NURSING ACCELERATION CHALLENGE EXAM
(NACE) I PN-RN: FOUNDATIONS OF NURSING
PRACTICE TEST
At which time of day are patients with cognitive impairment usually MOST
sensitive to sensory overload?
Late evening
Noon
Afternoon
Early morning - ANSWERS-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.
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 - ANSWERS-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.
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 - ANSWERS-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
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