NURS 317 FINAL EXAM 2026/2027 – QUESTIONS, STUDY
GUIDE & PRACTICE REVIEW
acute pain - Correct answer ✔✔ rapid in onset, mild to severe and protective
chronic pain - Correct answer ✔✔ lasts > 3 months and affects 20.4% of adults in the US
cutaneous pain - Correct answer ✔✔ pain to skin
somatic pain - Correct answer ✔✔ deep tissue pain
visceral pain - Correct answer ✔✔ organ pain
referred or radiating pain - Correct answer ✔✔ site of pain different from origin
complex regional pain syndrome - Correct answer ✔✔ injured peripheral nerve (sciatica)
post therpetic neuralgia - Correct answer ✔✔ nerve pain from shingles
trigeminal neuralgia - Correct answer ✔✔ cranial nerve causing pain to face, mouth, gums, lips,
cheek, chin
diabetic neuropathy - Correct answer ✔✔ damage to peripheral and autonomic nerves causing
numbness, prickling, or tingling pain
,body affects of pain
- behavioral
- sympathetic
- parasymp
- psych - Correct answer ✔✔ - guarding, moaning, crying
- increase BP, HR, pupil dilation, muscle tension, pallor, increased blood glucose
- N/V, fainting, decrease BP, HR, increase RR, weakness
- restless, stoicism, anxiety, depression, fear, anger, anorexia, fatigue, insomnia
OPQRST - Correct answer ✔✔ - onset
- provocation (what makes it better or worse)
- quality (sharp, dull, throbbing, aching)
- radiation
- severity
- timing
Pain scales
- 1-10 scale
- behavioral scale
- FLACC scale
- Wong-Baker faces - Correct answer ✔✔ - for oriented adults
- difficulty communicating
- baby
- kids and some adults
, non-pharm pain modalities (7) - Correct answer ✔✔ - distraction (music, tv, reading, humor,
video games)
- imagery (patient by self or with nurse)
- mindfulness practice (breathing techniques, centering)
- relaxing muscle groups
- cutaneous stimulation (massage, heat and cold)
- ten machine, acupressure
- animal interactions (therapy dogs)
pain meds
- tylenol and NSAIDS
- opioids - Correct answer ✔✔ start with least harmful medications
- mild pain
- moderate to severe pain
Opioids
- can cause
- tolerance
- physical dependence
- addiction - Correct answer ✔✔ - N/V, sedation, decrease RR, O2 sat, constipation
- pt becomes accustomed to dose and needs larger does to control pain
- pt used to dose and has withdrawal symptoms when taken away or dose decrease
- chronic relapsing brain disease with compulsive drug seeking despite adverse consequences
assessment of pain and opioids - Correct answer ✔✔ - pain and vital signs
- pain after giving meds
GUIDE & PRACTICE REVIEW
acute pain - Correct answer ✔✔ rapid in onset, mild to severe and protective
chronic pain - Correct answer ✔✔ lasts > 3 months and affects 20.4% of adults in the US
cutaneous pain - Correct answer ✔✔ pain to skin
somatic pain - Correct answer ✔✔ deep tissue pain
visceral pain - Correct answer ✔✔ organ pain
referred or radiating pain - Correct answer ✔✔ site of pain different from origin
complex regional pain syndrome - Correct answer ✔✔ injured peripheral nerve (sciatica)
post therpetic neuralgia - Correct answer ✔✔ nerve pain from shingles
trigeminal neuralgia - Correct answer ✔✔ cranial nerve causing pain to face, mouth, gums, lips,
cheek, chin
diabetic neuropathy - Correct answer ✔✔ damage to peripheral and autonomic nerves causing
numbness, prickling, or tingling pain
,body affects of pain
- behavioral
- sympathetic
- parasymp
- psych - Correct answer ✔✔ - guarding, moaning, crying
- increase BP, HR, pupil dilation, muscle tension, pallor, increased blood glucose
- N/V, fainting, decrease BP, HR, increase RR, weakness
- restless, stoicism, anxiety, depression, fear, anger, anorexia, fatigue, insomnia
OPQRST - Correct answer ✔✔ - onset
- provocation (what makes it better or worse)
- quality (sharp, dull, throbbing, aching)
- radiation
- severity
- timing
Pain scales
- 1-10 scale
- behavioral scale
- FLACC scale
- Wong-Baker faces - Correct answer ✔✔ - for oriented adults
- difficulty communicating
- baby
- kids and some adults
, non-pharm pain modalities (7) - Correct answer ✔✔ - distraction (music, tv, reading, humor,
video games)
- imagery (patient by self or with nurse)
- mindfulness practice (breathing techniques, centering)
- relaxing muscle groups
- cutaneous stimulation (massage, heat and cold)
- ten machine, acupressure
- animal interactions (therapy dogs)
pain meds
- tylenol and NSAIDS
- opioids - Correct answer ✔✔ start with least harmful medications
- mild pain
- moderate to severe pain
Opioids
- can cause
- tolerance
- physical dependence
- addiction - Correct answer ✔✔ - N/V, sedation, decrease RR, O2 sat, constipation
- pt becomes accustomed to dose and needs larger does to control pain
- pt used to dose and has withdrawal symptoms when taken away or dose decrease
- chronic relapsing brain disease with compulsive drug seeking despite adverse consequences
assessment of pain and opioids - Correct answer ✔✔ - pain and vital signs
- pain after giving meds
