Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nu
ing Practice Test
Study online at https://quizlet.com/_hm7kad
1. An Alzheimer patient is ac- Two to three times weekly
tively resistive to basic hy- While adults don't usually need daily baths, they should bathe two
giene. However, in order to three times weekly. Grab bars, shower or tub seats, tub mats,
to meet basic standards handheld showers, and proper heating (to avoid chilling the pa-
for hygiene, how frequent- tient) can facilitate more frequent bathing. Mild soap and bath oil
ly should the patient be may reduce the drying of skin. Patients who are fearful of tubs and
bathed? showers, common with dementia, may receive a sponge bath or
Biweekly Comfort Bath with premoistened, warmed washcloths. Thick-handled
Weekly toothbrushes or electric toothbrushes may facilitate mouth care.
Two to three times weekly
Daily
2. At which time of day are Afternoon
patients with cognitive im- Many people are more sensitive to sensory overload in the afternoon
pairment usually MOST when cortisol levels are highest. Sensory overload most often affects
sensitive to sensory over- those with cognitive impairment or those in stressful situations. Ex-
load? cess noise and activity can cause distress, agitation, confusion, and
Late evening delirium. Sensory deprivation occurs when there is too little environ-
Noon mental stimulation because of reduction in sensory input because of
Afternoon hearing or vision deficits, inability to recognize sensory input because
Early morning of cognitive impairment, or a boring environment. Sensory depriva-
tion can contribute to confusion, disorientation, and depression.
3. Which of the following is Acute aching or throbbing pain localized to the site of injury
characteristic of nocicep- Nociceptive pain usually correlates with the extent and type of injury:
tive pain? the greater the injury, the greater the pain. It may be procedural pain
Burning, stabbing, or (related to wound manipulation and dressing changes) or surgical
shooting pains pain (related to the cutting of tissue). It may also be continuous or
Diffuse or cramping pain cyclic, depending upon the type of injury. This type of pain, often
Acute aching or throbbing described as aching or throbbing, is usually localized to the area of
pain localized to the site of
1/7
, Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nu
ing Practice Test
Study online at https://quizlet.com/_hm7kad
injury injury and resolves over time as healing takes place, and it usually
Association with chronic responds to analgesia.
conditions such as dia-
betes or cancer
4. According to the Codeine
three-step World Health Step 1: Mild to moderate pain is treated with aspirin, acetaminophen,
Organization (WHO) "anal- and NSAIDs.
gesic ladder," a patient Step 2: Moderate to severe pain unrelieved by Step 1 medications
complaining of moderate may need opioids, such as codeine, tramadol, or Percocet.
to severe pain unrespon- Step 3: Severe pain without relief from Step 1 or Step 2 medications
sive to NSAIDs may re- may need stronger opioids, such as morphine, Dilaudid, or MS-Con-
quire which of the follow- tin
ing medications?
Morphine
Demerol
Codeine
Acetaminophen
5. Which type of precau- Contact
tions is indicated for a pa-
tient with a surgical-site
infection 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 injection site because there
2/7
ing Practice Test
Study online at https://quizlet.com/_hm7kad
1. An Alzheimer patient is ac- Two to three times weekly
tively resistive to basic hy- While adults don't usually need daily baths, they should bathe two
giene. However, in order to three times weekly. Grab bars, shower or tub seats, tub mats,
to meet basic standards handheld showers, and proper heating (to avoid chilling the pa-
for hygiene, how frequent- tient) can facilitate more frequent bathing. Mild soap and bath oil
ly should the patient be may reduce the drying of skin. Patients who are fearful of tubs and
bathed? showers, common with dementia, may receive a sponge bath or
Biweekly Comfort Bath with premoistened, warmed washcloths. Thick-handled
Weekly toothbrushes or electric toothbrushes may facilitate mouth care.
Two to three times weekly
Daily
2. At which time of day are Afternoon
patients with cognitive im- Many people are more sensitive to sensory overload in the afternoon
pairment usually MOST when cortisol levels are highest. Sensory overload most often affects
sensitive to sensory over- those with cognitive impairment or those in stressful situations. Ex-
load? cess noise and activity can cause distress, agitation, confusion, and
Late evening delirium. Sensory deprivation occurs when there is too little environ-
Noon mental stimulation because of reduction in sensory input because of
Afternoon hearing or vision deficits, inability to recognize sensory input because
Early morning of cognitive impairment, or a boring environment. Sensory depriva-
tion can contribute to confusion, disorientation, and depression.
3. Which of the following is Acute aching or throbbing pain localized to the site of injury
characteristic of nocicep- Nociceptive pain usually correlates with the extent and type of injury:
tive pain? the greater the injury, the greater the pain. It may be procedural pain
Burning, stabbing, or (related to wound manipulation and dressing changes) or surgical
shooting pains pain (related to the cutting of tissue). It may also be continuous or
Diffuse or cramping pain cyclic, depending upon the type of injury. This type of pain, often
Acute aching or throbbing described as aching or throbbing, is usually localized to the area of
pain localized to the site of
1/7
, Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nu
ing Practice Test
Study online at https://quizlet.com/_hm7kad
injury injury and resolves over time as healing takes place, and it usually
Association with chronic responds to analgesia.
conditions such as dia-
betes or cancer
4. According to the Codeine
three-step World Health Step 1: Mild to moderate pain is treated with aspirin, acetaminophen,
Organization (WHO) "anal- and NSAIDs.
gesic ladder," a patient Step 2: Moderate to severe pain unrelieved by Step 1 medications
complaining of moderate may need opioids, such as codeine, tramadol, or Percocet.
to severe pain unrespon- Step 3: Severe pain without relief from Step 1 or Step 2 medications
sive to NSAIDs may re- may need stronger opioids, such as morphine, Dilaudid, or MS-Con-
quire which of the follow- tin
ing medications?
Morphine
Demerol
Codeine
Acetaminophen
5. Which type of precau- Contact
tions is indicated for a pa-
tient with a surgical-site
infection 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 injection site because there
2/7
