NURS 334 MIDTERM REVIEW COMPREHENSIVE
EXAM 2026 STUDY GUIDE COMPLETE
NURSING CONCEPTS AND PRACTICE
QUESTIONS
◉ ISBARR. Answer: A communication tool used in healthcare to
ensure clear, structured communication between different members
of the team, especially in critical situations.
◉ I - Introduction. Answer: Identify yourself, identify the patient.
◉ S - Situation. Answer: Explain what is happening with the patient.
◉ B - Background. Answer: Give pertinent information.
◉ A - Assessment. Answer: Share your clinical findings.
◉ R - Recommendation. Answer: Suggest what you think should be
done.
◉ R - Read back. Answer: Read back the orders the doctor is
implementing.
,◉ 2025 National Patient Safety Goals. Answer: Goals include
identifying patients correctly, using medications safely, improving
staff communication, using alarms safely, preventing infection,
identifying patient safety risks, improving health care equity, and
preventing mistakes in surgery.
◉ Malpractice. Answer: When a healthcare professional fails to meet
the standard of care, resulting in harm or injury to a patient.
◉ Negligence. Answer: When a healthcare professional fails to act
with reasonable care, and it causes harm to the patient.
◉ Therapeutic Communication. Answer: Involves active listening,
empathy, respect, and nonjudgmental attitudes, allowing the patient
to express their feelings in a safe environment.
◉ Non-therapeutic Communication. Answer: Involves techniques
that block, shut down, or discourage an open conversation.
◉ Oral medication administration key points. Answer: Do not crush
enteric-coated (ec), capsules, long-acting, or slow release
medications. For liquid medication, measure liquid at eye level.
, ◉ Ear Medication Administration. Answer: Position patient on side.
Adults: pull pinna up and back. Child: pull pinna down and back. Do
not insert applicator into ear canal.
◉ Eye Drop Administration. Answer: Gently press downward with
thumb or forefinger against body orbit, exposing conjunctival sac.
Hold eye dropper 1-2cm away from conjunctival sac.
◉ Eye Ointment Administration. Answer: Apply a thin ribbon of
ointment, evenly along inner edge of lower eyelid from inner to
outer canthus.
◉ Intradermal Injections. Answer: Administered at a 5-15 degree
angle using a 25-27 gauge needle that is 3/8 - 5/8 inches long.
◉ Subcutaneous Injections. Answer: Administered at a 45-90 degree
angle using a 25-27 gauge needle that is 3/8 - 5/8 inches long.
◉ Intramuscular Injections. Answer: Administered at a 90 degree
angle using an 18 - 23 gauge needle that is 1 - 2 inches long.
◉ DEA Schedule I. Answer: Includes illegal drugs with the highest
abuse potential, such as heroin, LSD, and marijuana, and has no
accepted medical use.
EXAM 2026 STUDY GUIDE COMPLETE
NURSING CONCEPTS AND PRACTICE
QUESTIONS
◉ ISBARR. Answer: A communication tool used in healthcare to
ensure clear, structured communication between different members
of the team, especially in critical situations.
◉ I - Introduction. Answer: Identify yourself, identify the patient.
◉ S - Situation. Answer: Explain what is happening with the patient.
◉ B - Background. Answer: Give pertinent information.
◉ A - Assessment. Answer: Share your clinical findings.
◉ R - Recommendation. Answer: Suggest what you think should be
done.
◉ R - Read back. Answer: Read back the orders the doctor is
implementing.
,◉ 2025 National Patient Safety Goals. Answer: Goals include
identifying patients correctly, using medications safely, improving
staff communication, using alarms safely, preventing infection,
identifying patient safety risks, improving health care equity, and
preventing mistakes in surgery.
◉ Malpractice. Answer: When a healthcare professional fails to meet
the standard of care, resulting in harm or injury to a patient.
◉ Negligence. Answer: When a healthcare professional fails to act
with reasonable care, and it causes harm to the patient.
◉ Therapeutic Communication. Answer: Involves active listening,
empathy, respect, and nonjudgmental attitudes, allowing the patient
to express their feelings in a safe environment.
◉ Non-therapeutic Communication. Answer: Involves techniques
that block, shut down, or discourage an open conversation.
◉ Oral medication administration key points. Answer: Do not crush
enteric-coated (ec), capsules, long-acting, or slow release
medications. For liquid medication, measure liquid at eye level.
, ◉ Ear Medication Administration. Answer: Position patient on side.
Adults: pull pinna up and back. Child: pull pinna down and back. Do
not insert applicator into ear canal.
◉ Eye Drop Administration. Answer: Gently press downward with
thumb or forefinger against body orbit, exposing conjunctival sac.
Hold eye dropper 1-2cm away from conjunctival sac.
◉ Eye Ointment Administration. Answer: Apply a thin ribbon of
ointment, evenly along inner edge of lower eyelid from inner to
outer canthus.
◉ Intradermal Injections. Answer: Administered at a 5-15 degree
angle using a 25-27 gauge needle that is 3/8 - 5/8 inches long.
◉ Subcutaneous Injections. Answer: Administered at a 45-90 degree
angle using a 25-27 gauge needle that is 3/8 - 5/8 inches long.
◉ Intramuscular Injections. Answer: Administered at a 90 degree
angle using an 18 - 23 gauge needle that is 1 - 2 inches long.
◉ DEA Schedule I. Answer: Includes illegal drugs with the highest
abuse potential, such as heroin, LSD, and marijuana, and has no
accepted medical use.
