACE) PN-RN-
FOUNDATIONS OF NURSING
PRACTICE TEST QUESTIONS &
ACCURATE CORRECT 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.
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.
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
Acetaminophen - CORRECT ANSWER Codeine
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
CHALLENGE EXAM (NACE) PN-RN-
FOUNDATIONS OF NURSING
PRACTICE TEST QUESTIONS &
ACCURATE CORRECT 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.
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.
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
Acetaminophen - CORRECT ANSWER Codeine
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
