NUR 233 COMPREHENSIVE EXAM 2026 UPDATED
QUESTIONS AND SOLUTIONS RATED A+
✔✔Ear admin indications - ✔✔-TREAT INFECTION OR INFLAMMATION
-DECREASE PAIN OF OTITIS MEDIA
-DISSOLVE CERUMEN (EAR WAX)
✔✔ear admin - ✔✔adult- pull up and back
child- down and back
✔✔nasal administration uses - ✔✔-DECONGESTANT
-ANTIHISTAMINE
-ANTIBIOTIC
-STEROID
✔✔nasal installation- sprays - ✔✔-have pt clear nose
-while holding one nostril shut insert the top of the tip to the other nostril
-pt squeezes bottle while breathing in
-repeat on other side
-top of bottle should be clean before top is replaced
✔✔Nose drops - ✔✔-LIE DOWN, FACE UP, WITH HEAD OFF THE BED AND NECK
HYPEREXTENDED
TIP OF DROPPER IS HELD JUST ABOVE THE NOSTRIL, AND
THE CORRECT NUMBER OF DROPS
SLIGHTLY SQUEEZING THE RUBBER TOP
THE PATIENT SHOULD REMAIN WITH THE HEAD BACK FOR A FEW MINUTES
✔✔use of nebulizer - ✔✔ATOMIZERS
AEROSOL
METERED DOSE INHALER
Nay bc of covid
✔✔Inhaler common types - ✔✔-PRESSURIZED METERED-DOSE INHALERS
(PMDIS)
-DRY POWDER INHALERS (DPIS)
-NEBULIZERS
✔✔topical administration
if skin is wet use - ✔✔cream
✔✔topical admin
,if skin is dry - ✔✔use ointment
✔✔Skin applications - ✔✔use gloves and applicators
and clean skin first
use sterile technique if the patient has an open wound
✔✔transdermal patch - ✔✔-SKIN PATCH CONTAINING DRUG MOLECULES THAT
ARE ABSORBED THROUGH THE SKIN AT VARYING RATES
-EVEN FLOW OF DRUG OVER A LONG PERIOD OF TIME
-PROMOTES A CONSISTENT BLOOD LEVEL BETWEEN APPLICATION TIMES
✔✔application of transdermal patch - ✔✔-remove old one before putting new one
-doc location
-ask abt patches during med history
-apply a label to the patch if it is difficult to see
-doc removal of patch
- put date and time and initials
- can not have more than one at a time
-show removal on MAR
-switch sides
✔✔NITROGLYCERINE - ✔✔-SQUEEZE PRESCRIBED AMOUNT ONTO APPLI-
RULER PAPER
-DO NOT TOUCH OINTMENT
-FOLD PAPER LENGTHWISE WITH OINTMENT INSIDE
-ROTATE SITES CHEST BACK UPPER ARMS UPPER LEGS
-SITE SHOULD BE CLEAN, DRY, INTACT, RELATIVELY FREE OF HAIR (DO NOT
SHAVE AREA)
Can give nitro glen topically and it is for chest pain
✔✔vaginal instillation - ✔✔- Suppositories, foams, creams
- Use of gloves & applicator.
- Client positioning, comfort, & hygiene.
✔✔rectal instillation - ✔✔-suppositoires and enemas
✔✔Definition of the nursing process - ✔✔is an organizing framework for professional
nursing practice.
includes planning, developing goals and implementing goals
✔✔ADPIE - ✔✔Assessment
Diagnosis
Planning
, Implementation
Evaluation
problem solving approach
provides organizing framework
✔✔What is the nursing process used for? - ✔✔Is used in nursing to identify and treat
the nursing diagnoses (problems) of a client.
✔✔Assessment - ✔✔Involves clinical thinking skills and data collection that is
continuous
-Physiological, psych, sociocultural, spiritual, economic and lifestyle patters
✔✔Collection of info abt the pt - ✔✔-Is holistic and detailed.-
-whole person not just illness
-Supports clinical reasoning and critical thinking.
-Determines the client problems and strengths.
-Occurs at the initiation of care and is ongoing during all of the phases of the nursing
process.
