NURS 3320 UPDATED EXAM COMPREHENSIVE
QUESTIONS AND ANSWERS SURE A+
✔✔Responses to pain - ✔✔*incr hr and BP, muscle spasms
*decr gastric & intestinal motility (leads to decr UO)
*hyperglycemia
✔✔Non verbal behaviors to pain - ✔✔-rubbing
-diaphoresis
-guarding pain
-facial grimacing
✔✔Decr in appetite, adaption and BRACING for pain, and irritability are s&s of what
type of pain? - ✔✔CHRONIC
✔✔intractable pain - ✔✔severe pain that is extremely RESISTENT to relief measures
NOTHING WORKS, feeling hopeless
✔✔NRS scale - ✔✔0-10 pain scale
✔✔VAS scale - ✔✔Visual analog scale, used for those who can interpret there pain and
no cognitive disability
, 0=no pain
10=worse pain imaginable
✔✔FLACC scale is used for - ✔✔neonates and infants
face, legs, activity, cry, and consolability.
✔✔Facial Pain Scale - ✔✔non verbal patients or children 3 and older who can easily
pick a face to describe pain
Could be used for non English speakers when there is a language barrier
✔✔SLUMS test - ✔✔dementia/ Alzheimers screening tools
0-20=dementia
21-26=mild cognitive disorder
27-30=normal in a person w/ HS education
✔✔What do we check first as a RN to access mental status? - ✔✔Hearing and vision
✔✔CAGE tool - ✔✔cut down, annoyed, guilty, eye opener
DRUG AND ALCOHOL ABUSE
1=possible
2+ highly
✔✔BRCA1 and BRCA2 - ✔✔breast cancer 1 and 2 - genetic mutations associated with
increased risk for breast cancer
✔✔Glasgow Coma Scale (GCS) - ✔✔a scale used to assess the consciousness of a
patient (TEST LOC)
0-15 scale
under 7=coma
15= nothing wrong
✔✔LOC
lethargy - ✔✔opens eyes, answers, falls back to sleep
✔✔LOC: Obtunded - ✔✔Opens eyes, Open to loud voice, responds slowly and is
somewhat confused or unaware of environment
QUESTIONS AND ANSWERS SURE A+
✔✔Responses to pain - ✔✔*incr hr and BP, muscle spasms
*decr gastric & intestinal motility (leads to decr UO)
*hyperglycemia
✔✔Non verbal behaviors to pain - ✔✔-rubbing
-diaphoresis
-guarding pain
-facial grimacing
✔✔Decr in appetite, adaption and BRACING for pain, and irritability are s&s of what
type of pain? - ✔✔CHRONIC
✔✔intractable pain - ✔✔severe pain that is extremely RESISTENT to relief measures
NOTHING WORKS, feeling hopeless
✔✔NRS scale - ✔✔0-10 pain scale
✔✔VAS scale - ✔✔Visual analog scale, used for those who can interpret there pain and
no cognitive disability
, 0=no pain
10=worse pain imaginable
✔✔FLACC scale is used for - ✔✔neonates and infants
face, legs, activity, cry, and consolability.
✔✔Facial Pain Scale - ✔✔non verbal patients or children 3 and older who can easily
pick a face to describe pain
Could be used for non English speakers when there is a language barrier
✔✔SLUMS test - ✔✔dementia/ Alzheimers screening tools
0-20=dementia
21-26=mild cognitive disorder
27-30=normal in a person w/ HS education
✔✔What do we check first as a RN to access mental status? - ✔✔Hearing and vision
✔✔CAGE tool - ✔✔cut down, annoyed, guilty, eye opener
DRUG AND ALCOHOL ABUSE
1=possible
2+ highly
✔✔BRCA1 and BRCA2 - ✔✔breast cancer 1 and 2 - genetic mutations associated with
increased risk for breast cancer
✔✔Glasgow Coma Scale (GCS) - ✔✔a scale used to assess the consciousness of a
patient (TEST LOC)
0-15 scale
under 7=coma
15= nothing wrong
✔✔LOC
lethargy - ✔✔opens eyes, answers, falls back to sleep
✔✔LOC: Obtunded - ✔✔Opens eyes, Open to loud voice, responds slowly and is
somewhat confused or unaware of environment
