FPCC – Exam 3 – 2026 – Study Guide and Practice
Material
transdermal, intradermal, subQ, into joints - correct answer ✔✔ 4 routes that local and topical
anesthesia’s can be administered through
change in heart rate, burning, itching, rash, decreased sensation - correct answer ✔✔ 5 side
effects/precautions for local/topical anesthesia
massage, TENS, heat and cold, acupuncture - correct answer ✔✔ 4 types of cutaneous
stimulation that are non-pharmacological interventions
use a pain scale, reassess signs and symptoms of pain, vital signs, evaluate pain impact on
physical and social function, evaluate family/friend's observations of patient pain, ASK how
much or if pain prevents from ADLs - correct answer ✔✔ 6 ways to evaluate pain management
cutaneous - correct answer ✔✔ this is superficial pain, arising from subQ tissue or skin (ex.
paper cut, hot to touch)
visceral - correct answer ✔✔ this pain is caused by the stimulation of deep, internal pain
receptors. Can be described as a tight pressure or cramping (ex. menstrual cramps, bowel
disorders, labor pain, organ cancer)
deep somatic - correct answer ✔✔ this pain originates in ligaments, tendons, nerves, blood
vessels, and bones. Localized and described as achy or tender. (ex. fracture, sprain, arthritis,
bone cancer)
psychogenic - correct answer ✔✔ this pain is believed to originate from the mind; patient
perceives pain despite no physical cause that can be identified.
,visceral, somatic - correct answer ✔✔ two types of nociceptive pain are ___ and ___.
neuropathic - correct answer ✔✔ type of pain that is a complex and often chronic pain that
arises when injury to one or more nerves results in repeated transmission of pain signals even in
the absence of stimuli.
acute - correct answer ✔✔ which type of pain is protective- acute or chronic?
whenever you take full set of vitals (routinely) - correct answer ✔✔ when should pain be
assessed on patient?
patient self report - correct answer ✔✔ what is the most reliable way to assess patient pain?
mild, moderate or severe - correct answer ✔✔ nonpharmacological interventions are good
alternatives if experiencing ___ pain, but should be used as complementary interventions if pain
is __ or ___.
heat - correct answer ✔✔ ___ promotes circulation, which speeds healing.
contralateral stimulation - correct answer ✔✔ stimulating skin in area opposite of the painful
site
localized, diffuse - correct answer ✔✔ cutaneous stimulation is best for pain that is ___ and not
___
visual (watch TV), tactile (touch, stroking a pet), intellectual (puzzle), auditory (music therapy) -
correct answer ✔✔ 4 types of distraction that can use to help distract from pain
,guided imagery - correct answer ✔✔ uses auditory and imaginary processes to affect emotions
and help calm, divert, and relax.
diaphragmatic - correct answer ✔✔ what type of breathing promotes relaxation
opioids - correct answer ✔✔ kind of medication we should give if patient is in severe pain
n/v, constipation, itching, breakouts - correct answer ✔✔ 4 common side effects seen with
opioid use
2 nurses - correct answer ✔✔ who does PCA have to be checked by before giving?
increases circulation, lowers BP, improves venous return, healthy heart rate at resting level -
correct answer ✔✔ 4 cardiovascular benefits of mobility
RR comes to healthy rate faster, better oxygenation, helps diaphragmatic breathing - correct
answer ✔✔ 3 pulmonary benefits of mobility
hypostatic pneumonia - correct answer ✔✔ this is when infection occurs from pooling
secretions (seen with immobility)
tracheal deviation and unilateral chest expansion - correct answer ✔✔ 2 things you may see if
patient experiences atelectasis due to a mucous plug or secretion block. (no ventilation)
parathyroid - correct answer ✔✔ With immobility, ___ gland issues are common due to
hypercalcemia and there's an increased release of Ca from bones.
footdrop - correct answer ✔✔ joint contracture of immobility when the foot permanently drops
into plantar flexion
, UTI - correct answer ✔✔ during immobility, urine can pool in the pelvis when laying down and
increases the risk for developing ___
kidney stones - correct answer ✔✔ another name for renal calculi is
disease (disorders and injuries), environment (workplace, school, community, family support),
medical therapies (bed rest, splints/casts, restraints) - correct answer ✔✔ 3 categories to assess
when assessing someone's mobility/immobility.
sprain - correct answer ✔✔ this is a torn ligament
low, wide - correct answer ✔✔ you want a patient with a ___ center of gravity and a __ base of
support
flexibility, aerobic, resistance - correct answer ✔✔ 3 types of exercise to encourage to your
patients
1-1.5 - correct answer ✔✔ daily protein intake should be ___-___ g/kg of body weight a day.
