NURS 334 EXAM 2026 COMPLETE
QUESTION DIGEST WITH CORRECT
SOLUTIONS
◉Tramadol BBW. Answer: Addiction, respiratory sedation, serotonin
syndrome, metabolized by p450 system.
◉Tramadol serious side effects. Answer: Slowed breathing,
serotonin syndrome (agitation, fever, sweating, muscle stiffness), or
seizures seek medical help immediately.
◉Other narcotics. Answer: Fentanyl (class 1), Oxycodone (class 2),
Hydrocodone (class 2), Codeine (class 3), Tramadol (class 4).
◉Wasting Narcotics. Answer: If part of a narcotic dose is not used, it
must be wasted according to policy.
◉Narcotic waste procedure. Answer: Two licensed nurses must
witness and co-sign the waste in the electronic medical record.
, ◉Narcotic handling. Answer: Never leave narcotics unattended or
throw them away in regular trash.
◉Clinical Opiate Withdrawal Scale (COWS). Answer: A standardized
assessment tool used to measure signs and symptoms of opioid
withdrawal.
◉COWS score. Answer: Determines severity: Mild, Mod., Mod.
Severe, Severe.
◉Resting Pulse Rate. Answer: Tachycardia indicates withdrawal.
◉Sweating. Answer: Ranges from mild to drenching.
◉Restlessness. Answer: Observable movement or agitation.
◉Pupil Size. Answer: Dilated pupils indicate withdrawal.
◉Bone or Joint Aches. Answer: Physical discomfort in bones or
joints.
◉Runny Nose or Tearing. Answer: Lacrimation and rhinorrhea.
QUESTION DIGEST WITH CORRECT
SOLUTIONS
◉Tramadol BBW. Answer: Addiction, respiratory sedation, serotonin
syndrome, metabolized by p450 system.
◉Tramadol serious side effects. Answer: Slowed breathing,
serotonin syndrome (agitation, fever, sweating, muscle stiffness), or
seizures seek medical help immediately.
◉Other narcotics. Answer: Fentanyl (class 1), Oxycodone (class 2),
Hydrocodone (class 2), Codeine (class 3), Tramadol (class 4).
◉Wasting Narcotics. Answer: If part of a narcotic dose is not used, it
must be wasted according to policy.
◉Narcotic waste procedure. Answer: Two licensed nurses must
witness and co-sign the waste in the electronic medical record.
, ◉Narcotic handling. Answer: Never leave narcotics unattended or
throw them away in regular trash.
◉Clinical Opiate Withdrawal Scale (COWS). Answer: A standardized
assessment tool used to measure signs and symptoms of opioid
withdrawal.
◉COWS score. Answer: Determines severity: Mild, Mod., Mod.
Severe, Severe.
◉Resting Pulse Rate. Answer: Tachycardia indicates withdrawal.
◉Sweating. Answer: Ranges from mild to drenching.
◉Restlessness. Answer: Observable movement or agitation.
◉Pupil Size. Answer: Dilated pupils indicate withdrawal.
◉Bone or Joint Aches. Answer: Physical discomfort in bones or
joints.
◉Runny Nose or Tearing. Answer: Lacrimation and rhinorrhea.
