NUR 330 Exam #1 – UPDATED Questions with 100% Verified Answers
NUR 330 Exam #1 – UPDATED Questions with
100% Verified Answers
Section 1: Pain, Opqrst, Acute (Q1–Q13)
Question & Answer
Q1 Best indicator of a patient's pain?
A The patient's self-report.
Q2 Why use a standardized pain scale?
A To assess pain consistently and evaluate response to treatment.
Q3 OPQRST: O?
A Onset.
Q4 OPQRST: P?
A Provocation or palliation—what makes pain better or worse.
Q5 OPQRST: Q?
A Quality—what the pain feels like.
Q6 OPQRST: R?
A Region and radiation.
Q7 OPQRST: S?
A Severity or intensity.
Q8 OPQRST: T?
A Timing, duration, and pattern.
Q9 Acute pain duration in the study guide?
A Less than 3 months.
Q10 Main goals of acute pain treatment?
A Relieve suffering, improve function, and enhance recovery.
Q11 Common causes of acute pain?
A Tissue damage, surgery, or trauma.
Q12 Chronic pain duration in the study guide?
A More than 3 months.
Q13 Main goal for chronic pain?
A Set functional goals and improve daily function.
Page 1 of 17
,NUR 330 Exam #1 – UPDATED Questions with 100% Verified Answers
Section 2: Pain, Opioid, Examples (Q14–Q26)
Question & Answer
Q14 Examples of chronic noncancer pain?
A Peripheral neuropathy, back pain, and osteoarthritis.
Q15 Breakthrough pain?
A Acute flare of otherwise adequately controlled chronic pain.
Q16 Nociceptive pain?
A Physiologic pain caused by tissue injury.
Q17 Neuropathic pain?
A Pain from damage to the peripheral or central nervous system.
Q18 Examples of nonopioid analgesics?
A Acetaminophen, aspirin/salicylates, and NSAIDs.
Q19 Examples of physical non-drug pain methods?
A Massage, exercise, TENS, acupuncture, heat, and cold.
Q20 Examples of cognitive pain methods?
A Distraction, hypnosis, and relaxation.
Q21 Purpose of opioid titration?
A Find the lowest dose that controls pain while limiting adverse effects.
Q22 What happens as opioid doses are titrated upward?
A Pain relief may improve, but adverse-effect risk also increases.
Q23 Most concerning acute opioid adverse
A effect? Respiratory depression.
Q24 What should be monitored for opioid respiratory depression? Respiratory
A rate, oxygen saturation, sedation, and capnography when used.
Q25 Common opioid GI adverse effects?
A Constipation, nausea, and vomiting.
Q26 Other opioid adverse effects?
A Pruritus, urinary retention, dizziness, confusion, and hallucinations.
Page 2 of 17
, NUR 330 Exam #1 – UPDATED Questions with 100% Verified Answers
Section 3: Opioid, Poss, Score (Q27–Q39)
Question & Answer
Q27 When is opioid sedation common?
A At therapy initiation and after significant dose increases.
Q28 POSS score 3 means? Frequently
A drowsy; unacceptable sedation—monitor and consider dose reduction.
Q29 POSS score 4 means? Somnolent/minimal
A response—stop opioid and intervene; naloxone may be needed.
Q30 Older/cognitively impaired opioid dosing
A principle? Start low and go slow.
Q31 Why reassess pain after treatment?
A To determine effectiveness and guide further treatment.
Q32 Normal adult respiratory rate?
A 12-20 breaths/min.
Q33 Ventilation?
A Movement of air into and out of the lungs.
Q34 Diffusion?
A Movement of gases across the alveolar-capillary membrane.
Q35 Perfusion?
A Blood flow through the pulmonary circulation.
Q36 What does dyspnea mean?
A Subjective sensation of difficult or uncomfortable breathing.
Q37 Orthopnea?
A Difficulty breathing while lying flat.
Q38 Normal AP-to-lateral chest ratio?
A About 1:2.
Q39 What does clubbing suggest?
A Can occur with chronic hypoxia or chronic pulmonary disease.