✔✔Assessment sources of info - ✔✔nursing assessment and health history
Psychical assessment
Med records
diagnostic test results
health team members
✔✔Words that indicate focused assessment - ✔✔Inspect
Identify
Verify
Observe
Determine
Notify
Check
Inform
Question
Verbal and nonverbal
Signs and symptoms
Stressors
Adaptations
Responses
Clinical findings
Clinical manifestations
Sources
Perceptions
Assess
QUESTIONS AND SOLUTIONS RATED A+
✔✔Ear admin indications - ✔✔-TREAT INFECTION OR INFLAMMATION
-DECREASE PAIN OF OTITIS MEDIA
-DISSOLVE CERUMEN (EAR WAX)
✔✔ear admin - ✔✔adult- pull up and back
child- down and back
✔✔nasal administration uses - ✔✔-DECONGESTANT
-ANTIHISTAMINE
-ANTIBIOTIC
-STEROID
✔✔nasal installation- sprays - ✔✔-have pt clear nose
-while holding one nostril shut insert the top of the tip to the other nostril
-pt squeezes bottle while breathing in
-repeat on other side
-top of bottle should be clean before top is replaced
✔✔Nose drops - ✔✔-LIE DOWN, FACE UP, WITH HEAD OFF THE BED AND NECK
HYPEREXTENDED
TIP OF DROPPER IS HELD JUST ABOVE THE NOSTRIL, AND
THE CORRECT NUMBER OF DROPS
SLIGHTLY SQUEEZING THE RUBBER TOP
THE PATIENT SHOULD REMAIN WITH THE HEAD BACK FOR A FEW MINUTES
✔✔use of nebulizer - ✔✔ATOMIZERS
AEROSOL
METERED DOSE INHALER
Nay bc of covid
✔✔Inhaler common types - ✔✔-PRESSURIZED METERED-DOSE INHALERS
(PMDIS)
-DRY POWDER INHALERS (DPIS)
-NEBULIZERS
✔✔topical administration
if skin is wet use - ✔✔cream
✔✔topical admin
,if skin is dry - ✔✔use ointment
✔✔Skin applications - ✔✔use gloves and applicators
and clean skin first
use sterile technique if the patient has an open wound
✔✔transdermal patch - ✔✔-SKIN PATCH CONTAINING DRUG MOLECULES THAT
ARE ABSORBED THROUGH THE SKIN AT VARYING RATES
-EVEN FLOW OF DRUG OVER A LONG PERIOD OF TIME
-PROMOTES A CONSISTENT BLOOD LEVEL BETWEEN APPLICATION TIMES
✔✔application of transdermal patch - ✔✔-remove old one before putting new one
-doc location
-ask abt patches during med history
-apply a label to the patch if it is difficult to see
-doc removal of patch
- put date and time and initials
- can not have more than one at a time
-show removal on MAR
-switch sides
✔✔NITROGLYCERINE - ✔✔-SQUEEZE PRESCRIBED AMOUNT ONTO APPLI-
RULER PAPER
-DO NOT TOUCH OINTMENT
-FOLD PAPER LENGTHWISE WITH OINTMENT INSIDE
-ROTATE SITES CHEST BACK UPPER ARMS UPPER LEGS
-SITE SHOULD BE CLEAN, DRY, INTACT, RELATIVELY FREE OF HAIR (DO NOT
SHAVE AREA)
Can give nitro glen topically and it is for chest pain
✔✔vaginal instillation - ✔✔- Suppositories, foams, creams
- Use of gloves & applicator.
- Client positioning, comfort, & hygiene.
✔✔rectal instillation - ✔✔-suppositoires and enemas
✔✔Definition of the nursing process - ✔✔is an organizing framework for professional
nursing practice.
includes planning, developing goals and implementing goals
✔✔ADPIE - ✔✔Assessment
Diagnosis
Planning
, Implementation
Evaluation
problem solving approach
provides organizing framework
✔✔What is the nursing process used for? - ✔✔Is used in nursing to identify and treat
the nursing diagnoses (problems) of a client.
✔✔Assessment - ✔✔Involves clinical thinking skills and data collection that is
continuous
-Physiological, psych, sociocultural, spiritual, economic and lifestyle patters
✔✔Collection of info abt the pt - ✔✔-Is holistic and detailed.-
-whole person not just illness
-Supports clinical reasoning and critical thinking.
-Determines the client problems and strengths.
-Occurs at the initiation of care and is ongoing during all of the phases of the nursing
process.
✔✔Assessment sources of info - ✔✔nursing assessment and health history
Psychical assessment
Med records
diagnostic test results
health team members
✔✔Words that indicate focused assessment - ✔✔Inspect
Identify
Verify
Observe
Determine
Notify
Check
Inform
Question
Verbal and nonverbal
Signs and symptoms
Stressors
Adaptations
Responses
Clinical findings
Clinical manifestations
Sources
Perceptions
Assess
