Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nursing Practice Test 2024
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Course
NACE.
Institution
NACE.
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 ...
Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nursing Practice
Test
Nursing Acceleration Challenge Exam (NACE) I PN-RN:
Foundations of Nursing Practice Test 2024
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
, Nursing Acceleration Challenge Exam (NACE) I PN-RN: Foundations of Nursing Practice
Test
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.
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?
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