Nursing Acceleration Challenge Exam I PN-RN Foundations of Nursing 1

Question 1

According to Maslow's Hierarchy of Needs, which patient need should a nurse address first when a patient reports both anxiety about surgery and difficulty breathing?

Accepted Answer

Difficulty breathing

Answer

Maslow's hierarchy places physiological needs at the base; oxygenation and breathing are survival needs that must be addressed before psychological needs such as anxiety or fear.

Question 2

A nurse documents: 'Patient reports pain of 7/10 in the lower abdomen. Abdomen is rigid and tender on palpation. Nurse suspects possible bowel obstruction and notified physician.' Which component of SOAP documentation is represented by the nurse's clinical interpretation?

Accepted Answer

Assessment

Answer

The Assessment component of SOAP documentation reflects the nurse's clinical judgment or interpretation of the subjective and objective data gathered, such as suspecting a bowel obstruction based on findings.

Question 3

A nurse is preparing to change a wound dressing for a patient with methicillin-resistant Staphylococcus aureus (MRSA). In addition to standard precautions, which transmission-based precaution category is required?

Accepted Answer

Contact precautions

Answer

MRSA is spread through direct or indirect contact with infected wounds or colonized skin; contact precautions, including gloves and gown, are required in addition to standard precautions to prevent transmission.

Question 4

Florence Nightingale's Environmental Theory of nursing emphasizes that healing is best supported by:

Accepted Answer

Modifying the patient's environment to support natural healing processes

Answer

Nightingale's theory holds that nurses should manipulate environmental factors — such as ventilation, light, cleanliness, and noise — to create conditions in which the body can heal itself naturally.

Question 5

A nurse asks an anxious patient, 'It sounds like you're worried about going home alone after surgery. Can you tell me more about that?' This is an example of which therapeutic communication technique?

Accepted Answer

Reflection and open-ended questioning

Answer

Reflection mirrors the patient's feelings back to them to confirm understanding, while the open-ended question invites the patient to elaborate; together they promote therapeutic dialogue and show empathetic listening.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam I PN-RN Foundations of Nursing 1