Nursing Acceleration Challenge Exam (NACE) I PN-RN Foundations of Nursing Practice Test LATEST UPDATE 2025

Nursing Acceleration Challenge Exam (NACE) I PN-RN Foundations of Nursing Practice Test LATEST UPDATE 2025 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 - 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. A burn patient is upset and argues loudly with the nurse, refuses wound care, and states that the treatment is too painful. Which response is an example of therapeutic communication? "You should be happy that the burns are healing so well" "You should stop arguing with the nurses" "Everyone gets upset at times" "Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you" - ANSWER-"Let's talk about this and see if we can figure out a way to make the treatment more comfortable for you" Collaborating with the patient to find a solution to a problem is an example of therapeutic communication. The other responses are nontherapeutic and can block effective communication. Saying "Everyone gets upset at times" devalues the patient's feelings. "You should stop arguing with the nurses" is a negative judgment that may anger the patient more and does not deal with the real issue. Saying "You should be happy the wound is healing" provides unwanted advice and ignores the patient's concerns. A patient who is a Jehovah's Witness needs a transfusion of packed red blood cells because of blood loss, but his religion prohibits blood transfusions. Which of the following is the correct action? Tell the patient that he may die without the transfusion Provide full information and the reasons for the transfusion Assume the patient will not accept a transfusion and report this to the physician Tell the patient that his health is more important than religious beliefs - ANSWER-Provide full information and the reasons for the transfusion It's important to approach the patient/family with full information and reasons for the transfusion or blood components without being judgmental, allowing them to express their feelings. One should never assume that an individual would refuse blood products based on religion alone. Jehovah's Witnesses can receive fractionated blood cells, thus allowing hemoglobin-based blood substitutes. The following guidelines are provided to church members: According to Maslow's hierarchy of needs, which of the client's needs must be met FIRST? Belonging and self-esteem Physiological Safety and security Self-actualization - 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. 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