high protein, high calorie, vitamins B and C - correct answer ✔✔ 3 dietary implementations to
encourage in an immobile patient to aid METABOLIC function
chest physiotherapy, HOB up, hydrate (2500mL/day) - correct answer ✔✔ 3 respiratory
implementations to encourage in an immobile patient
monitor color and amount of urine, acidify urine (cranberry juice), maintain positive fluid
balance, assist to void on hourly rounds - correct answer ✔✔ 4 GU elimination implementations
to encourage in an immobile patient
Material
transdermal, intradermal, subQ, into joints - correct answer ✔✔ 4 routes that local and topical
anesthesia’s can be administered through
change in heart rate, burning, itching, rash, decreased sensation - correct answer ✔✔ 5 side
effects/precautions for local/topical anesthesia
massage, TENS, heat and cold, acupuncture - correct answer ✔✔ 4 types of cutaneous
stimulation that are non-pharmacological interventions
use a pain scale, reassess signs and symptoms of pain, vital signs, evaluate pain impact on
physical and social function, evaluate family/friend's observations of patient pain, ASK how
much or if pain prevents from ADLs - correct answer ✔✔ 6 ways to evaluate pain management
cutaneous - correct answer ✔✔ this is superficial pain, arising from subQ tissue or skin (ex.
paper cut, hot to touch)
visceral - correct answer ✔✔ this pain is caused by the stimulation of deep, internal pain
receptors. Can be described as a tight pressure or cramping (ex. menstrual cramps, bowel
disorders, labor pain, organ cancer)
deep somatic - correct answer ✔✔ this pain originates in ligaments, tendons, nerves, blood
vessels, and bones. Localized and described as achy or tender. (ex. fracture, sprain, arthritis,
bone cancer)
psychogenic - correct answer ✔✔ this pain is believed to originate from the mind; patient
perceives pain despite no physical cause that can be identified.
,visceral, somatic - correct answer ✔✔ two types of nociceptive pain are ___ and ___.
neuropathic - correct answer ✔✔ type of pain that is a complex and often chronic pain that
arises when injury to one or more nerves results in repeated transmission of pain signals even in
the absence of stimuli.
acute - correct answer ✔✔ which type of pain is protective- acute or chronic?
whenever you take full set of vitals (routinely) - correct answer ✔✔ when should pain be
assessed on patient?
patient self report - correct answer ✔✔ what is the most reliable way to assess patient pain?
mild, moderate or severe - correct answer ✔✔ nonpharmacological interventions are good
alternatives if experiencing ___ pain, but should be used as complementary interventions if pain
is __ or ___.
heat - correct answer ✔✔ ___ promotes circulation, which speeds healing.
contralateral stimulation - correct answer ✔✔ stimulating skin in area opposite of the painful
site
localized, diffuse - correct answer ✔✔ cutaneous stimulation is best for pain that is ___ and not
___
visual (watch TV), tactile (touch, stroking a pet), intellectual (puzzle), auditory (music therapy) -
correct answer ✔✔ 4 types of distraction that can use to help distract from pain
,guided imagery - correct answer ✔✔ uses auditory and imaginary processes to affect emotions
and help calm, divert, and relax.
diaphragmatic - correct answer ✔✔ what type of breathing promotes relaxation
opioids - correct answer ✔✔ kind of medication we should give if patient is in severe pain
n/v, constipation, itching, breakouts - correct answer ✔✔ 4 common side effects seen with
opioid use
2 nurses - correct answer ✔✔ who does PCA have to be checked by before giving?
increases circulation, lowers BP, improves venous return, healthy heart rate at resting level -
correct answer ✔✔ 4 cardiovascular benefits of mobility
RR comes to healthy rate faster, better oxygenation, helps diaphragmatic breathing - correct
answer ✔✔ 3 pulmonary benefits of mobility
hypostatic pneumonia - correct answer ✔✔ this is when infection occurs from pooling
secretions (seen with immobility)
tracheal deviation and unilateral chest expansion - correct answer ✔✔ 2 things you may see if
patient experiences atelectasis due to a mucous plug or secretion block. (no ventilation)
parathyroid - correct answer ✔✔ With immobility, ___ gland issues are common due to
hypercalcemia and there's an increased release of Ca from bones.
footdrop - correct answer ✔✔ joint contracture of immobility when the foot permanently drops
into plantar flexion
, UTI - correct answer ✔✔ during immobility, urine can pool in the pelvis when laying down and
increases the risk for developing ___
kidney stones - correct answer ✔✔ another name for renal calculi is
disease (disorders and injuries), environment (workplace, school, community, family support),
medical therapies (bed rest, splints/casts, restraints) - correct answer ✔✔ 3 categories to assess
when assessing someone's mobility/immobility.
sprain - correct answer ✔✔ this is a torn ligament
low, wide - correct answer ✔✔ you want a patient with a ___ center of gravity and a __ base of
support
flexibility, aerobic, resistance - correct answer ✔✔ 3 types of exercise to encourage to your
patients
1-1.5 - correct answer ✔✔ daily protein intake should be ___-___ g/kg of body weight a day.
high protein, high calorie, vitamins B and C - correct answer ✔✔ 3 dietary implementations to
encourage in an immobile patient to aid METABOLIC function
chest physiotherapy, HOB up, hydrate (2500mL/day) - correct answer ✔✔ 3 respiratory
implementations to encourage in an immobile patient
monitor color and amount of urine, acidify urine (cranberry juice), maintain positive fluid
balance, assist to void on hourly rounds - correct answer ✔✔ 4 GU elimination implementations
to encourage in an immobile patient
