NUR 330 FINAL EXAM REVIEW STUDY GUIDE | NUR 330 FINAL EXAM PRACTICE
QUESTIONS & ANSWERS | COMPREHENSIVE NCLEX REVIEW 2026/2027
somatic tissue pain - ✔✔bone fractures, abrasions, sunburn
visceral tissue pain - ✔✔appendicitis, pancreatitis (internal tissue)
neuropathic pain - ✔✔burning, numbing, shooting, stabbing pain, phantom limb pain
breakthrough pain - ✔✔temporary severe pain while having chronic pain
three categories of drugs to treat pain - ✔✔nonopioid, opioid, co-analgesic
analgesic ceiling effect - ✔✔occurs when a given pain drug no longer effectively controls pain despite
the administration of the highest safe dosages
opioids side effects - ✔✔respiratory depression, constipation, hypotension, sedation
anecdote for opioids - ✔✔naloxone (narcan)
Patient-controlled analgesia (PCA) - ✔✔common for post op pain
must be used by pt only
physical dependence (addiction) - ✔✔manifested by withdrawal syndrome when blood levels drop
abruptly; can occur with extended use of opioids
why do we treat geriatric pt's more cautiously with pain - ✔✔metabolize drugs more slowly, risk of GI
bleeds with NSAIDs, multiple drug use
how do we detect pain in pt's who are unable to self report - ✔✔behavioral changes, restlessness,
agitation, facial expressions, changes in breathing
factors that affect adherence - ✔✔demographic variables, financial variables, illness severity, health
literacy
what happens to the cartilage in pt's with osteoarthritis - ✔✔become dull, yellow, and granular; soft
and less elastic, less able to resist wear with heavy use
at what age does cartilage destruction begin? - ✔✔begins between ages 20 and 30
risk factors for osteoarthritis - ✔✔age, decreased estrogen at menopause, obesity, anterior cruciate
ligament injury, frequent kneeling and stooping
osteoarthritis s/s - ✔✔deep, aching joint pain, stiffness in the mornings and after exercise, crepitus,
grating of the joint, altered gait, decreased ROM, joint enlargement
, Herberden's nodes and Bouchard's nodes - ✔✔red, swollen, and tender; no significant loss of function;
visible deformities
meds that treat mild-moderate joint pain - ✔✔acetaminophen, capsaicin cream, topical salicylates,
hyaluronic acid
meds that treat moderate-severe joint pain - ✔✔NSAID, COX-2 inhibitor celecoxib (Celebrex)
nutritional supplements that help joint pain and purpose - ✔✔glucosamine and chondroitin sulfate;
help relieve pain and improve mobility
factors affecting learning - ✔✔readiness, environment, teaching techniques
learning readiness - ✔✔patient's willingness to engage in the teaching-learning process (emotional
readiness) and experiential readiness to begin the challenge of learning
healthy people 2020 goal - ✔✔increase quality of years and eliminate health disparities
adolescent teachings should focus on what? - ✔✔focus on creating healthy habits early to prevent
negative results of risky behaviors
young/middle aged adult teachings should focus on what? - ✔✔focus on healthy behaviors, pregnancy
and family, cancer screenings, chronic illness, activities offered at the workplace
advantages of CVAD - ✔✔immediate access
reduced venipuncture
decreased risk of extravasation
disadvantages of CVADs - ✔✔increased risk of systemic infection
invasive procedure
peripherally inserted central catheter (PICC) - ✔✔a device inserted into a peripheral vein and designed
and used for administration of sterile fluids, nutrition formulas, and medications into central veins
advantages of PICC - ✔✔lower infection rate
fewer insertion related complications
decreased cost
complications of PICC - ✔✔catheter occlusion and phlebitis
advantages of implanted infusion port - ✔✔good for long-term therapy
low risk of infection
cosmetic discretion
Valsalva maneuver - ✔✔forcible exhalation against a closed glottis, resulting in increased intrathoracic
