NURS 366 EXAM QUESTIONS AND
VERIFIED ANSWERS
Know how to report important patient care data using a shift assessment tool ANSW✅✅
Know how to assess for pain in both verbal and nonverbal patients as well as corresponding pain
scales ANSW✅✅Verbal patient: verbal scales such as numerical 1-10, visual analog scale, word
descriptor, and functional pain scale. Use PQRSTU
Non-verbal or sleeping: FLACC (face, legs, activity, crying, controllability)
Non-verbal young developmental age: Wong-Baker Faces, FLACC
Identify the various types of pain ANSW✅✅Nociceptive: pain caused by physiological activation of
receptors
Somatic: originates in skin, connective tissue, joints, muscles,
& bones. Usually sharp, intermittent, and worse with
movement
Visceral: originates in organs and not clearly localized. Can
refer to other body parts and usually aching, pressure, or
cramping
Neuropathic: pain caused by damage in the nervous system, especially the nociceptive pathway
Peripheral: pain between the spinal cord and periphery
described as burning, shooting, and numbness
Central: pain between the brain and spinal cord described
as tingling, pins and needles, and shooting
Identify the various types of pain treatment (nonpharmacologic) options and the impact of the
treatment options. ANSW✅✅Change positions, relaxation techniques, ice/heat, distraction,
talking, increasing the pts. knowledge about the pain, increase the pts sense of control over the pain,
address pain related factors (I.e. nausea, anxiety, and fear)
Identify commonly used medications for pain, routes for the medications, evaluation, &
documentation associated with them. ANSW✅✅Acetaminophen: PO, IV.
NSAIDs: PO, IV.
, Adjuvants: antidepressants, alpha adrenergic blockers, anticonvulsants, NMDA inhibitors,
corticosteroids, muscle relaxants
Opioids: PO, IV. Watch respirations, constipation, N/V, pruritus, urinary retention, and sedation
Identify pain management across the life-span (peds to geriatrics) as well specific patient
populations (procedural areas, peri-operative, on the unit) ANSW✅✅Patient-controlled analgesia
→ mostly for postop patients and in palliative care
Peds: difficult treatment- nonverbal
Geriatric: negative connotation to pain, perceived as normal aging.
Patient population: post-surgical - careful with opioids post anesthesia ie respiratory dep.
Unit conversions, including fluid ounces to milliliters, and pounds to kilograms ANSW✅✅1 Tbsp =
15mL
1tsp = 5mL
1kg = 2.2 lbs
1cc = 1mL
1 cup = 8 oz
1 oz = 30mL
Weight based dose calculations ANSW✅✅(mg of med to be administered/ mg of med in premade
medication) x mL that the premade medication is in
Rounding ANSW✅✅Round final answer
Greater or equal to 5 → round up
Less than 5 → round down
Determine if rounding to tenths or hundredth
Calculating suspension volume for administration ANSW✅✅Volume required = (mg
required/stock mg) x volume of stock
Calculating fluid intake ANSW✅✅All oral fluids, jello, parenteral (IV), and enteral (nutrition)
VERIFIED ANSWERS
Know how to report important patient care data using a shift assessment tool ANSW✅✅
Know how to assess for pain in both verbal and nonverbal patients as well as corresponding pain
scales ANSW✅✅Verbal patient: verbal scales such as numerical 1-10, visual analog scale, word
descriptor, and functional pain scale. Use PQRSTU
Non-verbal or sleeping: FLACC (face, legs, activity, crying, controllability)
Non-verbal young developmental age: Wong-Baker Faces, FLACC
Identify the various types of pain ANSW✅✅Nociceptive: pain caused by physiological activation of
receptors
Somatic: originates in skin, connective tissue, joints, muscles,
& bones. Usually sharp, intermittent, and worse with
movement
Visceral: originates in organs and not clearly localized. Can
refer to other body parts and usually aching, pressure, or
cramping
Neuropathic: pain caused by damage in the nervous system, especially the nociceptive pathway
Peripheral: pain between the spinal cord and periphery
described as burning, shooting, and numbness
Central: pain between the brain and spinal cord described
as tingling, pins and needles, and shooting
Identify the various types of pain treatment (nonpharmacologic) options and the impact of the
treatment options. ANSW✅✅Change positions, relaxation techniques, ice/heat, distraction,
talking, increasing the pts. knowledge about the pain, increase the pts sense of control over the pain,
address pain related factors (I.e. nausea, anxiety, and fear)
Identify commonly used medications for pain, routes for the medications, evaluation, &
documentation associated with them. ANSW✅✅Acetaminophen: PO, IV.
NSAIDs: PO, IV.
, Adjuvants: antidepressants, alpha adrenergic blockers, anticonvulsants, NMDA inhibitors,
corticosteroids, muscle relaxants
Opioids: PO, IV. Watch respirations, constipation, N/V, pruritus, urinary retention, and sedation
Identify pain management across the life-span (peds to geriatrics) as well specific patient
populations (procedural areas, peri-operative, on the unit) ANSW✅✅Patient-controlled analgesia
→ mostly for postop patients and in palliative care
Peds: difficult treatment- nonverbal
Geriatric: negative connotation to pain, perceived as normal aging.
Patient population: post-surgical - careful with opioids post anesthesia ie respiratory dep.
Unit conversions, including fluid ounces to milliliters, and pounds to kilograms ANSW✅✅1 Tbsp =
15mL
1tsp = 5mL
1kg = 2.2 lbs
1cc = 1mL
1 cup = 8 oz
1 oz = 30mL
Weight based dose calculations ANSW✅✅(mg of med to be administered/ mg of med in premade
medication) x mL that the premade medication is in
Rounding ANSW✅✅Round final answer
Greater or equal to 5 → round up
Less than 5 → round down
Determine if rounding to tenths or hundredth
Calculating suspension volume for administration ANSW✅✅Volume required = (mg
required/stock mg) x volume of stock
Calculating fluid intake ANSW✅✅All oral fluids, jello, parenteral (IV), and enteral (nutrition)
