NURS 676 MIDTERM CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ Chronic pain duration.
Answer: Lasts 3 months or longer.
◉ Somatic pain characteristics.
Answer: Sharp, aching, well-localized pain arising from bone, joint,
muscle, or skin.
◉ Visceral pain characteristics.
Answer: Deep, cramping, poorly localized pain arising from internal
organs.
◉ Neuropathic pain characteristics.
Answer: Burning, tingling, or shooting pain from damage to the
nervous system.
◉ Most reliable indicator of pain.
Answer: What the patient says it is.
,◉ Numeric Rating Scale target population.
Answer: Cognitively intact adults.
◉ Wong-Baker FACES target population.
Answer: Children or adults with mild cognitive impairment.
◉ FLACC or PAINAD target population.
Answer: Non-verbal patients or those with advanced dementia.
◉ IV pain medication reassessment timing.
Answer: 15 to 30 minutes after administration.
◉ Oral (PO) pain medication reassessment timing.
Answer: 45 to 60 minutes after administration.
◉ Acetaminophen major risk.
Answer: Hepatotoxicity.
◉ Acetaminophen maximum daily dose.
Answer: 4 grams (4,000 mg) per 24 hours.
◉ NSAID major risks.
, Answer: GI bleeding, ulcers, and nephrotoxicity.
◉ Opioid priority adverse effect.
Answer: Respiratory depression.
◉ Opioid most common side effect.
Answer: Constipation.
◉ PCA dual sign-off requirement.
Answer: Two RNs must verify pump settings and orders.
◉ Isotonic fluids function.
Answer: Stay in the intravascular space to replace lost fluid volume.
◉ Hypotonic fluids function.
Answer: Move fluid out of blood vessels and into the cells.
◉ Hypertonic fluids function.
Answer: Pull fluid out of cells and into the blood vessels.
◉ Normal potassium (K⁺) level.
Answer: 3.5 to 5.0 mEq/L.
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ Chronic pain duration.
Answer: Lasts 3 months or longer.
◉ Somatic pain characteristics.
Answer: Sharp, aching, well-localized pain arising from bone, joint,
muscle, or skin.
◉ Visceral pain characteristics.
Answer: Deep, cramping, poorly localized pain arising from internal
organs.
◉ Neuropathic pain characteristics.
Answer: Burning, tingling, or shooting pain from damage to the
nervous system.
◉ Most reliable indicator of pain.
Answer: What the patient says it is.
,◉ Numeric Rating Scale target population.
Answer: Cognitively intact adults.
◉ Wong-Baker FACES target population.
Answer: Children or adults with mild cognitive impairment.
◉ FLACC or PAINAD target population.
Answer: Non-verbal patients or those with advanced dementia.
◉ IV pain medication reassessment timing.
Answer: 15 to 30 minutes after administration.
◉ Oral (PO) pain medication reassessment timing.
Answer: 45 to 60 minutes after administration.
◉ Acetaminophen major risk.
Answer: Hepatotoxicity.
◉ Acetaminophen maximum daily dose.
Answer: 4 grams (4,000 mg) per 24 hours.
◉ NSAID major risks.
, Answer: GI bleeding, ulcers, and nephrotoxicity.
◉ Opioid priority adverse effect.
Answer: Respiratory depression.
◉ Opioid most common side effect.
Answer: Constipation.
◉ PCA dual sign-off requirement.
Answer: Two RNs must verify pump settings and orders.
◉ Isotonic fluids function.
Answer: Stay in the intravascular space to replace lost fluid volume.
◉ Hypotonic fluids function.
Answer: Move fluid out of blood vessels and into the cells.
◉ Hypertonic fluids function.
Answer: Pull fluid out of cells and into the blood vessels.
◉ Normal potassium (K⁺) level.
Answer: 3.5 to 5.0 mEq/L.
