Nursing 1 Practice tests

Nursing Acceleration Challenge Exam (ACE) Practice Test
February 22, 2021 – 07:12 pm

Nursing Acceleration Challenge Study Guide1. At which time of day are patients with cognitive impairment usually MOST sensitive to sensory overload?

a. Noon
b. Early morning
c. Late evening
d. Afternoon

2. Which of the following is characteristic of nociceptive pain?

a. Acute aching or throbbing pain localized to the site of injury
b. Diffuse or cramping pain
c. Association with chronic conditions such as diabetes or cancer
d. Burning, stabbing, or shooting pains

3. 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?

a. Demerol
b. Codeine
c. Morphine
d. Acetaminophen

4. Which type of precautions is indicated for a patient with a surgical-site infection and purulent discharge?

a. Droplet
b. Airborne
c. Contact and droplet
d. Contact

5. 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?

a. Ventrogluteal site
b. Dorsogluteal site
c. Vastus lateralis
d. Deltoid

Answers & Explanations

Nursing Acceleration Challenge Flashcards1. D: 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.

2. A: 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...

5. A: 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.

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