pressure
QUESTIONS & ANSWERS | COMPREHENSIVE NCLEX REVIEW 2026/2027
somatic tissue pain - ✔✔bone fractures, abrasions, sunburn
visceral tissue pain - ✔✔appendicitis, pancreatitis (internal tissue)
neuropathic pain - ✔✔burning, numbing, shooting, stabbing pain, phantom limb pain
breakthrough pain - ✔✔temporary severe pain while having chronic pain
three categories of drugs to treat pain - ✔✔nonopioid, opioid, co-analgesic
analgesic ceiling effect - ✔✔occurs when a given pain drug no longer effectively controls pain despite
the administration of the highest safe dosages
opioids side effects - ✔✔respiratory depression, constipation, hypotension, sedation
anecdote for opioids - ✔✔naloxone (narcan)
Patient-controlled analgesia (PCA) - ✔✔common for post op pain
must be used by pt only
physical dependence (addiction) - ✔✔manifested by withdrawal syndrome when blood levels drop
abruptly; can occur with extended use of opioids
why do we treat geriatric pt's more cautiously with pain - ✔✔metabolize drugs more slowly, risk of GI
bleeds with NSAIDs, multiple drug use
how do we detect pain in pt's who are unable to self report - ✔✔behavioral changes, restlessness,
agitation, facial expressions, changes in breathing
factors that affect adherence - ✔✔demographic variables, financial variables, illness severity, health
literacy
what happens to the cartilage in pt's with osteoarthritis - ✔✔become dull, yellow, and granular; soft
and less elastic, less able to resist wear with heavy use
at what age does cartilage destruction begin? - ✔✔begins between ages 20 and 30
risk factors for osteoarthritis - ✔✔age, decreased estrogen at menopause, obesity, anterior cruciate
ligament injury, frequent kneeling and stooping
osteoarthritis s/s - ✔✔deep, aching joint pain, stiffness in the mornings and after exercise, crepitus,
grating of the joint, altered gait, decreased ROM, joint enlargement
, Herberden's nodes and Bouchard's nodes - ✔✔red, swollen, and tender; no significant loss of function;
visible deformities
meds that treat mild-moderate joint pain - ✔✔acetaminophen, capsaicin cream, topical salicylates,
hyaluronic acid
meds that treat moderate-severe joint pain - ✔✔NSAID, COX-2 inhibitor celecoxib (Celebrex)
nutritional supplements that help joint pain and purpose - ✔✔glucosamine and chondroitin sulfate;
help relieve pain and improve mobility
factors affecting learning - ✔✔readiness, environment, teaching techniques
learning readiness - ✔✔patient's willingness to engage in the teaching-learning process (emotional
readiness) and experiential readiness to begin the challenge of learning
healthy people 2020 goal - ✔✔increase quality of years and eliminate health disparities
adolescent teachings should focus on what? - ✔✔focus on creating healthy habits early to prevent
negative results of risky behaviors
young/middle aged adult teachings should focus on what? - ✔✔focus on healthy behaviors, pregnancy
and family, cancer screenings, chronic illness, activities offered at the workplace
advantages of CVAD - ✔✔immediate access
reduced venipuncture
decreased risk of extravasation
disadvantages of CVADs - ✔✔increased risk of systemic infection
invasive procedure
peripherally inserted central catheter (PICC) - ✔✔a device inserted into a peripheral vein and designed
and used for administration of sterile fluids, nutrition formulas, and medications into central veins
advantages of PICC - ✔✔lower infection rate
fewer insertion related complications
decreased cost
complications of PICC - ✔✔catheter occlusion and phlebitis
advantages of implanted infusion port - ✔✔good for long-term therapy
low risk of infection
cosmetic discretion
Valsalva maneuver - ✔✔forcible exhalation against a closed glottis, resulting in increased intrathoracic
pressure
