NURSING ACCELERATION CHALLENGE EXAM (NACE) I PN-RN: FOUNDATIONS OF
NURSING 2025/2026 WITH 100% ACCURATE SOLUTIONS
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 - (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 - (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 - (ANSWER)Acute aching or throbbing
pain localized to the site of injury
, NURSING ACCELERATION CHALLENGE EXAM (NACE) I PN-RN: FOUNDATIONS OF
NURSING 2025/2026 WITH 100% ACCURATE SOLUTIONS
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 - (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
Which type of precautions is indicated for a patient with a surgical-site infection and purulent discharge?
Contact and droplet
Airborne
Droplet
Contact - (ANSWER)Contact
Which of the following injection sites is the BEST choice for intramuscular (IM) administration of 3 mL of
medication for a well-developed adult female of normal weight?
Deltoid
Vastus lateralis
Dorsogluteal site
Ventrogluteal site - (ANSWER)Ventrogluteal site
NURSING 2025/2026 WITH 100% ACCURATE SOLUTIONS
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 - (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 - (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 - (ANSWER)Acute aching or throbbing
pain localized to the site of injury
, NURSING ACCELERATION CHALLENGE EXAM (NACE) I PN-RN: FOUNDATIONS OF
NURSING 2025/2026 WITH 100% ACCURATE SOLUTIONS
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 - (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
Which type of precautions is indicated for a patient with a surgical-site infection and purulent discharge?
Contact and droplet
Airborne
Droplet
Contact - (ANSWER)Contact
Which of the following injection sites is the BEST choice for intramuscular (IM) administration of 3 mL of
medication for a well-developed adult female of normal weight?
Deltoid
Vastus lateralis
Dorsogluteal site
Ventrogluteal site - (ANSWER)Ventrogluteal site