Page 3 of 17
NUR 330 Exam #1 – UPDATED Questions with
100% Verified Answers
Section 1: Pain, Opqrst, Acute (Q1–Q13)
Question & Answer
Q1 Best indicator of a patient's pain?
A The patient's self-report.
Q2 Why use a standardized pain scale?
A To assess pain consistently and evaluate response to treatment.
Q3 OPQRST: O?
A Onset.
Q4 OPQRST: P?
A Provocation or palliation—what makes pain better or worse.
Q5 OPQRST: Q?
A Quality—what the pain feels like.
Q6 OPQRST: R?
A Region and radiation.
Q7 OPQRST: S?
A Severity or intensity.
Q8 OPQRST: T?
A Timing, duration, and pattern.
Q9 Acute pain duration in the study guide?
A Less than 3 months.
Q10 Main goals of acute pain treatment?
A Relieve suffering, improve function, and enhance recovery.
Q11 Common causes of acute pain?
A Tissue damage, surgery, or trauma.
Q12 Chronic pain duration in the study guide?
A More than 3 months.
Q13 Main goal for chronic pain?
A Set functional goals and improve daily function.
Page 1 of 17
,NUR 330 Exam #1 – UPDATED Questions with 100% Verified Answers
Section 2: Pain, Opioid, Examples (Q14–Q26)
Question & Answer
Q14 Examples of chronic noncancer pain?
A Peripheral neuropathy, back pain, and osteoarthritis.
Q15 Breakthrough pain?
A Acute flare of otherwise adequately controlled chronic pain.
Q16 Nociceptive pain?
A Physiologic pain caused by tissue injury.
Q17 Neuropathic pain?
A Pain from damage to the peripheral or central nervous system.
Q18 Examples of nonopioid analgesics?
A Acetaminophen, aspirin/salicylates, and NSAIDs.
Q19 Examples of physical non-drug pain methods?
A Massage, exercise, TENS, acupuncture, heat, and cold.
Q20 Examples of cognitive pain methods?
A Distraction, hypnosis, and relaxation.
Q21 Purpose of opioid titration?
A Find the lowest dose that controls pain while limiting adverse effects.
Q22 What happens as opioid doses are titrated upward?
A Pain relief may improve, but adverse-effect risk also increases.
Q23 Most concerning acute opioid adverse
A effect? Respiratory depression.
Q24 What should be monitored for opioid respiratory depression? Respiratory
A rate, oxygen saturation, sedation, and capnography when used.
Q25 Common opioid GI adverse effects?
A Constipation, nausea, and vomiting.
Q26 Other opioid adverse effects?
A Pruritus, urinary retention, dizziness, confusion, and hallucinations.
Page 2 of 17
, NUR 330 Exam #1 – UPDATED Questions with 100% Verified Answers
Section 3: Opioid, Poss, Score (Q27–Q39)
Question & Answer
Q27 When is opioid sedation common?
A At therapy initiation and after significant dose increases.
Q28 POSS score 3 means? Frequently
A drowsy; unacceptable sedation—monitor and consider dose reduction.
Q29 POSS score 4 means? Somnolent/minimal
A response—stop opioid and intervene; naloxone may be needed.
Q30 Older/cognitively impaired opioid dosing
A principle? Start low and go slow.
Q31 Why reassess pain after treatment?
A To determine effectiveness and guide further treatment.
Q32 Normal adult respiratory rate?
A 12-20 breaths/min.
Q33 Ventilation?
A Movement of air into and out of the lungs.
Q34 Diffusion?
A Movement of gases across the alveolar-capillary membrane.
Q35 Perfusion?
A Blood flow through the pulmonary circulation.
Q36 What does dyspnea mean?
A Subjective sensation of difficult or uncomfortable breathing.
Q37 Orthopnea?
A Difficulty breathing while lying flat.
Q38 Normal AP-to-lateral chest ratio?
A About 1:2.
Q39 What does clubbing suggest?
A Can occur with chronic hypoxia or chronic pulmonary disease.
Page 3 of 17
