7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM
https://www.stuvia.com/user/reeveanthony
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Nursing Acceleration
Challenge Exam (NACE) I
PN-RN – Foundations of
Nursing Practice Test |
Exam Prep & Questions
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7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
,7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM
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
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
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
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.
7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
, 7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM
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
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
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
Ventrogluteal site
The ventrogluteal site is the preferred IM injection site because there is little danger of injecting
into fatty tissue, large nerves, or blood vessels. In a well-developed adult, up to 4 mL can be
safely injected. The dorsogluteal site is the least preferred site because of its proximity to the
sciatic nerve and large blood vessels and increased fat deposits. The vastus lateralis site is
also good because it lacks large nerves or large blood vessels. The deltoid site is usually
avoided because of the small muscle size and the proximity of the radial nerve and artery.
Injections to the deltoid should be limited to 1 mL.
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"
"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.
7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
https://www.stuvia.com/user/reeveanthony
https://www.stuvia.com/user/reeveanthonyhttps://www.stuvia.com/user/reeveanthony
Nursing Acceleration
Challenge Exam (NACE) I
PN-RN – Foundations of
Nursing Practice Test |
Exam Prep & Questions
https://www.stuvia.com/user/reevhttps://www.stuvia.com/user/reeveanthony
eanthonyhttps://www.stuvia.com/user/reeveanthonyhttps://www.stuvia.com/user/reeveanthony
7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
,7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM
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
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
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
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.
7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
, 7/3/2026 7/3/2026, 4:29:25 PM 7/3/2026, 4:29:22 PM
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
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
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
Ventrogluteal site
The ventrogluteal site is the preferred IM injection site because there is little danger of injecting
into fatty tissue, large nerves, or blood vessels. In a well-developed adult, up to 4 mL can be
safely injected. The dorsogluteal site is the least preferred site because of its proximity to the
sciatic nerve and large blood vessels and increased fat deposits. The vastus lateralis site is
also good because it lacks large nerves or large blood vessels. The deltoid site is usually
avoided because of the small muscle size and the proximity of the radial nerve and artery.
Injections to the deltoid should be limited to 1 mL.
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"
"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.
7/3/2026, 4:29:17 PM 7/3/2026, 4:29:19 PM 7/3/2026, 4:29:20 PM
