EXAM 3 NUR 101 QUESTIONS
AND ANSWERS 2025 100%
GUARANTEED PASS GRADE A+
1. Safety Med Administration: Pt identifiers (name, DOB, MR #)
Identify Allergies
Dual sign off: high alert meds (insulin, anticoagulants, controlled substances)
Check drug interaction (drug handbooks, Lexicomp, Pharmacist)
Be aware of pt assessment
Be aware of adverse effects
Limit distractions/interactions
3 Checks
Only prepare meds for 1 pt at a time
2 Rights Medication Administration: Right Pt
Right Med
Right Dose
Right Route
Right Time/Frequency
Right Documentation
3. Pain response/ Inflammatory response: release of chemicals to sight of injury
, 2
serotonin: promotes/inhibits pain perception
bradykinin: vasodilation- redness, swelling
histamine: leakage of fluid from BV to tissue-edema
prostaglandins: increase sensation of pain and help prevent further injury
4Types of pain: acute: short, sudden, warning sign, last few weeks, decreases with treatment
chronic: greater than 3 months, gradual onset, hard to pin point, doesn't respond well to tx, can
create other health problems-- tolerance overtime builds up resistnace to therapeutic affects of
meds.
nociceptive: damage to or inflammation of tissues other than PNS and CNS- somatic
(bones, joints, muscles, skin or connective tissue) visceral (internal organs)
neuropathic: abnormal or damaged pain nerves (phantom limb, pain below spinal cord injury and
diabetic neuropathy)- pins and needles
5 Pain: whatever pt says it is physiological response to harmful stimuli unpleasant
sensory/emotional experience with actual or potential tissue damage
6 Pain (physiological response): stimulation fo sensory receptors called nocioreceptors, sends
signals through the spinal cord to the brain the brain then interprets the info and signals a pain
response which then stimulates an inflammatory response
7.Physiological consequences of pain: acute pain: increased -BP, RR, and pulse, N/V,
diaphoresis, dilated pupils,
chronic: physiosocial- anxiety and depression
8.Pain assessment: O= Onset
, 3
P= Provocative (makes worse), Palliative (makes better) Q=
Quality (what does it feel like) sharp, dull, throbbing, etc.
R= Region (location) and radiation
S= Severity (scale 0-10)
T= Timing (continuos, intermittent)
U= how does it affect you (ADL's, ambulation)
9. Non verbal pain cues: increased HR, BP and temp dilated pupils guarding grimacing
moaning/crying holding body part mood/ behavior changes diaphoresis
10. Non pharm tx of pain: Heat- vasodilation
Cold- vasoconstrict decrease inflammation and swelling massage
chiropractic/acupuncture
PT
guide
d
image
ry
deep
breath
ing
medit
ation
11. Pharm tx of pain: analgesis (pain relivers) opiod non opiod misc.- tramadol
12. Opiod: narcotics (controlled substance)