NURS 3632 ACTUAL 2026 EXAM QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Somatic pain (nociceptive) - ✔✔external organ wall, CT, muscles, bones (whole
body)
✔✔T/F
Shaving is not recommended anymore before surgery because in short it can lead to
higher risk of staph infections - ✔✔TRUE
✔✔What agent is best for bathing to kill most of the staph on skin? - ✔✔CHG
✔✔What classes of drugs help DRY out fluids and POST OP N/V? - ✔✔anticholinergics
and Histamine 2 antihistamines
✔✔When do you want to teach about pain management by letting them know what to
expect? - ✔✔In PREoperative phase of the perioperative period
✔✔TJC protocol is what? - ✔✔The Joint Commissions protocol to prevent wrong site,
wrong patient, wrong sx
-marking sx sight
-final verification b4 sx (while pt is awake and can comment)
-TIMEOUTS IF THERE IS ANY QUESTIONS, DISCREPENCIES, CONCERNS
✔✔What is referred pain? - ✔✔pain perceived at a location other than the site of the
painful stimulus
✔✔What is psychogenic pain? - ✔✔cause of pain cannot be identified
✔✔Explain POST OP assessments and Interventions - ✔✔Check patient every 10-15
minutes, wound status, resp status, temperature, fluids, any n/v , VITALS, if alert and
oriented enough to move to medsurg (from PACU)
✔✔the pain process: transduction - ✔✔activation of pain receptors (nociceptors) painful
stimuli to electrical impulse
✔✔the pain process: transmission - ✔✔conduction along pathways (A-delta and C-delta
fibers)
✔✔the pain process: modulation - ✔✔inhibition or modification of pain
✔✔the pain process: perception - ✔✔awareness of the characteristics of pain
, ✔✔Bradykinin - ✔✔VASODILATOR, incr cap permeability, constricts smooth muscle,
triggers SHEP, triggers histamine release
✔✔Prostaglandins - ✔✔hormone-like substances that send additional pain stimuli to the
CNS
✔✔Substance-P - ✔✔incr firing rate of nerves & sensitizes receptors
✔✔Every patient has a different thresehold to painful stimuli, endorphins block pain
from cerebral cortex, WHAT CAUSES THIS? - ✔✔Neuromodulators
✔✔shoulder pain can be referred from - ✔✔GALLBLADDER
✔✔T/F
Family perception of clients pain CAN, be helpful. - ✔✔True, helpful information to
understand perception of pain of the family to help patient. BUT, not indicative
✔✔CRIES SCALE is used for who? - ✔✔neonates-infants/toddlers
✔✔FLACC scale is used for - ✔✔(2 months - 7 years) or non verbal patients like
DEMENTIA
Nonverbal pain scale
Facial expression, activity, guarding, respiratory
Proxy reports (parent, caregiver)
Vital signs
Visual inspection - injury, swelling, redness
✔✔In the 3 step Analgesics, level 3 what is used? - ✔✔Opiods (NORCO), high level of
pain
level 1= adjuvant, non opiods (tylenol)
level 2= incr pain, adjuvant non opiods, or weak opiods (Tramadol)
✔✔SEDATIVE SCALE
Level S - ✔✔Sleep, but can wake up (No Action Neccesary)
✔✔SEDATIVE SCALE
Level 1 - ✔✔awake and alert (No action Necessary)
✔✔SEDATIVE SCALE
SOLUTIONS GRADED A+
✔✔Somatic pain (nociceptive) - ✔✔external organ wall, CT, muscles, bones (whole
body)
✔✔T/F
Shaving is not recommended anymore before surgery because in short it can lead to
higher risk of staph infections - ✔✔TRUE
✔✔What agent is best for bathing to kill most of the staph on skin? - ✔✔CHG
✔✔What classes of drugs help DRY out fluids and POST OP N/V? - ✔✔anticholinergics
and Histamine 2 antihistamines
✔✔When do you want to teach about pain management by letting them know what to
expect? - ✔✔In PREoperative phase of the perioperative period
✔✔TJC protocol is what? - ✔✔The Joint Commissions protocol to prevent wrong site,
wrong patient, wrong sx
-marking sx sight
-final verification b4 sx (while pt is awake and can comment)
-TIMEOUTS IF THERE IS ANY QUESTIONS, DISCREPENCIES, CONCERNS
✔✔What is referred pain? - ✔✔pain perceived at a location other than the site of the
painful stimulus
✔✔What is psychogenic pain? - ✔✔cause of pain cannot be identified
✔✔Explain POST OP assessments and Interventions - ✔✔Check patient every 10-15
minutes, wound status, resp status, temperature, fluids, any n/v , VITALS, if alert and
oriented enough to move to medsurg (from PACU)
✔✔the pain process: transduction - ✔✔activation of pain receptors (nociceptors) painful
stimuli to electrical impulse
✔✔the pain process: transmission - ✔✔conduction along pathways (A-delta and C-delta
fibers)
✔✔the pain process: modulation - ✔✔inhibition or modification of pain
✔✔the pain process: perception - ✔✔awareness of the characteristics of pain
, ✔✔Bradykinin - ✔✔VASODILATOR, incr cap permeability, constricts smooth muscle,
triggers SHEP, triggers histamine release
✔✔Prostaglandins - ✔✔hormone-like substances that send additional pain stimuli to the
CNS
✔✔Substance-P - ✔✔incr firing rate of nerves & sensitizes receptors
✔✔Every patient has a different thresehold to painful stimuli, endorphins block pain
from cerebral cortex, WHAT CAUSES THIS? - ✔✔Neuromodulators
✔✔shoulder pain can be referred from - ✔✔GALLBLADDER
✔✔T/F
Family perception of clients pain CAN, be helpful. - ✔✔True, helpful information to
understand perception of pain of the family to help patient. BUT, not indicative
✔✔CRIES SCALE is used for who? - ✔✔neonates-infants/toddlers
✔✔FLACC scale is used for - ✔✔(2 months - 7 years) or non verbal patients like
DEMENTIA
Nonverbal pain scale
Facial expression, activity, guarding, respiratory
Proxy reports (parent, caregiver)
Vital signs
Visual inspection - injury, swelling, redness
✔✔In the 3 step Analgesics, level 3 what is used? - ✔✔Opiods (NORCO), high level of
pain
level 1= adjuvant, non opiods (tylenol)
level 2= incr pain, adjuvant non opiods, or weak opiods (Tramadol)
✔✔SEDATIVE SCALE
Level S - ✔✔Sleep, but can wake up (No Action Neccesary)
✔✔SEDATIVE SCALE
Level 1 - ✔✔awake and alert (No action Necessary)
✔✔SEDATIVE SCALE
